Interviewing

Question 1

Mental illness stats

Answer 1

1/5 adults experience

1/20 live with serious

1/2 chronic starts at age 14, 3/4 by age 24

1/5 kids age 13-18 have

Question 2

Most/least prevalent disorders

• Dx
• in kids
• race
• LGBT

Answer 2

DX = highest anxiety, lowest schizophrenia

Kids = highest mood disorder, lowest anxiety

Race = highest Natives/whites, lowest asians

LGBT = 2x mental, 2-3x suicide

Question 3

Biopsychosocial

Answer 3

Biology
Psyc
Social context

Focus on health not illness
Not single factor causes
Holistic

Question 4

Biomedical model

Answer 4

Focus on illlness, not health

Question 5

Psych interview focuses

Answer 5

• working alliances

* understand content + process of interview

Question 6

Interview techniques

Answer 6

Normalization= reduce stigma

Continuation = acknowledge patient

Redirection = guide + focus interview

• empathy statements = “how feel”, “you sound sad when…”
• don’t interrupt patient
• maybe don’t reason w/ them

Question 7

Interview outline

Answer 7

• opening= ID self, interview purpose, relationship building
• Body - balance your needs w/ patient’s
• Closing = thank, pt ask questions

Question 8

Encounter outline

Answer 8

• ID
• HPI , psyc ROS
• **Past psyc hx
• **family Hx
• ** social developmental hx
• **MSE (psyc PE)
• PE/neuro
• Dx
• tx

Question 9

4 Ps

Answer 9

• predisposing factors
• precipitating factors
• Perpetuating factors
• Protective factors

Bio/psyc/social for each