Psychiatric Interview

Question 1

Obstacles in psychiatric interviewing

Answer 1

1: poor insight
2: positive impression management
3: self deception
4: symptoms as adaptations

Question 2

Self report measures of mood + affective functioning

Answer 2

Beck anxiety inventory
Beck depression inventory
Symptom checklist 90 revised

Question 3

clinical rates measures

Answer 3

Hamilton rating scale for depression

Question 4

Similarity btw medical + psychiatrist interview

Answer 4

BOTH:

1: validation
2: acceptance
3: valued

Question 5

Mental status examination (MSE)

Notation for orientation

Answer 5

Patient is oriented x3 (self, place, and time)

Patient is oriented to self, place, time + purpose

Question 6

Difference between mood and affect?

Answer 6

Mood: WEEKS duration; sustained subjective emotional state as reported by PATIENT

Affect: MINUTES duration; OBSERVED emotional state

Question 7

Thought process + Form: difference btw tangential + circumstantial

Answer 7

Tangential: wandering; irrelevant; DONT REMEMBER what was asked

Circumstantial: indirect; tedious in detail; REMEMBER what was asked

Question 8

ASEPTIC

Answer 8

A: Appearance, attitude, accessibility, behavior 
S: stream of mental activity (speech)
E: Emotion; mood; affect
P: Psychotic symptoms
T: thought (+ language)
I: insight + judgment 
C: cognition, orientation, conc, memory

Question 9

What is the predictive factor for suicide + homicide

Answer 9

What stops you from doing it?

Note: most predictive for suicide: previous attempt
most predictive for homicide: male sex