Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. In this episode of our miniseries on psychiatric skills, we review the core content areas of a psychiatric assessment and look at techniques to improve interviewing efficiency, accuracy and alliance building. Our expert for this episode is Dr. Juveria Zaheer, a clinician-scientist at the Centre for Addiction and Mental Health, and an assistant professor at the University of Toronto, in Toronto, ON.
Learning Objectives:
By the end of the episode you, the learner, should...
- Have a clear understanding of the goals of a complete psychiatric interview and the general structure and content that should be covered
- Feel comfortable to begin to use techniques that will help you conduct a professional, compassionate, empathic, efficient, and accurate interview
- Be familiar with techniques you can use to facilitate information gathering in more challenging interviews
Episode Timepoints
- 3:15 - Purpose of the psychiatric interview
- 6:30 - First content areas of the interview; introduction, ID, RFR, CC, HPI, ROS, Past Psych Hx
- 19:00 - Techniques and Strategies for Organized and Efficient Psychiatric ROS
- 26:00 - Details of Past Psychiatric History
- 29:30 - Past Medical History
- 31:00 - Substance Use History
- 33:30 - Medications
- 34:20 - Family Psych History
- 36:25 - Personal and Developmental History (Content & Process discussion)
- 44:00 - Commonly missed areas including Legal/Forensic history
- 45:00 - Shift from content to process discussion “how to best manage a psychiatric interview”
- 49:00 - Self-care and monitoring
- 52:00 - Building rapport, therapeutic alliance, empathy
- 53:30 - Alex and Lucy reflect on their growth as interviewers over 4 years in residency
- 73:00 - Managing challenging interviews
References and Resources
1) Shea, S. C. (1998). Psychiatric Interviewing E-Book: The Art of Understanding: A Practical Guide for Psychiatrists, Psychologists, Counselors, Social Workers, Nurses, and Other Mental Health Professionals
2) Carlat, D. J. (2016). The psychiatric interview: A practical guide. Lippincott Williams & Wilkins.
CPA Note: The views expressed in this podcast do not necessarily reflect those of the Canadian Psychiatric Association.
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