In this discussion, Dr. Juveria Zaheer, a clinician-scientist at CAMH and assistant professor at the University of Toronto, delves into the art of the psychiatric interview. She emphasizes techniques for active listening, compassion, and rapport-building, vital for efficient patient assessments. Listeners learn about essential components like past psychiatric history and effective strategies to navigate sensitive topics. Dr. Zaheer also highlights the importance of personal safety and self-reflection in fostering strong therapeutic alliances.
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Evolving Empathy
Juveria Zaheer found it emotionally challenging to work with teens, relating them to her siblings.
As she grew older, her perspective changed, illustrating the impact of personal experiences.
volunteer_activism ADVICE
Pre-Interview Prep
Review the patient's chart thoroughly before the interview to gain context and improve efficiency.
Reflect on personal biases and potential emotional responses to the patient's situation.
volunteer_activism ADVICE
Building Rapport
View rapport-building as a skill that can be learned and improved over time, not an innate trait.
Adapt your approach depending on individual client needs and circumstances.
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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
CPA Note: The views expressed in this podcast do not necessarily reflect those of the Canadian Psychiatric Association.
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