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Psychiatry interview History Taking

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Presentation on theme: "Psychiatry interview History Taking"— Presentation transcript:

1 Psychiatry interview History Taking
Dr. Ahmad AlHadi Consultant, Psychiatrist & Psychotherapist

2 Outlines Aims of the interview (Why) General Tips (How)
Contents of Psychiatry History (What) Demonstration (How)

3 Psychiatric Interview (aims)
Obtain information Understand the person with the illness Form a therapeutic relationship Assess the emotions and attitudes of the patient Provide the patient with information about the illness, treatment recommendations, and prognosis.

4 Psychiatric Interview (general advice)
Putting the patient at ease : * place : not to be overheard * arrangements for seating * greet the patient by name * introduce yourself with your own name and your role * explain

5 Psychiatric Interview… (general advice)
Starting the interview : * begin with a general question * to avoid closed questions and leading questions Proceeding with the interview : * to keep the patient to relevant topics, while letting him talk freely

6 Psychiatric Interview… (general advice)
Non-verbal communication : * the interviewer’s non-verbal cues are important in guiding the interview Finishing the interview

7 The Psychiatric History
Identifying data: name, age, sex, marital status, education, occupation, address, … Reason for referral Chief Complaints

8 The Psychiatric History
Hx of Present Illness (HPI): * patient’s description of the problem. * details of the nature of the problem. * present severity of the symptoms other relevant problems * onset and course * associated Sx * Ask about: Organicity, Substance, Suicide, vegetative Sx

9 The Psychiatric History
Past psychiatric history: Previous episodes Previous treatments: ECT, Psychotherapy Previous admissions

10 The Psychiatric History…
Family history: * parents: age, occupation, personality, relationship with the patient * sibling: * social position; atmosphere of the home * Hx of mental disorder or drug abuse

11 The Psychiatric History…
Personal history: * mother’s pregnancy and birth * early development * childhood separation, emotional problems * schooling and higher education * occupations * sexual relationships

12 The Psychiatric History…
Personal history… * menstrual history * marriage * children * forensic history Past medical history: * Chronic Illnesses and Tx *Admissions

13 The Psychiatric History…
Premorbid personality: * relationships * leisure activities * prevailing mood * attitudes, standards * habits Drugs, alcohol, tobacco

14 Any Questions

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