1. 정신과적 평가
신 정 호
연세 원주의대 정신과학교실

2. 면담 정신과적 면담 면담 기술 Rapport as early as possible Chief complaints
Tentative differential diagnosis
R/O diagnosis, impression
Clarify obscure answers

3. 면담 면담기술(계속) Let pt talk freely for at least 3,4m
Open and closed question
Don’t be afraid to ask sensitive material
Ask about suicide idea
Afford pt to ask before termination
Trust and hope

4. 면담의 관리 시간 Initial interview: 30 – 60m 진찰실 및 좌석 배치 기록 특수 상황
Suicidal patient
Violent patient
Delusional patient
Interview with family

5. Psychiatric History Taking
Identification of patient
Main problems
Present illness
Past history
Family history

6. Psychiatric History Taking
Personal history
Prenatal and perinatal period
Early childhood ( – 3 y)
Middle childhood(3 – 11 y)
Late childhood(from puberty to adolescent)
Adulthood
Psychosexual history
Dream, fantasy, value

7. Mental Status Examination
General appearance, attitude and behavior
Emotional reaction
Stream of thought
Contents of thought
Sensorium, mental grasp and capacity

8. Medical Evaluation Basic screening test Neuroendocrine test
TRH stimulation test, DST
Neuroimaging study
Brain CT, MRI, SPECT, PET
Neurophysiologic study
EEG, Polysomnography, Evoked potential

9. Psychological Test Intelligence test Personality test
Symptom checklist
Psychological test for perceptual and memory ability
Neuropsychological test
Self report test
Projective test