Sections
Requisite Physician Preparation | Conduct of the Psychiatric Interview | Process of the Psychiatric Interview | Content of the Psychiatric Interview | The Mental Status Examination | Diagnostic Formulation and Treatment Planning | Conclusion | Key Points | Suggested Readings | References
Excerpt
An effective psychiatric interview allows the clinician both to
connect with a patient and to gather pertinent data. Although medical
technology has advanced tremendously and has increased the amount
of laboratory and neuroimaging information available to assist psychiatrists
in making more accurate diagnoses and developing more specific treatment plans
for patients, these tests cannot supplant the importance of gathering
critical data via the traditional psychiatric interview. The psychiatric
interview is the single most important method of arriving at an
understanding of a patient who exhibits the signs and symptoms of
a psychiatric illness (Scheiber 2003). Patients usually
communicate the most important aspects of their illnesses to their
physicians during the doctor–patient interview. The psychiatrist
listens and then responds to the patient in an effort to understand
the patient's problems in the context of the patient's
culture and environment (MacKinnon and Yudofsky 1991; MacKinnon et al. 2006). The psychiatric interview is similar to the general
medical interview in that both include the patient's chief complaint,
history of present illness, past history, social and family history,
and review of systems. However, the psychiatric interview differs
from the traditional medical interview because the psychiatric interview
also includes a more thorough examination of the patient's
developmental history, including the patient's feelings
about significant life events and exploration of the patient's
significant interpersonal relationships, patterns of adaptation,
and character traits (MacKinnon et al. 2006; Scheiber 2003). The psychiatric interview includes a formal examination
of the patient's mental status as well.