4 Tasks of the Dx Interview - ANSWER 1) Establish a therapeutic alliance
2) Get the psych database
3) Interview for dx
4) Negotiate tx plan
3 Phases of Interview - ANSWER Opening Phase (5-10min): Rapport,
background information, sets agenda and tone for rest of interview.
Middle Phase (30-40min): Body of interview. Includes dx questioning.
Closing Phase (5-10min): Discussion of assessment plan, tx, and/or f/u.
3 Rapport-Building Techniques to Help Develop a Therapeutic Alliance -
ANSWER 1) Use Empathy
2) Encourage pt to talk
3) Use nonverbal responses
Reinforcement - ANSWER Positive/encouraging words and actions to convey
interest and encourage pt to continue.
Ex: "I see", "Go on", "Tell me more", "hmm", "uh-huh".
Reflection - ANSWER Use pt's words to reflect back what they are hearing.
Stated as fact, not as a question.
Ex: "You sound sad when you talk about her."
, Summarizing - ANSWER Use own words to convey understanding of what pt
has shared
Leading - ANSWER What/When/Where/Who questions
Layout of the Psychiatric Interview - ANSWER - Identifying Data; Source and
Reliability
- c/c
- HPI
- Psych RoS
- Past Psych Hx
- Substance/ETOH Hx
- PMH
- Familial Hx
- Developmental/Social Hx
- Medical RoS
- MSE
- Physical Exam
- Narrative Summary/Formulation; DSM-5 Dx
- Tx Plan
HPI - ANSWER Detailed account of c/c in chronological order and impact of
illness in pt's life.
Answers what (symptoms, triggering factors), how much (severity), how long,
associated factors, and why pt is seeking help now.
2) Get the psych database
3) Interview for dx
4) Negotiate tx plan
3 Phases of Interview - ANSWER Opening Phase (5-10min): Rapport,
background information, sets agenda and tone for rest of interview.
Middle Phase (30-40min): Body of interview. Includes dx questioning.
Closing Phase (5-10min): Discussion of assessment plan, tx, and/or f/u.
3 Rapport-Building Techniques to Help Develop a Therapeutic Alliance -
ANSWER 1) Use Empathy
2) Encourage pt to talk
3) Use nonverbal responses
Reinforcement - ANSWER Positive/encouraging words and actions to convey
interest and encourage pt to continue.
Ex: "I see", "Go on", "Tell me more", "hmm", "uh-huh".
Reflection - ANSWER Use pt's words to reflect back what they are hearing.
Stated as fact, not as a question.
Ex: "You sound sad when you talk about her."
, Summarizing - ANSWER Use own words to convey understanding of what pt
has shared
Leading - ANSWER What/When/Where/Who questions
Layout of the Psychiatric Interview - ANSWER - Identifying Data; Source and
Reliability
- c/c
- HPI
- Psych RoS
- Past Psych Hx
- Substance/ETOH Hx
- PMH
- Familial Hx
- Developmental/Social Hx
- Medical RoS
- MSE
- Physical Exam
- Narrative Summary/Formulation; DSM-5 Dx
- Tx Plan
HPI - ANSWER Detailed account of c/c in chronological order and impact of
illness in pt's life.
Answers what (symptoms, triggering factors), how much (severity), how long,
associated factors, and why pt is seeking help now.
