The objectives of a psychiatric interview are to:
- establish a constructive relationship with the patient which may serve as the basis for any subsequent thera- -peutic relationship.
- it serves as a standard situation in which to assess the patient's emotions and attitudes.
- determine if the patient has a mental disorder - if so, which one(s)?
- what caused it?
- how can it be treated?
- psychiatric history - main tool, mental state exam
Beforehand - establish the circumstances, get old notes, talk to informant
At the start:
- identify yourself and your status
- give reason for interview
- time available
- objectives of interview
- be friendly, and remain in control
- open questions at start become directive when necessary
- retain control - may need active input
- clarify, reflect, facilitate, listen
- be open and ready to ask about suicide, sex, drugs etc
- give patient chance to fill in the gaps
- summarise history back to them
- outline a management plan
- consider the diagnostic formulation
- draw up problem lists