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psychology, psychiatry and the mind > Clinical Psyciatric Interview > Flashcards

Clinical Psyciatric Interview Flashcards

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1
Q

What is the psychiatric interview?

A
  • detailed talk with patient
  • assessment (asking observing/history)
  • having a feel of the patient’s mindset on the day as well to know how to approach them
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2
Q

How to conduct interview

A
  • setting
  • safety (sit close to door)
  • sensitivity and compassion
  • simple language
  • curiosity/open/explorative (be interested in what they have to say)
  • therapeutic (encourage self help)
  • ask what they have been doing to help themselves
  • take notes
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3
Q

Format of doing imtervew

A

-Calgary Cambridge observation guide

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4
Q

What must you remember to do when approaching the patient?

A
  • introduce yourself
  • get consent
  • open questions (give them time to think)
  • clarify points/ask patient to elaborate
  • the use closed questions to focus attention on certain areas
  • be flexible (even though you ma have structure in our mind)
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5
Q

Briefly, how do you psychiatrically assess someone?

A
  • History
  • Mental health examination
  • Risk assessment
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6
Q

How to carry out the assessment in detail.

A
  • circumstances of referral
  • history of past complaints
  • past psychiatric history
  • surgical and medical history
  • alcohol and drug misuse
  • family and personal history (early development/ education/ occupation/ sexual relationships/ pre morbid personality and forensic history)
  • current medications
  • timescales of complaints
  • be non judgemental and understanding
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7
Q

What are usual problems that can be reported?

A
  • unusual/ distressing belief
  • abnormal thoughts
  • disordered feelings or thoughts
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8
Q

What can be triggers to complaints?

A
  • Alcohol/ drugs
  • Psychological interventions
  • Medicines
  • Social like
  • Self care
  • neurological or endocrinological factors
  • Exacerbating and relieving factors
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9
Q

Personal history points (FAMILY)

A
  • mental illness or physical illness in family
  • who they live with
  • who is dependent on them
  • their support network
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10
Q

Personal history (EVENTS)

A

-psychological development
-capacity to
form relationships
-their view of themselves and the view around them

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11
Q

Social history points

A
  • Accommodation
  • Finances
  • Activities
  • Occupation
  • Social network
  • Living situation
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12
Q

What are components of mental state?

A 
Appearance 
Behaviour 
Speech
Mood
Thought 
Perception
Cognition 
Insight
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13
Q

How do you judge appearance and behaviour of a patient?

A
  • physical characteristics
  • eye contact and body language
  • are they calm/agitated/moving a lot
  • are the open/frightened guarded
  • forming a rapport
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14
Q

How to assess speech

A
  • rate of speech
  • tone volume
  • is it monotonous
  • are they not speaking
  • is it easy to interrupt them
  • hesitation
  • spontaneous?
  • volume of speech
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15
Q

How to assess mood and affect

A
  • ask patient to describe mood today and past week
  • what YOU observe their mood to be
  • The Affect is changing of person’s emotion during the interview
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16
Q

How to assess thought

A

THOUGHT FORM

  • flow and logic of thought
  • derailing thoughts? Losing focus?
  • Too many ideas or thought interference

THOUGHT CONTENT

  • delusions
  • preoccupations
  • overvalued ideas
  • suicidal thought
17
Q

What are delusions?

A

When a person has an unshakeable belief in something untrue. A common one is that a person may think an organisation or person wants to harm/kill them.

A person with grandiose delusions may believe they have power or authority.

18
Q

How to chec for suicude and self harm

A
  • ask about thoughts/feelings/urges/images
  • suicudal intent/plans/attempts
  • signs of self harm
  • protective factors
19
Q

How to chec for suicude and self harm

A
  • ask about thoughts/feelings/urges/images
  • suicudal intent/plans/attempts
  • signs of self harm (scratches, cuts, pulling out hair, avoiding meals)
  • protective factors (any people, religion or pets that stop people harming themselves)
20
Q

How to check for issues with perception

A
  • Hallucinations (auditory/visual/olfactory/gustatory or tactile)
  • Illusions
  • Depersonalisation
  • Derealisation
21
Q

How to assess cognition

A

Assess orientation/ attention/ concentration and memory

If any concerns then carry out tests on:

  • language
  • calculation
  • physiospacial
22
Q

How to check the patient’s insight

A
  • what they perceive is happening

- what they think is a satisfactory treatment

23
Q

What are hallucinations?

A

Sensations that appear to be real but are created within the mind.

psychology, psychiatry and the mind (8 decks)

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