Psychiatry interview notes

Conducting interview. Background information.

  1. How old are you?
  2. Where do you live?
  3. What is your marital status?
  4. How do you support yourself?
  5. Where do you receive your mental health treatment?
  6. How long have you been on the inpatient unit?

How did you get admitted: voluntary or involuntary

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Conducting interview. Stock phrases.

1. Introduction; good morning sir/madam-----my name is Dr ­ and your name is..?

2. I may need to interrupt you from time to time to get important information and it is not
meant to be disrespectful in any way.

Conducting interview.…

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5. Previous treatment

6. Complications: physical, psychological, social and family, occupation, finance, insight and

Q2. ALCOHOL. Assess motivation to change


1. Empathy

2. Avoid confrontation

3. Intention to change

4. Disadvantages of status quo.

5. Advantages of status quo

6. Advantages of change

7. Conclusion.

Q3. ALCOHOL. Perform…

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f. Eye movement: elicit nystagmus, lateral gaze.

g. cerebellar signs: Finger-nose test, Dysdiadochokinesia- heel shin test.

h. Reflexes in upper and lower limbs.

i. Gait.

j. sensory: Light touch, vibration and proprioception.

k. cardiovascular exam.

l. Respiratory exam.



Assess patient for anxiety disorder


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Explain diagnosis and management to Carer.


1. Communication skills: Respond to carers questions.

2. Diagnosis.

3. Management.

4. Prognosis.

Management: Include the following- MDT approach;options;psychoeducation;
pharmacological treatment; CBT; Psychiatric disorder treatment; role of carer in
treatment plan; graded exposure with relaxation...

Q6. ANXIETY DISORDERS. AGORAPHOBIA. Explore psychopathology.

1.Do you…

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2. Tell me more about it.

3. Do they bother you or cause any distress?

4. Do they affect your life in anyway?

5. Tell me more about it.

Q10. ANXIETY DISORDERS. Explore anxiety and Panic attacks.


1.Would you describe yourself as an anxious person?

2. Tell me more…

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2. Tell me more about it.

3. Do you avoid such situations?


Take history from patient's parent.


1. History triad: Inattentive and short attention span; hyperactive at least 6 months for both;

2. Associated behaviour problems.

3. Lifelong nature of symptoms.

4. Pervasiveness of symptoms in…

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3. Social play: spontaneity; reciprocity.

4. Peer relationship.

5. Communication.

6. Stereotypes and routines.

7. Areas of interest.

8. Abuse and bullying.

9. Behavioural issues.


An 80 year old woman had a recent fall. She became hostile to staff.

Task: A. Elicit psychotic symptoms and basic cognitive…

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7. Management of head injury.

8. Need more information.


Assess for grief and depression.


1. Communication and sensitivity.

2. Chronology.

3. Grief.

4. Sadness and depression symptoms.

5. Guilt.

6. Hopelessness and helplessness.

7. Self-esteem.

8. Retardation.

9. Psychotic symptoms.

10. Family and social support.

11. Suicide…

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7. Offending history.

8. Illicit and legal drug use.

9. Effect on others.

10. Risks.

Diagnosis and comorbidity.

Conversion disorder; hypochondriasis; somatoform disorder; anxiety; depression; personality;
substance misuse; etc.


Predisposing, precipitating; perpetuating factors and secondary gain.

Physical exam:

Chaperone; consent; visual acuity; visual fields; eye movements and reflexes; fundoscopy.…

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4. Use simple language and avoid jargons.

5. Professional approach.

6. Relatives concerns; respond appropriately.

7. Explain result of CT Brain and need for further investigation to clarify diagnosis.

8. Avoid giving false hope.

9. Control of interview.


Remember the following five steps for all physical…


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