Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.
In this episode of our miniseries on psychiatric skills, we review the core content areas of a psychiatric assessment and look at techniques to improve interviewing efficiency, accuracy, and alliance building.
Our expert for this episode is Dr. Juveria Zaheer, a clinician scientist at the Centre for Addiction and Mental Health and an assistant professor at the University of Toronto in Toronto, ON.
By the end of the episode you, the learner, should…
Have a clear understanding of the goals of a complete psychiatric interview and the general structure and content that should be covered
Feel comfortable to begin to use techniques that will help you conduct a professional, compassionate, empathic, efficient, and accurate interview
Be familiar with techniques you can use to facilitate information gathering in more challenging interviews
3:15 - Purpose of the psychiatric interview
6:30 - First content areas of the interview; introduction, ID, RFR, CC, HPI, ROS, Past Psych Hx
19:00 - Techniques and Strategies for Organized and Efficient Psychiatric ROS
26:00 - Details of Past Psychiatric History
29:30 - Past Medical History
31:00 - Substance Use History
33:30 - Medications
34:20 - Family Psych History
36:25 - Personal and Developmental History (Content & Process discussion)
44:00 - Commonly missed areas including Legal/Forensic history
45:00 - Shift from content to process discussion “how to best manage a psychiatric interview”
49:00 - Self-care and monitoring
52:00 - Building rapport, therapeutic alliance, empathy
53:30 - Alex and Lucy reflect on their growth as interviewers over 4 years in residency
73:00 - Managing challenging interviews
References and Resources:
Shea, S. C. (1998). Psychiatric Interviewing E-Book: The Art of Understanding: A Practical Guide for Psychiatrists, Psychologists, Counselors, Social Workers, Nurses, and Other Mental Health Professionals
CPA Note: The views expressed in this podcast do not necessarily reflect those of the Canadian Psychiatric Association.