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.
Learning Objectives:
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
Episode Timepoints:
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:
CPA Note: The views expressed in this podcast do not necessarily reflect those of the Canadian Psychiatric Association.
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