100% found this document useful (1 vote)
337 views

Psychiatric Interview

The psychiatric interview document outlines the process for conducting a psychiatric interview, which has two main parts: I) history taking and II) mental state examination. The history taking section involves gathering personal data, chief complaints, family history, past medical history, personal history, pre-morbid personality, and history of present illness. The mental state examination assesses general appearance, behavior, attitude, speech, affect, thinking, perceptual disturbances, insight, and cognitive functions like orientation and memory. The interview is meant to collect all relevant information about a patient's mental health in a standardized way.

Uploaded by

marina_shawky
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
100% found this document useful (1 vote)
337 views

Psychiatric Interview

The psychiatric interview document outlines the process for conducting a psychiatric interview, which has two main parts: I) history taking and II) mental state examination. The history taking section involves gathering personal data, chief complaints, family history, past medical history, personal history, pre-morbid personality, and history of present illness. The mental state examination assesses general appearance, behavior, attitude, speech, affect, thinking, perceptual disturbances, insight, and cognitive functions like orientation and memory. The interview is meant to collect all relevant information about a patient's mental health in a standardized way.

Uploaded by

marina_shawky
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 4

Psychiatric Interview

Professor Safeya Effat


It includes:
I- History taking
II- Mental state examination

I History taking
1. Personal data:
Name-age-sex-occupation-residence and marital state

2. C/o: in patient's own words and in Arabic.

3. Informant, and his/her C/o:


In his/her own words and in Arabic.

4. Family history:
1) Parents: Father Mother
Age
Occupation
Health
Character
Relation to the patient

2) Siblings:
Number of sibs
Order of the patient
Their level of education.
Their relation with the patient

3) Familial diseases:
Similar conditions.
Any other psychiatric disorder.
Drug dependence.
Epilepsy.
Neurological disorders.

5. Past History:
Of any medical or neurological disease that have a direct relation to the
present psychiatric disorder.

6. Personal History:
1) Pregnancy and infancy:
0 Any disease or drugs of the mother ,
イ or any problems during labor,
ロ or in the first year of life.

2) Milestones of development.

3) Neurotic traits during childhood:


0 Temper tantrum
イ Thumb suckling
ロ Nail biting
ハ Nocturnal enuresis.

N.B.: items 1,2,3 are fulfilled in childhood psychiatric disorders only.

4) Education:
0 Level of graduation.
イ Average scores along the different educational stages.
ロ If there is any sudden decline in achievement.

5) Work:
0 Jobs
イ Duration of stay in each.
ロ Reason of leaving, if any.

6) Marriage:
0 Number, duration of each.
イ Reason of separation or divorce.
ロ Relation with the spouse.

7) Children:
0 Number.
イ The age of the youngest.

8) Sexual history (in some patients):


0 Sexual orientation ( heterosexual or homosexual).
イ Premarital and extramarital relationships.

In case of a female patient, you need to add:


9) Pregnancy and lactation:
0 No. of pregnancies.
イ If there was any problem during each.
ロ The date of last pregnancy and labour or even
abortion.
ハ If there was any psychological troubles after any
labour.
ニ If the patient is lactating at the present time.

7. Pre-morbid Personality:
0 Main traits.
a. Extrovert or introvert.
b. Emotionally stable or emotionally unstable.
イ Hobbies.
ロ How the patient spends his/her leisure time.

8. History of present illness:


0 Onset (from the beginning of the psychiatric illness).
イ Course.
ロ Duration ( all past psychiatric histories are included).
ハ Full description of all the symptoms in chronological
order of occurrence, and in literature English language. All
data are put in one or two paragraphs.
ニ Then you have to ask and verify the presence of any
other related symptoms.
ホ All symptoms should be mentioned either present or
not.

II Mental state examination

1. General appearance
0 Dressing, self hygiene.
イ Facial expression.
2. Behavior:
0 Calm/restless.
イ Involuntary movements. If present.
3. Attitude.
0 Cooperative/uncooperative.
4. Speech:
イ Spontaneous or in answer.
ロ To the point or off point.
ハ Sample of the patient's speech………..
5. Affect:
0 Description of the patient's affect.
イ Reactivity.
ロ Appropriateness to the situation.

6. Thinking:
0 Form including abstract test.
イ Content.
ロ Stream.
ハ Control disturbances.
7. Perceptual disturbances:
0 Hallucinations and its modality.
8. Insight:
イ Insightful/ insight less
9. Cognitive functions:
0 Consciousness
イ Attention and concentration.
ロ Orientation:
Time – place – persons.
ハ Memory:
Immediate – recent – remote events

You might also like