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Psychiatry & Psychotherapy Podcast

The Basics of the Psychiatric Interview Part 1

Psychiatry & Psychotherapy Podcast

David J Puder

Science, Health & Fitness, Medicine

4.81.3K Ratings

🗓️ 16 January 2018

⏱️ 59 minutes

🧾️ Download transcript

Summary

In this first episode, I talk about my approach to seeing a new patient for the first time. I go over the importance of empathy and psychological safety in the first interview. I then go into how to do some of the components of a psychiatric history. I go into details on what parts are important and why. Please see my resource page for a full PDF of my notes and also the PDF of the document I give to patients prior to their first appointment with me.

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Editor: Arvy Wuysang

*This podcast is for informational purposes only and is the opinions of the people on this episode. For full disclaimer go here.

Transcript

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0:00.0

Welcome to the Psychiatry and Psychotherapy podcast, the podcast to help you in your journey

0:06.5

towards becoming a wise and pathic, genuine and connected mentor of professional.

0:11.8

I'm your host, Dr. David Peter, a psychiatrist who splits his time practicing psychopharmacology,

0:17.3

individual and group psychotherapy, medical director of a day treatment program, medical

0:21.8

education research, and teaching, residence, and medical students.

0:30.0

Okay, so in this first episode, I am going to go through a basic lecture I give to

0:37.5

30-year medical students on how to do a psych-HMP.

0:42.2

Now the goal of the psych-HMP is first and foremost to connect with the person in front of you

0:52.1

as a human being, as a fellow life traveler, as someone who is flawed, like you are, flawed

1:00.7

like I am, as someone who struggles, like you are, struggles like I do, as someone who needs

1:06.9

help.

1:08.2

And the first thing you can almost always assume is that there is an aspect of shame that

1:13.1

walks into a room.

1:14.7

When you go visit a psychiatrist for the first time or for the maybe 50th time, there's

1:19.7

still this aspect of there's something wrong with me, I'm defective, and what's up with

1:27.3

that.

1:28.3

So if they look a little downcast, if they're looking down, if they're having a hard time

1:35.1

getting words out, just assume it's because the very nature of what it means to see a mental

1:40.3

health professional, it's hard, it's got wrenching, it takes time to get over that.

1:47.1

So first and foremost, you really want to try to connect with this person in front of

1:51.9

you.

1:52.9

And I really think it's helpful to see them as someone who could be you.

...

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