The Basics of the Psychiatric Interview Part 1
Psychiatry & Psychotherapy Podcast
David J Puder
4.8 • 1.4K 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.
By listening to this episode, you can earn 1 Psychiatry CME Credits.
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Editor: Arvy Wuysang
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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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