4.8 • 1.3K Ratings
🗓️ 16 January 2018
⏱️ 59 minutes
🧾️ Download transcript
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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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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