P#1 and P#2

2 days ago

Sherry Roberts 

Week 1 Main post Sherry Roberts 

COLLAPSE

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Week 1 Main post

Initial Psychiatric Interview is the first step to understanding your psychiatric patient. The goal of a psychiatric assessment is to describe the patient’s complaints, appearance, and existence in an actionable psychopathological format, namely, one that results in diagnostic classification and other clinical decisions. This process includes, to a large degree, describing the patient’s experiences, originally lived in the first-person perspective, in potentially third-person terms, thus providing “objective” data that can be shared for diagnosis, treatment, and research (Nordgaard, Sass, & Parnas, 2012, p. 354).

My preceptor uses the Structured Clinical Interview for the DSM. This seems to be pretty standard at the hospital that I work. It seems to get to the root of the problem and allows for differential diagnosing. The form that is close to what he uses is in the attachment (Lin, Martens, Majden, & Fleming, 2003). SEE ATTACHMENT

I feel that the most important part would be the history taking and the MSE. The history and Mental Status Examination (MSE) are the most important diagnostic tools a psychiatrist has to obtain information to make an accurate diagnosis. Although these important tools have been standardized in their own right, they remain primarily subjective measures that begin the moment the patient enters the office (Forrest, 2020).

 

References

Forrest, J. S. (2020). History and Mental Status Examination. Retrieved from https://emedicine.medscape.com/article/293402-overview

Lin, D., Martens, J., Majden, A., & Fleming, J. (2003, May 2003). INITIAL PSYCHIATRIC ASSESSMENT: A PRACTICAL GUIDE TO THE CLINICAL INTERVIEW. BC Medical Journal, 45, 172-173. Retrieved from https://bcmj.org/articles/initial-psychiatric-assessment-practical-guide-clinical-interview

Nordgaard, J., Sass, L. A., & Parnas, J. (2012, September 23, 2012). The psychiatric interview: validity, structure, and subjectivity. US National Library of Medicine, 353-364. https://doi.org/doi: 10.1007/s00406-012-0366-z

Fig.PsychiatricAssessmentForm.doc  

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