6635-W2-D11

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Fazaia Degree College, M.R.F, Kamra, Attock *

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Nursing

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Nov 24, 2024

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Three important components of the psychiatric interview The psychiatric interview is the most important element in the evaluation and care of patients with a mental illness, as it is essential to establish a criteria-based diagnosis (Sadock et al., 2017). In my opinion the three major components of the psychiatric interview are the psychiatric history, the mental status examination and the developmental and social history. The patient's psychiatric history provides the clinician with subjective data obtained by the patient, close relatives, or caregivers. During the psychiatric interview the clinician should obtain information about all of the patient’s psychiatric illnesses and their course over the patient's lifetime including symptoms and treatment (Sadock et al., 2017). When obtaining the history, it is essential to gather when the symptoms occurred, how long they lasted, and the frequency and severity of the episodes (Saddock et al., 2017). Forms of prior treatment should also be explored in detail including any therapies or prior medications prescribed, what they were prescribed for and if any side effects were noted (Saddock et al., 2017). It would also be beneficial for the provider to inquire about any prior diagnosis, what it was and who made the diagnosis to help formulate their own opinion (Saddock et al., 2017). The psychiatric history is a very important component of the interview process to get a good foundation on the patient’s prior mental health history. The mental status exam is also a very important component of the psychiatric interview. The mental status exam is the providers objective assessment of the patient, equivalent to a physical examination in other areas (Saddock et al., 2017). The mental status exam is a nice tool as it allows for the provider to gain a snapshot of the patients mental state at the time of the interview and the ability to compare to future and past visits. The third component I believe is important is the developmental and social history. The developmental and social history is important as it helps to review the stages of the patient’s life and is important in determining the context of psychiatric symptoms and illnesses (Saddock et al., 2017). Obtaining a social history chronologically will help make sure no information is missed but will also help to reveal any stressors (Saddock et al., 2017). Childhood history can include, childhood home environment, school history and extracurricular activities (Saddock et al., 2017). Work history should also be obtained, types of jobs held, relationships with coworkers and supervisors, income and financial issues can also be explored (Saddock et al., 2017). Social history can also include hobbies, interest, pets and leisure activities (Saddock et al., 2017). All of these components of the developmental and social history can help shed light on the patients mental health condition. clinical global impressions scale The clinical global impressions scale is a three item clinician rated scale used to assess global illness severity, overall improvement from the start of treatment and therapeutic response (NP Psych Navigator, 2023). Because each item is rated individually there is no global score for this scale. Instead, each score should be recorded and tracked at every visit. The scale is not used for treatment only but to measure how your patient is doing (Mental Health Literacy, 2023). When using this scale, comparison should be based on the current visit in comparison to when the patient began treatment, not compared to the last time you saw the patient (Mental Health Literacy, 2023). This scale allows the provider to tell if the patient is getting better or worse.

References Mental Health Literacy. (2023, May 9). Clinical global impression (CGI). Mental Health Literacy. https://mentalhealthliteracy.org/product/clinical-global-impression-cgi/ NP Psych Navigator . (2023). Clinical global impression (CGI). Clinical Global Impression (CGI) | NP Psych Navigator. https://www.nppsychnavigator.com/Clinical-Tools/Psychiatric-Scales/Scale-2 Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Psychiatric interview, history, and mental status examination. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry (https://ebookcentral.proquest.com/lib/waldenu/reader.action?docID=5340671&ppg=39) (4th ed., pp. 39–52). Wolters Kluwer.

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