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Psychological Interview - Coggle Diagram
Psychological Interview
What is it?
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Includes history taking (for a longer longitudinal understanding of the problem) and mental status (for a cross-section for understanding the feelings of the patient at the moment)
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Busting Myths
Psychotherapy creates dependency - FALSE: It's a scientific process, evidence based branch constituting of skilled and trained professionals
Psychotherapist is like a friend - FALSE: A friend a friend and a psychotherapist is a psychotherapist
Psychotherapy can be done in any setting whether coffee shop or garden - FALSE: It's completely unethical
Anyone can do counseling - FALSE: Only those who are trained; one must learn to respect the efforts an individual has put in to be in the field that they are in
Taking History
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Chief Complaint
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Helps in understanding the perspective of the patient and not blindly go on with the therapist's views and interpretation
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Past Illness
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Substance History
People with a history of substance abuse are more prone to anxiety, insomnia and depression
Family History
Any cases of divorce, poor nurturing environment for the child, loss of a loved one at an early age
Personal History
Peer interaction, school experiences
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Speech
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Slow
Anxiety, Depression, Schizophrenia & Medications
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Loud
Substance Abuse, Mania, Schizophrenia
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Spontaneity
[Interruption] Mania, Schizophrenia
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Mood & Affect
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Often times, mood and affect coincide.
Thinking & Perception
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Delusions
Firm False Beliefs; Believing them despite of having enough evidence about the statements being incorrect
Perseveration
Inability to move from one point - Example: On being asked a new question, you are still on the previous one
Hallucinations/Illusions
See, Feel, Smell, Taste or Hear something that isn't; Illusion - Presence of a stimulus; Hallucination - Absence of a stimulus
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Cognitive Functions
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Orientation
Name, Place, Date, Day Lack of this results in higher chances of it being a organic/neurological disorder than psychological disorder
Concentration
Way to check: Starting at 100, count backward by 7
Memory
Recent, Remote & Immediate
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Fund Of Knowledge
Based on person's age and background, asking questions related to them
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Insight
Intellectual [Knowing the problem + what is the right thing to do] and emotional [implementation] insight
Judgement
Test - Ask a question like if your house was on fire, what would you do?
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Active Listening
Requires the listener to understand, interpret and evaluate what they hear