Conduct of Interview

Doctor Patient Interaction

  Introduces self to patient

  Puts patient at ease

  Asks if patient understands/

  explains purpose of interview

  Responds appropriately to

  patient’s  feelings

Eliciting data

  Moves from open-ended to specific

 Follows patient’s leads/cues to ex-

  plore important issues & feelings

Makes interview a positive

experience for patient

History of present illness

  Initial appearance

    Presenting symptoms

 Remissions and exacerbations

   Treatment history (hospitaliza-

   tions, medication, psycho-

   therapy, somatic therapies

  Associated conditions (medical,

  substance abuse)

  Past history

Family history (mental,other illness)

 Family of origin (parental, sibling,

 relationships)

 Current family (marital, parent-

 child relationships

Developmental history

  Infancy/childhood/adolescence

 School history

 Work history (nature of jobs, pattern)

 Sexual relationships (nature, quality)

 Trouble with the law

Mental Status

  Appearance

  Behavioral/Demeanor

  Attention/Concentration

  Affect/Mood

  Speech

  Thought Content

  Thought processes

  Orientation

  Memory (short term, long term)

  Cognitive intellectual counting

  calculation

Formulation

  Anamnestic Summary

  Dynamics

Diagnosis

  Differential

 Working

Prognosis

Treatment

  Pharmacotherapy

   Psychotherapy

  Environmental, Social,

  family intervention