Abstract
The psychiatric interview is the primary means of assessment in clinical psychiatry. The interview includes an important component, the mental status examination. Psychiatric interviews are performed in many different contexts and must be flexibly adapted to the patient and his/her situation at hand. There is a core set of information to obtain, structured by the biopsychosocial model of behavior, so that an adequate evaluation of the patient’s symptoms can take place and a diagnostic formulation and treatment recommendations can be made. Every evaluation must also assess safety issues such as suicide risk and violence. There are many factors that affect the interview, including those related to the patient, the interviewer, potential cultural differences between them, situational factors, and communication styles. Due to the nature of their illness, some patients will be able to provide only limited information, a situation in which different techniques and data from collateral sources information are particularly important. Examples of specific techniques for a variety of circumstances and situations are presented.
References
Aggarwal, N. K., Cedeño, K., Guarnaccia, P., Kleinman, A., & Lewis-Fernandez, R. (2016). The meanings of cultural competence in mental health: An exploratory focus group study with patients, clinicians and administrators. Springerplus, 5(1), 1–13.
Alarcón, R. D. (1995). Honorio Delgado y DSM-IV: Coincidencias y discrepancias. Revista de Neuro-Psiquiatría, 57, 219–235.
Alarcón, R. D. (2013). Cultural psychiatry: A general perspective. In R. D. Alarcón (Ed.), Cultural psychiatry (pp. 1–14). Karger.
Alarcón, R. D. (2019). Psiquiatría Cultural. In R. D. Alarcón, R. Chaskel, & C. Berlanga (Eds.), Psiquiatría (Vol. II, 4th ed., pp. 1669–1674). Fondo Editorial Cayetano Heredia.
Alarcón, R. D., Foulks, E. F., & Vakkur, M. (1998). Personality disorders and culture. Clinical and conceptual interactions. Wiley, 310 p.
American Psychiatric Association. (2013). Cultural formulation. In Diagnostic and statistical manual of mental disorders (5th Ed.). American Psychiatric Association Publishing. https://doi.org/10.1176/appi.books.9780890425596.744053.
Archibald, L., Brunette, M. F., Wallin, D. J., & Green, A. I. (2019). Alcohol use disorder and schizophrenia or schizoaffective disorder. Alcohol Research Current Reviews, 40(1), e1–e9. https://doi.org/10.35946/arcr.v40.1.06
Bäärnhielm, S., Aber Wistedt, A., & Rosso, M. S. (2015). Revising psychiatric diagnostic categorisation of immigrant patients after using the cultural formulation in DSM-IV. Transcultural Psychiatry, 52(3), 287–310.
Bajgier, J., Bender, J., & Ries, R. (2012). Use of templates for clinical documentation in psychiatric evaluations – Beneficial or counterproductive for residents in training? International Journal of Psychiatry in Medicine, 43(1), 99–103.
Baker, D. W. (2017). History of the Joint Commission’s pain standards: Lessons for today’s prescription opioid epidemic. JAMA, 317(11), 1117–1118.
Beck, S. M., & Perry, J. C. (2008). The definition and function of interview structure in psychiatric and psychotherapeutic interviews. Psychiatry, 71(1), 1–12.
Bhugra, D., & Bhui, K. (2007). Cultural psychiatry: The past and the future. In D. Bhugra & K. Bhui (Eds.), Textbook of cultural psychiatry (pp. 561–567). Cambridge University Press.
Black APA Psychiatrists. (1969). Nine points presented to the APA Board of Trustees. In: Annual meeting of the American Psychiatric Association, May 3–5.
Böhmer, M. W. (2010). “Communication by impact” and other forms of non verbal communication: A review of transference, countertransference and projective identification. African Journal of Psychiatry, 13(3), 179–183.
Campbell, H. L., & Fung, N. K. (2007). How safe are patient interview rooms? Psychiatric Bulletin, 31, 10–13.
Castro, J., & Billick, S. (2013). Psychiatric presentations/manifestations of medical illnesses. The Psychiatric Quarterly, 84, 351–362.
Del Piccolo, L., & Finset, A. (2018). Patients’ autonomic activation during clinical interaction: A review of empirical studies. Patient Education and Counseling, 101, 195–208.
DePaulo, J. R., Jr. (2017). One hundred years of psychiatry at Johns Hopkins: A story of Meyer to McHugh. The Journal of Nervous and Mental Disease, 205(4), 260–265. https://doi.org/10.1097/NMD.0000000000000602
DiClemente, C. C., Corno, C. M., Graydon, M. M., Wiprovnick, A. E., & Knoblach, D. J. (2017). Motivational interviewing, enhancement, and brief interventions over the last decade: A review of reviews of efficacy and effectiveness. Psychology of Addictive Behaviors, 31(8), 862–887.
Engel, G. L. (1980). The clinical application of the biopsychosocial model. The American Journal of Psychiatry, 137(5), 535–544.
Fernández, I., Zubieta, E., & Paez, D. (2001). Emocionarse en Latinoamérica. Universidad Nacional de Educación a Distancia, Universidad del País Vasco.
First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2016). Structured clinical interview for DSM-5 disorders-clinician version SCID-5-CV. American Psychiatric Association Publishing.
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-mental state, a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198.
Gates, G. J. (2013). Demographics and LGBT Health. Journal of Health and Social Behavior, 54(1), 72–74.
Guinart, D., Kane, J. M., & Correll, C. U. (2019). Is transcultural psychiatry possible? JAMA, 322(22), 2167–2168.
Holmes, A., Singh, B., & McColl, G. (2011). Revisiting the hypothesis-driven interview in contemporary context. Australian Psychiatry, 19(6), 484–488.
Jaspers, K. (1964). General psychopathology (J. Hoening & M. W. Hamilton, Trans.). University of Chicago Press.
Joyce, S., Shand, F., Tighe, J., Laurent, S. J., Bryant, R. A., & Harvey, S. B. (2018). Road to resilience: A systematic review and meta-analysis of resilience training programmes and interventions. BMJ Open, 8, e017858.
Katzelnick, D. J., Duffy, F. F., Chung, H., Regier, D. A., Rae, D. S., & Trivedi, M. H. (2011). Depression outcomes in psychiatric clinical practice: Using a self-rated measure of depression severity. Psychiatric Services, 62(8), 929–935.
Kerner, N. A., & Roose, S. P. (2016). Obstructive sleep apnea is linked to depression and cognitive impairment: Evidence and potential mechanisms. The American Journal of Geriatric Psychiatry, 24, 496–508.
Kim, B., Soliz, A., Orellana, B., & Alamilla, S. (2009). Latino/a values scale: Development, reliability and validity. Measurement and Evaluation in Counseling Development, 42(2), 71–91.
Kokmen, E., Naessens, J. M., & Offord, K. P. (1987). A short test of mental status: Description and preliminary results. Mayo Clinic Proceedings, 62(4), 281–288.
Kolodny, A., Courtwright, D. T., Hwang, C. S., Kreiner, P., Eadie, J. L., Clark, T. W., & Alexander, G. C. (2015). The prescription opioid and heroin crisis: A public health approach to an epidemic of addiction. Annual Review of Public Health, 36, 559–574.
Koneru, V. K., Weisman de Mamani, A. G., Flynn, P. M., & Betancourt, H. (2007). Acculturation and mental health: Current findings and recommendations for future research. Applied and Preventive Psychology, 12, 76–96.
Kramer, E. J., Kwong, K., Lee, E., & Chung, H. (2002). Cultural factors influencing the mental health of Asian Americans. The Western Journal of Medicine, 176(4), 227–231.
Kusserow, A. S. (1999). Crossing the great divide: Anthropological theories of the Western self. Journal of Anthropological Research, 55, 541–562.
Lewis-Fernández, R., Aggarwal, N. K., Hinton, L., et al. (Eds.). (2016). DSM-5 handbook on the cultural formulation interview. American Psychiatric Publishing.
Macedo, T., Wilheim, L., Goncalvez, R., Coutinho, E. S., Vilete, L., Figueira, I., et al. (2014). Building resilience for future adversity: A systematic review of interventions in non-clinical samples of adults. BMC Psychiatry, 14, 227–233.
Makadon, J. H. (2011). Ending LGBT invisibility in health care: the first step in ensuring equitable care. Cleveland Clinic Journal of Medicine, 78(4), 220–224.
Markota, M., Rummans, T. A., Bostwick, J. M., & Lapid, M. I. (2016). Benzodiazepine use in older adults: Dangers, management, and alternative therapies. Mayo Clinic Proceedings, 91(11), 1632–1639.
Miranda, J., Lawson, W., & Escobar, J. (2002). Ethnic minorities. Mental Health Services Research, 4(4), 231–237.
Moehring, A., Rumpf, H. J., Hapke, U., Bischof, G., John, U., & Meyer, C. (2019). Diagnostic performance of the Alcohol Use Disorders Identification Test (AUDIT) in detecting DSM-5 alcohol use disorders in the general population. Drug and Alcohol Dependence, 204, 107530.
Nasreddine, Z. S., Phillips, N. A., Bedirian, V., Charbonneau, S., Whitehead, V., Collin, I., Cummings, J. L., & Chertkow, H. (2005). The Montreal cognitive assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695–699.
Nizama, M., Torrejón, A., & Aragón, C. (2019). Adicciones. Una enfermedad de Salud Pública (América del Sur). In R. D. Alarcón, R. Chaskel, & C. Berlanga (Eds.), Psiquiatría (Vol. II, 4th ed., pp. 977–985). Fondo Editorial Cayetano Heredia.
Nordgaard, J., Sass, L. A., & Parnas, J. (2013). The psychiatric interview: Validity, structure, and subjectivity. European Archives of Psychiatry and Clinical Neuroscience, 263, 353–364.
Office of the National Coordinator for Health Information Technology (ONC). (2020). Information blocking. Content last reviewed 11/23/2020 at https://www.healthit.gov/topic/information-blocking. Last accessed 29 Nov 2020.
Oldenwald, M., & al’Absi, M. (2017). Khat use and related addiction, mental health and physical disorders: The need to address a growing risk. Eastern Mediterranean Health Journal, 23(3), 236–244. https://pubmed.ncbi.nlm.nih.gov/28493272/
Petersson, L., & Erlingsdottir, G. (2018a). Open notes in Swedish psychiatric care (Part 1): Survey among psychiatric care professionals. JMIR Mental Health, 5(1), e11.
Petersson, L., & Erlingsdottir, G. (2018b). Open notes in Swedish psychiatric care (Part 2): Survey among psychiatric care professionals. JMIR Mental Health, 5(2), e10521.
Plummer, F., Manea, L., Trepel, D., & McMillan, D. (2016). Screening for anxiety disorders with the GAD-7 and GAS-2: A systematic review and diagnostic metaanalysis. General Hospital Psychiatry, 39, 24–31.
Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., Currier, G. W., Melvin, G. A., Greenhill, L., Shen, S., & Mann, J. J. (2011). The Columbia-Suicide Severity Rating Scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults. The American Journal of Psychiatry, 168(12), 1266–1277.
Prasko, J., Diveky, T., Grambal, A., Kamaradova, D., Mozny, P., Sigmundova, Z., Slepecky, M., & Vyskocilova, J. (2010). Transference and countertransference in cognitive behavioral therapy. Biomedical Papers of the Medical Faculty of the University Palacky, Olomouc, Czech Republic, 154(3), 189–198.
Rose, A. J., Fischer, S. H., & Paasche-Orlow, M. K. (2017). Beyond medication reconciliation: The correct medication list. JAMA, 317(20), 2057–2058.
Sapien, R. E. (2010). Commentary: Profiling by appearance and assumption: Beyond race and ethnicity. Academic Medecine, 85(4), 580–582.
Saurí, J. J. (1969). Historia de las ideas psiquiátricas. Ediciones Carlos Lohlé.
Saurí, J. J. (1991). Del síntoma al texto. In R. D. Alarcón, J. Castro, & M. Enrique Cipriani (Eds.), Desde nuestra propia entraña. Homenje al Pof. J. Mariátegui (pp. 57–79). Universidad Peruana Cayetano Heredia.
Shea, S. C. (2017). Chapter 3: The dynamic structure of the interview: Core tasks, strategies, and the continuum of open-endedness. In: Psychiatric interviewing (3rd Ed.). Elsevier
Shore, J. H., Schneck, C. D., & Mishkind, M. C. (2020). Telepsychiatry and the Coronavirus Disease 2019 Pandemic – Current and future outcomes of the rapid virtualization of psychiatric care. JAMA Psychiatry. https://doi.org/10.1001/jamapsychiatry.2020.1643
Silverman, J., et al. (2016). The American Psychiatric Association practice guidelines for the psychiatric evaluation of adults (3rd ed.). American Psychiatric Association.
Smith, K., Ostinelli, E., Macdonald, O., & Cipriani, A. (2020). COVID-19 and telepsychiatry: Development of evidence-based guidance for clinicians. JMIR Mental Health, 7(8), e21108. https://doi.org/10.2196/21108
Smoller, J. W., Andreassen, O. A., Edenberg, H. J., Faraone, S. V., Glatt, S. J., & Kendler, K. S. (2019). Psychiatric genetics and the structure of psychopathology. Molecular Psychiatry, 24(3), 409–420.
Staudt, A., Freyer-Adam, J., Meyer, C., Bischof, G., John, U., & Baumann, S. (2019). Does prior recall of past week alcohol use affect screening results for at-risk drinking? Findings from a randomized study. PLoS One. https://doi.org/10.1371/journal.pone.0217595
Suneja, M., Szot, J., & Leblond, R. (2020). History taking and the medical record. In DeGowin’s Diagnostic examination (11th Ed.). McGraw-Hill.
Tatara, M. (1989). Deeper understanding of personality functioning in different cultures. Hiroshima Forum for Psychology, 14, 21–22.
Temes, C. M., & Zanarini, M. C. (2018). The longitudinal course of borderline personality disorder. Psychiatric Clinics of North America, 41, 685–694.
Townley, R. A., Syrjanen, J. A., Botha, H., Kremers, W. K., Aakre, J. A., Fields, J. A., Machulda, M. M., Graff-Radford, J., Savica, R., Jones, D. T., Knopman, D. S., Petersen, R. C., & Boeve, B. F. (2019). Comparison of the short test of mental status and the montreal cognitive assessment across the cognitive spectrum. Mayo Clinic Proceedings, 94(8), 1516–1523.
Tseng, W. S. (2001). Handbook of cultural psychiatry. Academic Press.
Turner, S., Mota, N., Bolton, J., & Sareen, J. (2018). Self-medication with alcohol or drugs for mod and anxiety disorders: A narrative review of the epidemiological literature. Depression and Anxiety, 35, 851–860.
United States Census Bureau. (2020). https://www.census.gov/topics/population/race/about.html. page updated 16 Oct 2020, last accessed 22 Nov 2020.
Velmant, A., & Chaimowitz, G. (2014). Mental health care for people who identify as lesbian, gay, bisexual, transgender, and (or) queer. Canadian Journal of Psychiatry, 59(11), 1–7.
Volkow, N. D., Swanson, J. M., Evins, A. E., DeLisi, L. E., Meier, M. H., Gonzalez, R., Bloomfield, M. A. P., Curran, H. V., & Baler, R. (2016). Effects of cannabis use on human behavior, including cognition, motivation, and psychosis: A review. JAMA Psychiatry, 73(3), 292–297.
White, C. M. (2019). Pharmacologic and clinical assessment of Kratom: An update. American Journal of Health-System Pharmacy, 76, 1915–1925.
Wong, F. K., & Pi, E. H. (2012). Ethnopsychopharmacology considerations for Asians and Asian Americans. Asian Journal of Psychiatry, 5, 18–23.
Yeung, A. S., & Kam, R. (2005). Illness beliefs of depressed Asian Americans in primary care. In A. M. Georgiopoulos & J. F. Rosenbaum (Eds.), Perspectives in cross-cultural psychiatry (pp. 21–36). Lippincott Williams & Wilkins.
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Kung, S., Durand, D.M., Alarcón, R.D. (2023). The Psychiatric Interview: General Structures and Techniques. In: Tasman, A., et al. Tasman’s Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-030-42825-9_88-1
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