Psychiatric Interview Professor Safeya Effat

It includes: I- History taking II- Mental state examination I History taking 1. Personal data: Name-age-sex-occupation-residence and marital state
2. C/o: in patient's own words and in Arabic. 3. Informant, and his/her C/o:

In his/her own words and in Arabic. 4. Family history: 1) Parents: Father Age Occupation Health Character Relation to the patient 2) Siblings: Number of sibs Order of the patient Their level of education. Their relation with the patient Familial diseases: Similar conditions. Any other psychiatric disorder. Drug dependence. Epilepsy. Neurological disorders. Mother

3)

5. Past History: Of any medical or neurological disease that have a direct relation to the present psychiatric disorder. 6. Personal History:

1)

0 1 2 2) 3) 0
1 2 3

Pregnancy and infancy: Any disease or drugs of the mother , or any problems during labor, or in the first year of life. Milestones of development. Neurotic traits during childhood: Temper tantrum Thumb suckling Nail biting Nocturnal enuresis.

N.B.: items 1,2,3 are fulfilled in childhood psychiatric disorders only. 4) 0

1 2

Education: Level of graduation. Average scores along the different educational stages. If there is any sudden decline in achievement. Work: Jobs Duration of stay in each. Reason of leaving, if any. Marriage: Number, duration of each. Reason of separation or divorce. Relation with the spouse. Children: Number. The age of the youngest. Sexual history (in some patients): Sexual orientation ( heterosexual or homosexual). Premarital and extramarital relationships.

5) 0 1
2

6) 0
1

2 7) 0 1 8) 0 1

In case of a female patient, you need to add: 9) Pregnancy and lactation: 0 No. of pregnancies.

1 If there was any problem during each. 2 The date of last pregnancy and labour or even abortion. 3 If there was any psychological troubles after any labour. 4 If the patient is lactating at the present time.
7. Pre-morbid Personality:

0 1 2

Main traits. a. Extrovert or introvert. b. Emotionally stable or emotionally unstable. Hobbies. How the patient spends his/her leisure time.

8. History of present illness: 0 Onset (from the beginning of the psychiatric illness). 1 Course. 2 Duration ( all past psychiatric histories are included). 3 Full description of all the symptoms in chronological order of occurrence, and in literature English language. All data are put in one or two paragraphs. 4 Then you have to ask and verify the presence of any other related symptoms. 5 All symptoms should be mentioned either present or not. II Mental state examination 1. General appearance 0 Dressing, self hygiene. 1 Facial expression. 2. Behavior: 0 Calm/restless. 1 Involuntary movements. If present. 3. Attitude. 0 Cooperative/uncooperative. 4. Speech: 1 Spontaneous or in answer. 2 To the point or off point. 3 Sample of the patient's speech.. 5. Affect:

0 1 2 6. Thinking:
0 1 2

Description of the patient's affect. Reactivity. Appropriateness to the situation.

Form including abstract test. Content. Stream. 3 Control disturbances. 7. Perceptual disturbances: 0 Hallucinations and its modality. 8. Insight: 1 Insightful/ insight less 9. Cognitive functions: 0 Consciousness 1 Attention and concentration. 2 Orientation: Time place persons. 3 Memory: Immediate recent remote events