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o Psychomotor retardation
o Feeling of hopelessness
Level 2 |1st BIMONTHLY
 Careful in giving false hope
PSYCHIATRY  Increase risk of suicide:
Psychiatric Interview o With suicide note
Dr. Emma Mendoza o With family history of suicide
September 2, 2020 o With previous suicidal attempt
o With a plan of action

OUTLINE AGGRESSIVE PATIENTS

COMMON INTERVIEW TECHNIQUES BY NANCY ANDREASON &  Determine if restraint is needed
DONALD BLACK ................................................................... 1  Have another person with you
INITIAL CONSULTATION ..................................................... 1
 Be ready with medication
PATIENT’S APPOINTMENT ................................................... 1
OFFICE SET-UP.................................................................... 1  With or without restraint
NOTES ................................................................................ 1  Patient is not interviewed alone
DEPRESSED / SUICIDAL PATIENTS ...................................... 1
AGGRESSIVE PATIENTS ....................................................... 1
DELUSIONAL PATIENTS
DELUSIONAL PATIENTS ....................................................... 1
DO’S AND DON’TS IN TREATING VIOLENT PATIENTS ............ 1  Never challenge the delusion
o If delusion is challenged, anxiety is increased thus causing
patient to defend his delusion
Successful interview shows  Never go along with the delusion
 Empathy o important to tell that doctor understands but both don’t have
 Respect the same thoughts
 Competence
 Interest to the patient
Creates an atmosphere of DO’S AND DON’TS IN TREATING VIOLENT PATIENTS
 Trust DO DON’T
 Encourage patient to talk honestly Listen to your gut feeling Ignore gut feeling
Never see an armed patient Antagonize the patient
COMMON INTERVIEW TECHNIQUES BY NANCY ANDREASON If very violent patient, have Overlook family friends as
& DONALD BLACK guard beside you source of info
1. Establish rapport as early as possible In restraint, be humane but
form no bargaining
2. Look for patient’s chief complaints
3. Develop a provisional differential diagnosis Warn potential victim of
violence to the police
4. R/O or R/I thru questions to the patient
Be strict & chart
5. Be very meticulous in asking questions
6. Make patient relax & talk to see connections of his thoughts
7. Use different type of questions (open-ended)
8. Ask anything even if embarrassing to both
9. Ask about suicidal thoughts
10. At end of interview allow patient to ask questions
11. End interview by showing confidence & hope

INITIAL CONSULTATION
 From 30 minutes to 1 hour
 Depends on the type of patient interviewed
 Succeeding Visits − may vary, depends on the need

PATIENT’S APPOINTMENT
 If early
o Shows that patient is anxious
 If late
o Ask reasons for lateness
o Patient not relaxed with the doctor
o Thinks patient is not sick
 If doctor is late
o Shows lack of concern to the patient
o Be careful with paranoid patients

OFFICE SET-UP
 Both chairs on the same level
 If potentially dangerous, open the doors with no obstruction from
doctor’s space to the door
 3rd person may stand by

NOTES
 For legal & medical reasons
 An aid for the psychiatrist’s memory
 It’s important to ask the patient that you’ll taking down notes

DEPRESSED / SUICIDAL PATIENTS

 Hard to interview due to:
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