• Each interview has a similar underlying structure that involves

Observation, Interaction, Assessment, and Plan.

• Practice may make perfect, as the saying goes, but practice also
makes permanent.
 Biopsychosocial model
• According to this model, the disease can be understood in 3
domains
• Biological
• Psychological
• Social

• Biological model depends upon understanding of the biological

condition of the patient.
• The psychological understanding can be descriptive or narrative.
• Interviews are prone to systematic error
• Confirmation bias
• Loudness of disorder

• The psychiatric interviewer will frequently encounter resistance,

which refers to anything that prevents the patient from talking openly
to the interviewer.
• Conscious resistance
• Unconscious resistance
• Sublimation and humor are considered to be healthy defenses, and
they can contribute to alliance building and treatment decisions.

• Other defenses can derail a successful interview.

• Projection and projective Identification
• Transference
• Positive Transference
• Negative Transference
• Counter transference
• The “social” aspect of biopsychosocial refers to the sociological,
religious, spiritual, ethnic, and racial issues that may be pertinent to
patients
• For purposes of discussion, the interview is divided into three phases
• Initial phase
• Patient’s chief concern
• Later phase
• Active development of the story
• Mental status examination
• Negotiation and summary
• Patient preferences
• Treatment plan