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Discussion post #1

Brandon J

Psychiatric Evaluation and Evidence-Based Rating Scales

The psychiatric interview is a vital information-gathering process to help providers gain an understanding of the current mental health status of a patient. This interview can include cognitive, emotional, and behavioral assessments and a mental status examination. The mental status examination is an integral part of the psychiatric interview. This includes different sections, including the patient’s appearance, behavior, activity, speech, mood, affect, thought process, thought content, cognition, insight, and judgment, which allow a provider to have information on the patient’s current mental status (Voss & Das, 2022). Another essential component of the psychiatric interview includes creating and building a therapeutic relationship and rapport. This allows the patient, who is often in distress and experiencing challenging conditions, to feel comfortable and trust the provider to be opening up about specifics (Lenouvel et al., 2022). Lastly, an important part of the psychiatric interview involves reviewing substance use and/or addictions which can be gathered and included in the patient’s health history. This is important as individuals which a substance use disorder account for around 20% of all patients with a mental illness (Iqbal et al., 2019). Gathering this information will help a provider know if a co-occurring disorder exists.  

The PHQ-9 is a patient health questionnaire to help determine if a patient is experiencing, and to what extent they are experiencing, depression. One property of this scale is that it allows for a quick screening for depression and an idea of the changes in symptoms over time (Aslan et al., 2020). This questionnaire includes questions about the patient being bothered by the following, “little interest or pleasure in doing things, feeling down, depressed, or hopeless, troubling falling or staying asleep, or sleeping too much, etc.” (National HIV, 2015). This interview is appropriate to use when a patient has suspected depression and can be given verbally by the provider or given to the patient as a questionnaire to fill out (Ford et al., 2020).

Discussion post #2

Joshua D

 The presenting compliant is why the patient is seeking help and it is vitally important to hear the patient’s interpretation of symptoms and for the