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8/19/2019 Interview Go By

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Psychiatry Interview Format

Preparation: Review all supporting documents:

medical record psychiatric questionnaireservice recordflight training recordstatement from command regarding performanceconsult - note the specific question asked of the psychiatrist

Discuss confidentiality issues:

inform the patient that a written report will be placed in the medical record but that you will try to avoid highly sensitive informationyou may inform the !" about pertinent history diagnosis aeromedicaldisposition treatment plan and risk for suicide and homicideyou may violate confidentiality in certain situations including:

suicidal patienthomicidal patientviolations of the #!$% &e'ample illicit drug use(child abuse by the patient &se'ual physical emotional(

Interview format:

)* Identifying information:agemarital statusse'

rank years in servicecommand

+* ,istory of present illness:symptom - e'plore the most likely diagnosiswhen symptom beganwhat has made the symptom worse and improvedunderlying stresses &financial romantic ob etc*(how the symptom has affected the patient.s social occupational and maritalfunctioningconsult D/$-I0 to ask about specific criteria to support a certain diagnosisalways inquire about suicidal and homicidal ideationask questions to rule out other diagnoses

1* Past mental health treatment:dates of treatment



presenting symptoms and diagnosestype of therapy or counselingmedications &name dose duration of treatment(how the symptoms affected the patient

2* /ubstance use history:e'plore D/$-I0 criteria for abuse or dependence for both alcohol and drugs

& including illicit prescription and over-the-counter(alcohol - consider the !345 criteria:

!ut down 3nnoy 4uilt 5ye opener

6* $edical history:current or chronic medical conditions &ask about sei7ures cardiac disease andarrythymias liver disease and asthma especially if planning to prescribe

psychotropic medications(medications &prescribed over-the-counter health food store item(surgerieshead in uries &any sequelae regarding sei7ures personality change memory or concentration difficulties(drug allergiesnicotine use &cigarettes cigars chewing tobacco(caffeine useother in uries &bone fractures(if planning to prescribe medication for females - ask about fertility statuscontraception use regularity of menses symptoms of pregnancy

6* 8ackground &social( history:where born and raiseddevelopmental milestones if known &age of walking talking etc*(number of moves during childhood and how this affected the patientfather - occupation current and past relationship with the patientmother - occupation current and past relationship with the patientfamily history of psychiatric illness &alcohol or drug abuse depression

psychosis an'iety disorder symptoms mania suicidal ideation attempts orgestures(any abuse of the patient - emotional physical se'ualschool - last grade completed grades e'tracurricular activities disciplinary

problems social relationshipshobbiesreligious interest and involvementromantic relationships - duration and qualitymarriages - number quality reason for divorce or separation spouse.soccupation any abusechildren - ages disciplinary problems how are the kids disciplined &anyevidence of emotional physical or se'ual abuse



civilian ob performance - number of obs duration of each ob why left each obmilitary performance - disciplinary problems &!aptain.s $asts 9"I "ffice,ours counseling chits( performance evaluations career goalsaccomplishments relationships to peers and superiorsfriendships - number of close friends qualityfuture aspirationsevidence to support any personality disorders or maladaptive personality traits&poor frustration tolerance interpersonal difficulties ob difficulties conflictswith authority figures(

personality - as viewed by both the patient and others6* $otivation for flying:

how and when interest first developed building of airplane models attendance at airshows reading about aviationmotivation for flying &image of aviator versus genuine interest in flying(

prior aviation e'perience &as passenger as pilot or copilot(type of aircraft that the patient desires to fly

participation by friends and relatives in flying

* $ental status e'am:level of consciousness &alertness(interaction with the interviewer &cooperative eye contact(appearance - grooming neatness and cleanliness of uniform or clothspeech - volume rate rhythmmotor activity - &e'ample agitated or retarded(mood - how the patient describes how he feelsaffect - how the patient appears to feel to the e'aminer appropriateness & isthe affect congruent with or does it match the thoughts e'pressed by the

patient( and range &full restricted blunted flat(thought process &logical coherent goal directed;(thought content - predominant theme evidence of psychosis &delusionshallucinations illusions etc*(insight - does the patient understand how he appears how he acts his impacton others and his responsibility for his actionsimpulse controlsocial udgment - what would you do if you found a stamped addressedletter;

presence of suicidal and homicidal ideation &method intent means(cognition:

orientation - to person place time&date( situationimmediate recall - repeat three ob ects supplied by the e'aminer &redtelephone 6+ Park Place brown ta'icab(concentration - repeat digits forward &start with 2 digits and keepadding one number until the patient cannot repeat the digit stringafter two tries(< repeat digits backwards &start with three digits andkeep adding one number until the patient misses after two tries (< ifthe patient cannot perform the digit recall ask him to spell=>"R?D@ forwards and backwards



recent memory - ask the patient to repeat the three words above after waiting at least five minutescalculations - simple addition subtraction multiplication serial As&subtract A from )BB in a serial manner< if unable - subtract 1 from)BB serially(abstraction ability - proverb interpretation &=people in glass housesshould not throw stones@( opposites &=what is the opposite of day;@(intelligence - knowledge of current events Presidents &=name the lastfive@( knowledge of world events assess vocabulary

C* !onclusion:does the patient have any other concerns or information that he wishes toshare with the e'aminer;does the patient have any questions;what does the patient want ; &e'pected outcome of the interview(

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