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Psychiatry

  • Ahmad Wagih Abdel-Halim
Chapter

Introduction

Axes of Mental Disorders

  • I: Clinical disorder, e.g., Depression.

  • II: Personality disorder or mental retardation.

  • III: Medical disease, e.g., Hypothyroidism.

  • IV: Environmental factors.

  • V: Global Assessment of Function (GAF).

Targets of Doctor-Patient Interview

  • Rapport: Includes the following techniques:
    1. 1.

      Support, e.g., “That must have been a horrible experience for you.”

       
    2. 2.

      Empathy, e.g., “Oh dear, you must be worried about the complications!”

       
    3. 3.

      Validation, e.g., “I can understand why you felt the way you did. If I were in your place, I would have felt the same way too.”

       
  • Information: Obtain information from the patient using the following techniques:
    1. 1.

      Silence: You will get multiple cases in the USMLE about the fact that you should never interrupt your patient while he or she is talking. If the patient is very talkative, try to aim for closed ended questions, but never interrupt the patient.

       
    2. 2.

      Open-ended questions, e.g., “What brought you in today?”

       
    3. 3.

      Closed-...

Keywords

Anorexia Nervosa Obsessive Compulsive Disorder Selective Serotonin Reuptake Inhibitor Personality Disorder Major Depressive Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.McLaren Regional Medical CenterFlintUSA

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