That’s really inspiring! Well done!

Thank you for the feedback 🙏

Me too! I sometimes struggle with HPI. I work at a private inpatient psych hospital and I conduct the intake assessments, MSE’s etc. We get referrals from all different hospitals and I’ve read many other HPI’s and assessments authored by other mental health clinicians, social workers, PhD.‘s, and M.D.’s and it seems as though there is no one way to conduct the intake assessment and HPI. I want to be as concise as possible while also making sure to include all pertinent information that may be relevant to the clinicians on the units. It’s been a frustrating process.

Thanks for your feedback. It is artificial with an actor script. As best as we could get to real life with a script. Main aim was to highlight key questions etc. Really appreciate the valuable feedback. 🙏

This video is very helpful. I have to do an MSE for my psych honours class, and watching this video gives me a bit more clarity on what the process is about and how to perform it.

Thank you for the feedback.

Thank you for your feedback 🙏🏼

Thank you for your feedback.

Thank you for your feedback.

Thanks for the feedback. Will do.

Pleasure. Wish you well.

@@PsychiatrySimplified I appreciate it ✅

Thank you for the feedback 🙏🏻

Thanks for the feedback.

Thank you for your comment. This interview is an artificial scenario with an actor for teaching purposes. Discussions usually are much longer and empathy, checking, summarising, validation are all interview techniques used.

Hi, good question. There are a range of interview techniques and each of these depend on the aim of the assessment. So in acute settings because the goal is focus on key issues - this requires a targeted interview due to time constraints for example - hence can come across as an interrogative interview - usually in such cases i start of the interview explaining my aim / my role and what we( patient and doctor ) are trying to achieve - in order to do that I would like to focus on key aspects such as ....give examples to patient - and tell them it may seem like we are moving from one area to another and you may need to interrupt them but you don't mean to be rude. Thats just one example. In community settings - less urgent - techniques such as reflections/interpretations/summation etc can be used more frequently because the interview may be for an hour for example. ultimately to act in the best interest we must recognise the aim of the interview - then devise the most efficient way of obtaining that information - and explain how the interview will proceed so they don't feel like its an interrogation (many patients have the impression that all psychiatric interviews delve deep into past history and trauma - but in many cases doing that at the first interview can lead to reactivation of trauma and if the patient has only one contact with the clinician it can do more harm than good. hope this helps

@@PsychiatrySimplified thank you for e feedback. I agree, the initial assessment or interview can serve as a double edged sword and serve to turn the patient “off” and in fact do more harm than good. Quite honestly, in my setting I need gather the info and get them admitted. I would say it feels more business like but then again, it’s a private psych hospital and unfortunately it’s run like a business. Thanks again! Be well.

Thank you for your feedback. This interview is an artificial scenario and the ‘patient ‘ is an actor. The video is designed to cover the main aspects in a short time for the exams . Exam scenarios are 8-15 mins. So we take your point in real life this interview would be much longer and would allow for the finer nuances You mention. Thanks once again for your feedback.

agree. I wish they dont work in suits, should be more casual clothing. He ask to many questions. I wish you would let her tell you her own story or journey. and avoid bringing a pen or paper. its really interrogation. I bet she will feel interrogate

@@Kay-zo3wl in MSE all the questions should be asked to get proper teatment.so you should not avoid any questions.its a systematic examination of patient mental status.not a psychologic interview, where we support the patient and allow empathy to heal her.in psychiatry we examine patient conditions detailly and prescribe medicine based on all the answers. usually MSE examination in our college is more like an artificial schematic interview. and this interview feel a lot better, this should be the way how we should practice really in clinics.

@@muhammedmurshid7034 yeah i get that its sysyematic but why not allow her tell her side story.

@@Kay-zo3wl they don't always wear suits, they are mostly just wearing smart clothes, pretty much what they want to wear.

I tried to call analyst, but didn't speak to anyone, did I close this door what happens now?

Could use some input

Sorry to hear. You should see a psychiatrist or a neuropsychiatrist to carry out an examination.

Sorry to hear about your accident. If you decide to take doctor prescribed prescription pills look very closely at the side effects. 250,000 people a year die from doctor prescribed prescription pills because of the side effects when they stop taking the medicine most of the medicine causes suicidal thoughts that's why so many people die from prescription pills legally issued by doctors. Doctor prescribed prescription pills changes one's mind and the way they think. I turned to holistic medicine they were first they're still there and in my opinion they're the only choice to fix problems. Doctor prescribed prescription pills are man-made, synthetic, acidic and have very bad side effects and health risks on the body and some of them are irreversible and the damage they do to someone's body their family and friends is unthinkable. And sadly so many people get hooked on the pain, panic, anxiety, depression, nerve and psych pills. And this turns into generations of acceptable drug use my doctors that are all for profit and not for your health and mental well-being. What doctors are doing is like a hole in an oil pan doctors are putting duct tape on the problem which leads to other problems and most of the time a tragic ending. A good book to turn to is prescription for nutritional healing it's $776 pages by Phyllis a Bach. I'm pretty sure it's the third edition you can get it online pretty cheap for around $8.00

This is the full version. The previous video was 3 minutes if I'm not mistaken.

well people with personality disorders can do all those you have mentioned. Those things that you said mainly tells you about a person’s orientation. that’s like just one component of the mse / mental status exam.

Thanks for that feedback. This was an office hired for the filming. Hence the mixture of books. Appreciate your candid comment 🙏

It’s an actor - forgot the script 😁. Good pick up

It's a challenging situation. If the situation is urgent, in some countries if harm to the person or others is a concern, the police and/or the crisis team can be involved. Individual advice is difficult to provide as there are so many aspects to consider. This is best discussed with a local professional. Wish you and your family member well.

There are medicolegal issues with confidentiality in interviewing actual patients. The techniques are the same that can be applied to real life. Yes some patients can be guarded and the process should be changed to factor in time. These are videos that are used for training psychiatrists. Over 2000 doctors, nurses, general practitioners and allied Heath professionals have used it for training. Hope this helps.

Another reason why actors are used is so the entire script and process of interviewing can be shown. In the interview course - we have simulated guarded patients, angry individuals and how to diffuse or use appropriate interview techniques.

Psychiatrist is a practitioner of psychiatry.

Thanks for your comment . Firstly this interview is for OSCE training that has a time limited approach. It is not a typical interview: secondly clozapine is indicated for treatment resistant schizophrenia . It is a long term treatment for most. In fact the Fin-11 and Fin-20 studies showed ( 11 and 20 years follow up) showed that clozapine reduces all cause mortality: clinically we see this significant improvement over the long term. Clozapine is for treatment resistance when treatments have failed. So other medications have been trialled .

Hi tasha