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Techniques for interviewing the somatising patient

F Creed¹, E Guthrie

¹Department of Psychiatry, Manchester Royal Infirmary.

The British Journal of Psychiatry : the Journal of Mental Science

|April 1, 1993

Summary

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Effective interviews with somatising patients require liaison psychiatrists to build rapport and establish a treatment alliance. Detailed preparation, including physician consultation and reviewing medical notes, is crucial for comprehensive assessment and avoiding dismissive interactions.

Area of Science:

Psychiatry
Psychosomatic Medicine

Background:

Somatising patients present complex challenges in psychiatric assessment.
Effective communication and rapport-building are vital for successful interviews.

Purpose of the Study:

To outline optimal interview techniques for liaison psychiatrists assessing somatising patients.
To improve the thoroughness and efficacy of psychiatric evaluations for somatic symptom disorders.

Main Methods:

Review of established liaison psychiatry interview strategies.
Emphasis on pre-interview preparation, including physician consultation and collateral information gathering.
Application of rapport-building techniques and alliance formation during the interview.

Main Results:

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Thorough preparation significantly enhances the quality of patient assessment.
Specific interview techniques can deepen rapport, even with initially wary or hostile patients.
Focusing on the patient's attitude towards symptoms and the strength of somatic beliefs is key.

Conclusions:

Adopting structured interview techniques improves liaison psychiatry assessments of somatising patients.
Effective communication strategies reduce the likelihood of unproductive interviews and patient distrust.
A collaborative approach between referring physicians and psychiatrists is essential.