The purpose of my initial interview is to obtain a biological, psychological, and social history of a patient in order to assist in forming an accurate psychiatric diagnosis, if present. Because a large amount of information is needed, I will be very focused on gathering facts and, at times, making interpretations of these facts.
The initial appointment is not about starting psychotherapy, although I may use psychotherapeutic techniques during the interview in order to build rapport, gain a better understanding of a patient’s history, and collaborate with a patient on a treatment plan that they are willing to adhere to. I may order labs and/or ask for collateral information (e.g., medical records, statements from close family and/or friends, etc.) during the initial interview or at subsequent visits in order to verify the information gathered during the initial interview. I may also make referrals to other professionals (i.e., primary care providers, therapists, psychologists, etc.), if necessary.