In this film, you see a GP talking to a patient who has repeatedly presented to the surgery for abdominal problems for which no organic cause has been found. The GP asks the patients at length about her symptoms. The information is already in the GP notes, but the GP knows that if the patient is to trust the advice given, she must first feel that the history has been heard and understood by the new doctor. It is apparent that the symptoms are more problematic when the patient is lonely, and

Psychiatric videos for teaching

Psychiatric Interviews for Teaching: Somatisation

In this film, the GP is seeing a patient who has presented several times before with complaints of palpitations and shortness of breath. The patient describes the onset of her problems, which was a panic attack. She has then gone on to develop agoraphobia. The problem has affected a number of areas of her life. The GP explores the patient's understanding of the problem and it is apparent that she has attributed this to a problem with her heart. The GP then goes on to give the patient an alt

Psychiatric Interviews for Teaching: Anxiety

In this film, the GP is seeing a patient who has a depressive disorder. The patient describes symptoms including low mood, tearfulness, reduced energy, reduced motivation, early morning wakening, loss of appetite, weight loss, poor concentration, reduced enjoyment and reduced interest in self-care. The GP explores the effect of the symptoms on other people in the patient's life, explores the past history of low mood, and makes an assessment of suicide risk. The GP then gives the patient an exp

Psychiatric Interviews for Teaching: Depression

In this film, an on-call psychiatrist is assessing a young man who has been referred urgently by his GP. The psychiatrist takes a history in which she elicits persecutory delusions, third person auditory hallucinations, running commentary, thought insertion, and somatic hallucinations. She then makes a risk assessment, takes a drug history and assesses risk. The patient is clearly suffering from a psychotic disorder and the most likely diagnosis is schizophrenia. Differential diagnoses would i

Psychiatric Interviews for Teaching: Psychosis

In this film, you see a psychiatrist who works in the liaison psychiatry department seeing a patient who has recently been treated in the emergency department for wrist lacerations. The lacerations were self-inflicted after a relationship ended. The patient describes an emotional response to the end of a relatively short-lived relationship. She also gives a history of cutting since her teenage years and she is aware that she uses cutting to manage difficult emotions. She describes very low sel

Psychiatric Interviews for Teaching: Self-Harm

In this film, a psychiatrist assesses a man who has been referred by his GP. The patient demonstrates flight of ideas, pressure of speech, disinhibition, punning, grandiose delusions, and second person auditory hallucinations. His presentation is consistent with mania.

Psychiatric Interviews for Teaching: Mania

Psychiatric interviews created for teaching purposes.