Clinical Interview Role-Play Part 3 - Abuse, Risk Assessment, Recreation, and Goals

Dr. Todd Grande conducts a clinical interview focusing on trauma, emotional abuse, risk assessment, recreation, and personal goals.

Key Takeaways

Emotional abuse can have long-lasting psychological effects, including anxiety and substance use.
Patients may become desensitized to ongoing emotional abuse but still experience pain.
Exploring recreational activities helps assess patient well-being and lifestyle balance.
Clinical interviews benefit from sensitive topic transitions and patient comfort checks.
Understanding family dynamics is crucial in risk assessment and treatment planning.

What the video covers

The interview explores potential trauma and abuse, including emotional abuse from the patient's father.
The patient describes harsh and damaging statements from their father affecting their self-esteem.
The patient reports becoming numb to emotional abuse but still finds it painful.
Emotional abuse has contributed to increased anxiety and heavier drinking as coping mechanisms.
The patient acknowledges this history as significant and upsetting.
The conversation shifts to recreation and fun activities beyond partying.
The patient enjoys shopping, mountain hiking, socializing with friends, and attending live music shows.
Recent engagement in hiking and live shows has been limited, with the last hike two years ago and last live show a year ago.
The interviewer assesses the patient's perception of their life’s enjoyment and goals.
The interview models clinical interviewing techniques for assessing abuse, risk, and lifestyle factors.

Chapters

What types of abuse are discussed in this clinical interview?

The interview focuses primarily on emotional abuse, with the patient describing harsh and damaging statements from their father. Physical abuse and non-consensual sexual contact are also briefly addressed but denied by the patient.

How has the emotional abuse affected the patient's mental health?

The patient reports becoming numb to the emotional abuse over time but still finds it painful. The abuse has contributed to increased anxiety and heavier drinking as a way to cope with stress.

What recreational activities does the patient engage in?

The patient enjoys partying, shopping, mountain hiking, socializing with friends, and attending live music shows, although recent participation in hiking and live shows has been limited.

Full Transcript — Download SRT & Markdown

Speaker A

I just want to change gears again, right? I want to talk about any potential trauma or abuse. Are you comfortable with that topic?

Speaker A

Yeah.

Speaker A

I mentioned earlier there's been no occasions where you've had non-consensual sexual contact, right? What about physical abuse?

Speaker A

No, nothing.

Speaker A

How about emotional abuse?

Speaker A

Um, I don't know if it really counts as emotional abuse. Um, I'm telling, um, like my dad can be really intense about things. Um, and when you don't necessarily meet his expectations or bring home the grade he was expecting, or if you're not as successful as your sister, um, he can be kind of harsh.

Speaker A

Can you give me an example? Something he might have said?

Speaker A

Um, like, why can't you ever be good enough? Or, um, don't tell people you're my daughter when you go out in public. Or, um, I wish we had two of your sister and didn't have you. Or they must have switched you at the hospital because you couldn't possibly be part of this family. That type of thing.

Speaker A

Fairly strong statements.

Speaker A

Yeah.

Speaker A

What's that feel like when he says things like that?

Speaker A

Um, I guess now I'm used to it. Before it was terrible, but you just kind of grow numb to stuff like that.

Speaker A

You feel like you're numb to it now?

Speaker A

I've heard it enough that I know it's coming, so you just kind of get used to it.

Speaker A

Still got to be a little painful.

Speaker A

Yeah, it is. Um, but you can only hear things so many times before it's like, all right, well, here in the same stuff.

Speaker A

Has there ever been a change in your anxiety levels or your drinking when he would make comments like that?

Speaker A

Sometimes. Um, if he like got off on a tangent or whatever and got really insulting, generally I would need to blow some steam and I'd go out with my friends or whatever. And I think that's when it started to get into like the heavier drinking during that time because I would get anxious and stressed out and not thinking clearly.

Speaker A

Would you consider this a significant part of your history?

Speaker A

I guess so.

Speaker A

Yeah, I mean, it seems a little upsetting to you, to say the least, right?

Speaker A

Yeah, it is.

Speaker A

Something maybe we can talk about later?

Speaker A

Yeah.

Speaker A

All right, so I want to, um, switch gears again a little bit. What do you do for fun, for recreation?

Speaker A

Um, other than partying?

Speaker A

Well, okay, I'll put that in there. Partying, that's one thing.

Speaker A

Okay.

Speaker A

Okay, yeah, so other than that, um, I like to shop, like to shop, and I like to hike, like mountain hiking.

Speaker A

Okay, when's the last time you were hiking?

Speaker A

Uh, two years ago. It's been a while.

Speaker A

Okay, what else?

Speaker A

Um, I like being out with my friends. Mhm. Or like going to see live shows, like music stuff.

Speaker A

Okay, live shows. Mhm. Like theater or like music?

Speaker A

Like, oh, okay, like music. When's the last time you've done that?

Speaker A

Probably a year.

Speaker A

Year. Do you consider your life to be fun?

Topics:clinical interviewemotional abusetrauma assessmentrisk assessmentrecreationsubstance useanxietyfamily dynamicsmental healthDr. Todd Grande

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