The Psychiatric Interview 4th Edition by Daniel Carlat, ISBN-13: 978-1496327710

Description

The Psychiatric Interview 4th Edition by Daniel Carlat, ISBN-13: 978-1496327710

[PDF eBook eTextbook]

• Publisher: ‎ LWW; 4th edition (August 17, 2016)
• Language: ‎ English
• 348 pages
• ISBN-10: ‎ 9781496327710
• ISBN-13: ‎ 978-1496327710

Now DSM-5 updated! Using a unique and effective combination of mnemonics, practical techniques, and phrasing examples that illustrate the nuances of the interviewing process, The Psychiatric Interview, 4th Edition helps you establish a rapport with patients and gain valuable clinical insights. Now updated to incorporate the DSM-5 and current research, this popular manual teaches you how to improve your interviewing skills, breaking down this complex area into concise information you can put to use immediately in your practice.

Key Features:

• Offers a practical, concise approach to the psychiatric interview, filled with tips and pearls to develop confidence in interviewing.
• Uses mnemonics and pocket cards to help you understand and remember key elements of the effective interview.
• Brings you up to speed with the DSM-5 and current research, including changes in diagnosing dementia, substance abuse, eating disorders, ADHD, and more.
• Provides clear techniques for approaching threatening topics, and shows how relationships that are endangered can be repaired.
• Presents information in an engaging, conversational manner, helping you form an alliance with each patient in order to promote cooperation and effective treatment.
• Ideal for psychiatrists, psychiatric residents, nurse practitioners, or other mental health professionals.

Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like:

• Complete content with enhanced navigation

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• Quick reference tabbing to save your favorite content for future use

Table of Contents:

The Psychiatric Interview

Cover

Title Page

Copyright Information

Dedication

Foreword

Preface

Introduction to the Fourth Edition

Acknowledgments

Section I: General Principles of Effective Interviewing

Chapter 1: The Initial Interview: A Preview

Four Tasks of the Diagnostic Interview

Build a Therapeutic Alliance

Obtain the Psychiatric Database

Interview for Diagnosis

Negotiate a Treatment Plan and Communicate It to Your Patient

Three Phases of the Diagnostic Interview

Opening Phase (5 to 10 Minutes)

Body of the Interview (30 to 40 Minutes)

Closing Phase (5 to 10 Minutes)

Chapter 2: Logistic Preparations: What to Do Before the Interview

Chapter 2 Introduction

Prepare the Right Space and Time

Secure a Space

Protect Your Time

Arrive Earlier than the Patient

Prevent Interruptions

Don’t Overbook Patients

Leave Plenty of Time for Notes and Paperwork

Use Clinical Tools Effectively

Psychiatric Interview Long Form

Advantages

Disadvantages

Psychiatric Interview Short Form

Advantages

Disadvantages

Psychiatric Interview Pocket Card

Advantages

Disadvantages

Patient Questionnaire1

Advantages

Disadvantages

Patient Handouts

Advantages

Disadvantages

Develop Your Policies

Contacting You

Suggestions

Contacting the Patient

Missed Appointments

Chapter 3: The Therapeutic Alliance: What It Is, Why It’s Important, and How to Establish It

Chapter 3 Introduction

Be Yourself

Be Warm, Courteous, and Emotionally Sensitive

Actively Defuse the Strangeness of the Clinical Situation

Give Your Patient the Opening Word

Gain Your Patient’s Trust by Projecting Competence

Chapter 4: Asking Questions I: How to Approach Threatening Topics

Chapter 4 Introduction

Normalization

Symptom Expectation

Symptom Exaggeration

Reduction of Guilt

Domestic Violence

Antisocial Behavior

Use Familiar Language When Asking about Behaviors

Using Familiar Language

Exhibit 27

Chapter 5: Asking Questions II: Tricks for Improving Patient Recall

Chapter 5 Introduction

Anchor Questions to Memorable Events

Tag Questions with Specific Examples

Define Technical Terms

Chapter 6: Asking Questions III: How to Change Topics with Style

Chapter 6 Introduction

Smooth Transition

Referred Transition

Introduced Transition

Chapter 7: Techniques for the Reluctant Patient

Chapter 7 Introduction

Open-Ended Questions and Commands

Continuation Techniques

Neutral Ground

Second Interview

Chapter 8: Techniques for the Overly Talkative Patient

Chapter 8 Introduction

Use Closed-Ended and Multiple-Choice Questions

The Art of the Gentle Interruption

Chapter 9: Techniques for the Malingering Patient

Chapter 9 Introduction

Interviewing Clues to Malingering (and Strategies for Responding)

The Tale Is Just Too Perfect

The Tale Is too Vague

The Symptoms Are Unrealistic

“Nothing Works, Doc.”

“I Heard about This Thing Called ‘Klonopin’ from A Friend Who Has What I Have.”

Chapter 10: Techniques for the Adolescent Patient

Chapter 10 Introduction

The Family Interview

The Individual Interview

Initial Questions and Strategies

“I Don’t Know” Syndrome

Topics to Cover

Asking about School and Other Activities

Asking about Drugs and Alcohol

Asking about Sex

Asking about Conduct Problems

Chapter 11: Interviewing Family Members and Other Informants

Chapter 11 Introduction

How to Broach the Issue of Talking to Informants

Be Ready with a List of Questions

What to do When an Informant Is Confrontational

When an Informant Is “Antimedication”

What Do Informants Want Information About?

How to Deal with Privacy Issues in the Age of HIPAA

Inpatient Work

Psychoeducation

Learning from the Family

Chapter 12: Techniques for Other Challenging Situations

Chapter 12 Introduction

The Hostile Patient

The Hostile, Paranoid Patient

The Irritable, Depressed Patient

The Patient with Borderline Personality Disorder

The Seductive Patient

The Tearful Patient

Chapter 13: Practical Psychodynamics in the Diagnostic Interview

Chapter 13 Introduction

Reality Distortion

Negative Transference

Defense Mechanisms and Coping Responses

Main Defense Mechanisms

Mature Defenses

Suppression

Altruism

Sublimation

Humor

Neurotic (Transitional) Defenses

Denial

Repression

Reaction Formation

Displacement

Rationalization

Immature Defenses

Passive Aggression

Acting Out

Dissociation

Projection

Splitting (Idealization/Devaluation)

Psychotic Defenses

Denial of External Reality

Distortion of External Reality

Table 13.1: Classification of Defense Mechanisms

Coping Styles

Using Countertransference Diagnostically

Section Ii: The Psychiatric History

Chapter 14: Obtaining the History of Present Illness

What Is the History of Present Illness?

The History of Present Crisis Approach

History of the Syndrome Approach

Elicit a Chronologic Narrative, Emphasizing Precipitants

Table 14.1: Common Precipitants of Psychiatric Syndromes

Launch into the Diagnostic Questions Right Away

Current and Premorbid Level of Functioning

Chapter 15: Obtaining the Psychiatric History

Chapter 15 Introduction

Obtain the Syndromal History

Age at Onset

Premorbid Functioning or Baseline Functioning

History and Precipitants of Subsequent Episodes up to Present

Obtain the Treatment History

General Questions

Current Caregivers

Hospitalization History

Medication History

Psychotherapy History

Chapter 16: Screening for General Medical Conditions

Chapter 16 Introduction

MIDAS

Medications

History of Medical Illnesses

Primary Care Doctor

Allergies

Surgical History

Medical Review of Systems

Brief Review of Systems

Extended Review of Systems

General

HEENT (Head, Eyes, Ears, Nose, and Throat)

Cardiovascular and Respiratory

Gastrointestinal

Genitourinary and Gynecologic

Neurologic

Assessing HIV Risk1

Table 16.1: Brief Versus Full Review of Symptoms

Chapter 17: Family Psychiatric History

Chapter 17 Introduction

Bare-Bones Approach

Table 17.1: Psychiatric Disorders with Significant Evidence of Familial Transmission

The Genogram: Family History as Social History

Figure 17.1: Basic genogram.

Figure 17.2: Elaborated genogram.

Chapter 18: Obtaining the Social and Developmental History

Chapter 18 Introduction

Early Family Life

Education and Work

Asking about Work

Intimate Relationships (Sexual History)

Current Activities and Relationships

Section Iii: Interviewing for Diagnosis: The Psychiatric Review of Symptoms

Chapter 19: How to Memorize the DSM-5 Criteria

Chapter 19 Introduction

Memorize the Seven Major Diagnostic Categories

Focus on Positive Criteria

Mood Disorders

Major Depression: SIGECAPS

Persistent Depressive Disorder (Dysthymia): ACHEWS

Manic Episode: DIGFAST

Psychotic Disorders

Schizophrenia: Delusions Herald Schizophrenic’s Bad News

Substance Use Disorder

Anxiety Disorders

Panic Attack (4 of 13)

Heart Cluster: Three

Breathlessness Cluster: Five

Fear Cluster: Five

Agoraphobia

Obsessive-Compulsive Disorder

Posttraumatic Stress Disorder

Generalized Anxiety Disorder (Three of Six)

Eating Disorders

Bulimia Nervosa

Anorexia Nervosa

Cognitive Disorders

Dementia

Delirium

Attention Deficit Hyperactivity Disorder

Personality Disorders

Table 19.1: DSM-5 Criteria for ADHD

Chapter 20: Interviewing for Diagnosis: The Art of Hypothesis Testing

Chapter 20 Introduction

Free Speech Period

Screening and Probing Questions

Transition Gracefully to Diagnostic Questions

Illustrative Transitions to Diagnostic Areas

Psychiatric Review of Symptoms

Chapter 21: Mental Status Examination

Chapter 21 Introduction

Elements of the Mental Status Examination

Appearance

Behavior and Attitude

Speech

Affect and Mood

Qualities of Affect

Thought Process

Thought Content

Cognitive Examination

Level of Awareness or Wakefulness

Attention and Concentration

Memory

Orientation

Three-Object Recall

General Cultural Knowledge

Personal Knowledge

Intelligence

Insight

Judgment

Table 21.1: Appearance Terms

Table 21.2: Affect Terms

Table 21.3: Speech Terms

Table 21.4: Wilson Rapid Approximate Intelligence Test

Should You Use the Folstein Mini-Mental State Examination?

Mini-Cog

Chapter 22: Assessing Suicidal and Homicidal Ideation

Chapter 22 Introduction

Risk Factors for Suicide

Assessing Suicidal Ideation: Interview Strategies

The CASE Approach

Assessing Homicidal Ideation

Chapter 23: Assessing Mood Disorders I: Depressive Disorders

Chapter 23 Introduction

Table 23.1: DSM-5 Criteria for Major Depressive Episode

Major Depressive Episode

Mnemonic: SIGECAPS

Asking About the Symptoms of Depression

Screening Questions

SIGECAPS Questions

Other Depressive Syndromes

Persistent Depressive Disorder (Dysthymia)

Atypical Depression

Seasonal Affective Disorder

Chapter 24: Assessing Mood Disorders II: Bipolar Disorder

Manic Episode

Screening Questions

Use DIGFAST to Elicit Diagnostic Criteria

Distractibility

Indiscretion

Grandiosity

Flight of Ideas

Activity Increase

Sleep Deficit

Talkativeness

Other Tips for Diagnosing Mania

Table 24.1: DSM-5 Criteria for Manic Episode

Bipolar Disorder, Type II: The Hypomanic Episode

Table 24.2: DSM-5 Criteria for Hypomanic Episode

Chapter 25: Assessing Anxiety, Obsessive, and Trauma Disorders

Chapter 25 Introduction

Panic Disorder

Table 25.1: DSM-5 Criteria for Panic Disorder

Agoraphobia

Table 25.2: DSM-5 Criteria for Agoraphobia

Generalized Anxiety Disorder

Table 25.3: DSM-5 Criteria for GAD

Social Anxiety Disorder

Table 25.4: DSM-5 Criteria for Social Phobia

Specific Phobia

Table 25.5: DSM-5 Criteria for Specific Phobia

Obsessive-Compulsive Disorder

Table 25.6: DSM-5 Criteria for OCD

Posttraumatic Stress Disorder

Table 25.7: DSM-5 Criteria for Posttraumatic Stress Disorder

Chapter 26: Assessing Alcohol Use Disorder

Chapter 26 Introduction

Assessment Techniques

Screening Questions

Probing Questions

DSM-5 Criteria for Alcohol Use Disorder

“Blame it on the Alcohol” Technique

Special Techniques in Dual Diagnosis

Chapter 27: Assessing Psychotic Disorders

Chapter 27 Introduction

General Screening Questions

Probing Questions: How to Diagnose Schizophrenia

Schizophrenia

Delusions (Disorders of Thought Content)

Paranoid Delusions

Table 27.1: DSM-5 Criteria for Schizophrenia

Delusions (or Ideas) of Reference

Delusions of Control or Influence

Delusions of Replacement (Capgras Syndrome)

Delusions of Jealousy

Somatic Delusions

Grandiose Delusions

Religious Delusions

Technological Delusions

General Interviewing Tips for Asking about Delusions

Nonjudgmental Questions

Counterprojective Statements

Techniques for Reality Testing

Hallucinations

Disorganized Speech

Looseness of Association Cluster

Circumstantiality

Tangentiality

Example

Related Term

Looseness of Association

Example

Related Terms

Word Salad

Example

Related Terms

Velocity Cluster

Mutism

Example

Poverty of Thought

Example (from Andreasen 1979)

Related Terms

Interviewing Strategies

Poverty of Content

Related Term

Racing Thoughts

Related Term

Example

Flight of Ideas

Disorder of Behavior (Disorganized Behavior)

Paucity of Thought, Affect, and Behavior (Negative Symptoms)

Chapter 28: Assessing Neurocognitive Disorders (Dementia and Delirium)

Chapter 28 Introduction

Delirium

Impaired Attention

Change in Cognition

Recent Onset and Fluctuating Course

Table 28.1: DSM-5 Criteria for Delirium

Neurocognitive Disorder

Interviewing Family Members

Interviewing the Patient

Table 28.2: DSM-5 Criteria for Dementia

Chapter 29: Assessing Eating Disorders and Somatic Symptom Disorder

Eating Disorders

Table 29.1: DSM-5 Criteria for Anorexia Nervosa

Table 29.2: DSM-5 Criteria for Bulimia Nervosa

Table 29.3: DSM-5 Criteria for Binge Eating Disorder

Somatic Symptom Disorder and Illness Anxiety Disorder

Table 29.4: DSM-5 Criteria for Somatic Symptom Disorder

Table 29.5: DSM-5 Criteria for Illness Anxiety Disorder

Chapter 30: Assessing Attention Deficit Hyperactivity Disorder

Attention Deficit Hyperactivity Disorder

Table 30.1: DSM-5 Criteria for Attention Deficit Hyperactivity Disorder

Attention Deficit Hyperactivity Disorder in Children

Attention Deficit Hyperactivity Disorder in Adults

Inattentiveness and Disorganization

Talking Impulsively and Hyperactivity

Formal Rating Scales and Family Interviews

Chapter 31: Assessing Personality Disorders

Chapter 31 Introduction

Two General Approaches

Strategy 1: The Ground-Up Technique

Strategy 2: The Symptom-Window Technique

Specific Personality Disorders: Self-Statements, Probing Questions, and Behavioral Clues

Borderline Personality Disorder

Cluster A (“Odd”)

Paranoid

Schizoid

Schizotypal

Cluster B (“Dramatic”)

Borderline

Antisocial

Histrionic

Narcissistic

Cluster C (“Anxious”)

Avoidant

Dependent

Obsessive-Compulsive

Section Iv: Interviewing for Treatment

Chapter 32: How to Educate Your Patient

Chapter 32 Introduction

Briefly State Your Diagnosis

What Your Patient Knows about the Disorder

Minilecture about the Disorder

Questions

Written Educational Materials

Chapter 33: Negotiating a Treatment Plan

Chapter 33 Introduction

Elicit the Patient’s Agenda

Negotiate a Plan

Implementing the Agreed-On Plan

Follow-Up Appointments

Medication Trials

Chapter 34: Writing Up the Results of the Interview

Chapter 34 Introduction

Identifying Data

Chief Complaint

History of Present Illness

History of Syndrome

History of Present Crisis

Past Psychiatric History

Substance Use History

Review of Symptoms

Family History

Social History

Medical History

Mental Status Examination

Table 34.1: Alternatives to Jargon

Assessment

DSM-5 Diagnosis

Treatment Plan

Appendixes

Appendix A: Pocket Cards

Appendix A: Pocket Cards

Exhibit 190

Exhibit 191

Exhibit 192

Exhibit 193

Exhibit 194

Exhibit 195

Exhibit 196

Exhibit 197

Exhibit 198

Appendix B: Data Forms for the Interview

Appendix B: Data Forms for the Interview

Initial Psychiatric Evaluation (Short Form)

Initial Psychiatric Evaluation (Long Form)1

Patient Questionnaire2

Exhibit 200

Exhibit 201

Exhibit 202

Exhibit 203

Exhibit 204

Exhibit 205

Exhibit 206

Exhibit 207

Exhibit 208

Exhibit 209

Exhibit 210

Exhibit 211

Exhibit 212

Exhibit 213

Exhibit 214

Exhibit 215

Exhibit 216

Appendix C: Patient Education Handouts

Appendix C: Patient Education Handouts

Major Depression1

Who Gets Depressed?

What Is Depression?

How Will I Know Whether I Am Depressed?

How Is Depression Treated?

Psychotherapy

Medications

Bipolar Disorder2

What Is Bipolar Disorder?

Key Features of Bipolar Disorder

How Is Bipolar Disorder Treated?

Panic Disorder3

What Is Panic Disorder?

Who Gets Panic Disorder?

How Is Panic Disorder Treated?

Obsessive-Compulsive Disorder4

What Is Obsessive-Compulsive Disorder?

How Common Is Obsessive-Compulsive Disorder?

Key Features of Obsessive-Compulsive Disorder

Obsessions

Compulsions

How Is Obsessive-Compulsive Disorder Treated?

Psychotherapy

Medications

References

References

Appendix

Remarks

Glossary

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