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

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.

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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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