By David S. Goldbloom
Psychiatric scientific talents is a realistic consultant to enticing and assessing those that have psychological illnesses. Written by means of a crew of skilled clinicians, it makes a speciality of "what to invite" and "how to invite" and covers a large spectrum of scientific difficulties and settings. It features a bankruptcy written from the viewpoint of people that stay with psychological illnesses. in addition to protecting the total diversity of psychological well-being problems, the consultant contains informaition approximately: - tradition competence - evaluate of kids, young people and older adults - overview of households - use of standardized score scales - documentation. every one bankruptcy comprises easy-to-use positive factors comparable to medical vignettes, bankruptcy overviews and keypoint summaries.
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Additional resources for Psychiatric Clinical Skills
Sample text
Do they come from inside/outside your head? Do you hear them like my voice now? Do you ever turn to see who spoke? ” “Are there one or more voices? ” “Do you still see your friends? ” “What did you enjoy doing 5 years ago? ” “Has there been any change in your concentration/memory or distractibility? , a firmly held, fixed belief that is discordant with cultural norms). If the conviction is not there, it may suggest an idiosyncratic overvalued belief, or a prodromal symptom. ■ “You spoke about being followed everywhere you go.
3. What differential diagnoses do I have to keep in mind, and how do I evaluate for these? qxd 10/3/05 07:56 PM Page 31 31 Assessment of Patients with Psychosis 4. How do I phrase questions so they do not seem odd, but nevertheless efficiently elicit the symptoms? 5. What should I observe? 6. What additional tools can I use? 7. What challenges should I be ready for, and how can I get around them? 8. Where else can I get information? 9. What do I need to elicit from a patient seen in follow-up? THE GOAL OF THE INTERVIEW For the purposes of this chapter, we will consider the goals of the interview to be: 1.
The issues: ■ ■ ■ How do you collect information from an uncooperative patient? What type of details should be prioritized in information collection? What emergency issues need to be considered? What other sources of information can be used? In evaluating psychosis, there are several key features that must be clear by the end of the interview (they do not necessarily have to be elicited in this order, although a good start is to get an idea of the cross-section of the psychosis and its qualities and then to use this information to drive the questioning of the differential diagnosis and evolution of symptoms): ■ Why now?