The Psychiatric Interview: A Practical Guide

by Carlat, Daniel J.

• ISBN13: 9780683307351
• ISBN10: 0683307355
• Format: Paperback
• Copyright: 1999-05-01
• Publisher: Lippincott Williams & Wilkins

Summary

Revised and updated, this practical handbook is a succinct how-to guide to the psychiatric interview. In a conversational style with many clinical vignettes, Dr. Carlat outlines effective techniques for approaching threatening topics, improving patient recall, dealing with challenging patients, obtaining the psychiatric history, and interviewing for diagnosis and treatment. This edition features updated chapters on the major psychiatric disorders, new chapters on the malingering patient and attention-deficit hyperactivity disorder, and new clinical vignettes. Easy-to-photocopy appendices include data forms, patient education handouts, and other frequently referenced information. Pocket cards that accompany the book provide a portable quick-reference to often needed facts.

Table of Contents

Acknowledgments	vii
Foreword	ix
Introduction	xi
SECTION I GENERAL PRINCIPLES OF EFFECTIVE INTERVIEWING	1	(64)
The Initial Interview: A Preview	2	(4)
Logistic Preparations: What to Do before the Interview	6	(8)
The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It	14	(7)
Asking Questions I: How to Approach Threatening Topics	21	(5)
Asking Questions II: Tricks for Improving Patient Recall	26	(3)
Asking Questions III: How to Change Topics with Style	29	(2)
Techniques for the Reluctant Patient	31	(4)
Techniques for the Overly Talkative Patient	35	(4)
Techniques for the Adolescent Patient	39	(9)
Techniques for Other Challenging Situations	48	(6)
Practical Psychodynamics in the Diagnostic Interview	54	(11)
SECTION II THE PSYCHIATRIC HISTORY	65	(36)
Obtaining the History of Present Illness	66	(6)
Obtaining the Psychiatric History	72	(8)
Screening for General Medical Conditions	80	(9)
Family Psychiatric History	89	(5)
Obtaining the Social and Developmental History	94	(7)
SECTION III INTERVIEWING FOR DIAGNOSIS: THE PSYCHIATRIC REVIEW OF SYMPTOMS	101	(130)
How to Memorize the DSM-IV	102	(10)
Interviewing for Diagnosis: The Art of Hypothesis Testing	112	(4)
Mental Status Examination	116	(20)
Assessing Suicidal and Homicidal Ideation	136	(8)
Assessing Mood Disorders I: Depressive Disorders	144	(12)
Assessing Mood Disorders II: Bipolar Disorder	156	(7)
Assessing Anxiety Disorders	163	(11)
Assessing Alcohol Dependence and Drug Abuse	174	(9)
Assessing Psychotic Disorders	183	(18)
Assessing Dementia and Delirium	201	(8)
Assessing Eating Disorders, Somatization Disorder, and Attention-Deficit Hyperactivity Disorder	209	(9)
Assessing Personality Disorders	218	(13)
SECTION IV INTERVIEWING FOR TREATMENT	231	(24)
How to Educate Your Patient	232	(5)
Negotiating a Treatment Plan	237	(5)
Writing Up the Results of the Interview	242	(13)
Appendixes	255	(40)
A. Pocket Cards	256	(14)
Psychiatric evaluation	256	(1)
DSM-IV mnemonics	257	(1)
Defense mechanisms	258	(1)
Appearance terms	259	(1)
Affect terms	260	(1)
Rapid IQ test, Wilson Rapid Approximate Intelligence Test	261	(1)
Heritability and prevalence of psychiatric disorders	262	(1)
Weight table for women	263	(1)
Weight table for men	264	(1)
Common DSM-IV diagnoses	265	(1)
GAF-made-easy scale	266	(1)
Mini--Mental State Examination	267	(2)
Age- and education-adjusted norms for the Folstein Mini--Mental State Examination	269	(1)
B. Data Forms for the Interview	270	(14)
Initial Psychiatric Evaluation (Short Form)	270	(2)
Initial Psychiatric Evaluation (Long Form)	272	(5)
Patient Questionnaire	277	(7)
C. Patient Education Handouts	284	(11)
Major Depression	284	(3)
Bipolar Disorder	287	(2)
Panic Disorder	289	(3)
Obsessive-Compulsive Disorder	292	(3)
References	295	(6)
Index	301