Psychiatric Interviewing The Art Of Understanding Pdf Free Download UPDATED

The Psychiatric Interview involves a balance of being empathetic, asking the right questions, and thinking about the diagnostic criteria carefully for psychiatric disorders. Remember, everyone has a different way of interviewing, but every question you ask should have a purpose. Are you trying to elicit symptoms? Understand someone's life history? Understand their safety risks? Just as a good surgeon makes no unnecessary incisions on the patient during a surgery, a good psychiatrist should ask no unnecessary questions during the interview. This does not mean that your interview be devoid of substance or empathy, but that you make every question count. Below is a template to guide you.

During the interview, you should pay attention to the mental status examination (MSE). The MSE is a systematic way of describing a patient's mental state at the time you were doing a psychiatric assessment.

Psychiatric Interviewing The Art Of Understanding Pdf Free Download

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Within the text, Dr. Shea deftly integrates interviewing techniques from a variety of professional disciplines from psychiatry to clinical psychology, social work, and counseling providing a broad scope of theoretical foundation. Written in the same refreshing, informal writing style that made the first two editions best sellers, the text provides a compelling introduction to all of the core interviewing skills from conveying empathy, effectively utilizing open-ended questions, and forging a powerful therapeutic alliance to sensitively structuring the interview while understanding nonverbal communication at a sophisticated level. Updated to the DSM-5, the text also illustrates how to arrive at a differential diagnosis in a humanistic, caring fashion with the patient treated as a person, not just another case.

Whether the reader is a psychiatric resident or a graduate student in clinical psychology, social work, counseling or psychiatric nursing, the updated third edition is designed to prepare the trainee to function effectively in the hectic worlds of community mental health centers, inpatient units, emergency rooms, and university counseling centers. To do so, the pages are filled with sample questions and examples of interviewing dialogue that bring to life methods for sensitively exploring difficult topics such as domestic violence, drug abuse, incest, antisocial behavior, and taking a sexual history as well as performing complex processes such as the mental status. The expanded chapter on suicide assessment includes an introduction to the internationally acclaimed interviewing strategy for uncovering suicidal ideation, the Chronological Assessment of Suicide Events (CASE Approach). Dr. Shea, the creator of the CASE Approach, then illustrates its techniques in a compelling video demonstrating its effective use in an interview involving a complex presentation of suicidal planning and intent.

Shea has an almost uncanny ability to genuinely perceive the complexities of clinical interviewing, while creating frameworks that illuminate, clarify, and simplify those complexities so that young clinicians can actually apply them. And he accomplishes this challenging task with a self-effacing humor and a refreshing sense of compassion that combine to shed a vibrant brilliance on our art. I can think of no better first book for any trainee in mental health, for it is not only, in my opinion, an unsurpassed book about how to interview, it is a book about why we interview. It is a book that captures the wonderment of our work and the soul of our mission.

In Step 2 of their maturation as clinical interviewers, after acquiring their core interviewing skills, the trainee will encounter a new, and particularly challenging set of skills to master. Specifically the graduate student or psychiatric resident must learn how to adapt their newly acquired core interviewing skills for use in the real world of community mental health centers, inpatient units, college counseling centers, private practices, and emergency departments. In these settings, the trainees, during their clinical rotations and internships (and subsequently in their years of employment) will encounter patients suffering from a variety of painful disorders ranging from major depressive disorders, substance use disorders, PTSD, and OCD to bipolar disorder and schizophrenia.

Perhaps the most unique aspect of this 3rd Edition in this regard is the addition of the five complete chapters you will find in Part IV on Advanced and Specialized Interviewing. They appear as bonus chapters in the accompanying e-book, resulting in an ultimately flexible textbook. With over 300 pages, this web-based bonus section provides the reader with essentially two books for the price of one, acquiring not only the expanded core textbook (Parts I through III) but a set of independent monographs on specialized skill sets that the reader and/or faculty can add to their curriculum as they deem fit. Some faculty may choose to select a single chapter or two for use in their introductory course on interviewing, other faculty may recommend the chapters for use in later courses or during clinical rotations. But no matter what decision is made, for the first time ever, the web is allowing faculty to create individualized textbooks where they can flexibly select whatever chapters seem best suited to their students and the required course content.

Finally, I was able to introduce to all mental health providers, especially all those who prescribe medications (from psychiatrists to psychiatric nurse clinicians, psychiatric physician assistants, and psychiatric clinical pharmacists) the collaborative and motivational model known as the Medication Interest Model (MIM), which addresses how we can go about the complex process of talking with our patients about the possible use of medications in a truly collaborative fashion. The MIM was first introduced for use in general medicine in my book Improving Medication Adherence: How to Talk with Patients About Their Medications as applied to medications being used to treat all disease states from diabetes, hypertension, and congestive heart failure to depression and PTSD. In our bonus chapter in Part IV of this book, I have been able to create a fast-reading monograph on how the collaborative interviewing principles and techniques of the MIM can be specifically applied with patients considering psychiatric medications. I hope this monograph on the psychiatric application of the MIM will help many clinicians to help many patients for many decades to come.

Children and adolescents with autism spectrum disorder (ASD) are at risk for emotional dysregulation and behavior problems that can escalate to levels requiring psychiatric hospitalization. Evaluating the etiology of such behaviors can be challenging for health care providers, as individuals with ASD can have difficulty self-reporting concerns. This brief report introduces the Iceberg Assessment Interview (IAI), a tool to organize and elucidate the assessment of issues potentially underlying problem behaviors. A summary of IAIs from a chart review of patients ages 5-18 with ASD (n = 23) admitted to a specialized psychiatric hospital unit illustrates the clinical utility of this tool. Summarized IAI data includes presenting crisis behaviors, caregiver-perceived environmental conditions, and underlying psychosocial and medical problems.

A new workshop recently designed and implemented by three senior residents in Duke Psychiatry & Behavioral Sciences reflects this dynamic. This summer, on a volunteer basis, Jonathan Nahmias, MD, Hania Ibrahim, MD, and Broadway began teaching second-year medical students in their psychiatry clerkship how to conduct a psychiatric interview.

Despite the difficulties, residents have worked for months to create a robust, interactive workshop that includes lectures on a standardized version of the interview and mock psychiatric interviews with residents acting as patients. The workshop has been delivered four times so far, and residents have been strongly encouraged by the outcomes.

Over five years in the making, this classic introduction to the art of clinical interviewing returns, updated, expanded and innovatively designed for today's reader with over 7.5 hours of streaming video integrated directly into the text itself. Readers now also become viewers, acquiring the rare opportunity to see the author both illustrating specific interviewing techniques and subsequently discussing effective ways in which to employ them. The founder and Director of the acclaimed Cape Cod Symposium, Rob Guerette, describes Dr. Shea's skills as a speaker as follows, "Dr. Shea is an extremely gifted teacher, whose vibrant story-telling skills and compelling videos have led to him garnering some of the highest evaluations in the 30 year history of the Cape Cod Symposium. In short, readers are in for a rare treat when viewing the book's video component."

The psychiatric interview refers to the set of tools that a mental health worker (most times a psychiatrist or a psychologist but at times social workers or nurses) uses to complete a psychiatric assessment. 9af72c28ce