Clinical Assessments in Psychiatry

Author: Rajesh R. Tampi
Publisher: Lippincott Williams & Wilkins
ISBN: 9781451153316
Release Date: 2012-03-28
Genre: Medical

This book contains case vignettes and discussions to help residents, fellows, and practitioners maximize their competency in performing clinical assessments in psychiatry. Derived from a highly successful course at Yale University, the book focuses on the key clinical skills emphasized by the American Board of Psychiatry and Neurology in residency training and on the oral board examination. These skills include physician-patient relationship; psychiatric interview, including mental-status exam; case presentations; live patient; case formulation; differential diagnosis; and treatment interventions. Dr. Tampi's training in the U.S., U.K., and India enables him to cross cultures around the globe. A companion website will contain videos demonstrating interview skills and patient assessments.

Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health

Author: Lee Baer
Publisher: Springer Science & Business Media
ISBN: 1597453870
Release Date: 2009-10-03
Genre: Psychology

Psychiatric clinicians should use rating scales and questionnaires often, for they not only facilitate targeted diagnoses and treatment; they also facilitate links to empirical literature and systematize the entire process of management. Clinically oriented and highly practical, the Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health is an ideal tool for the busy psychiatrist, clinical psychologist, family physician, or social worker. In this ground-breaking text, leading researchers provide reviews of the most commonly used outcome and screening measures for the major psychiatric diagnoses and treatment scenarios. The full range of psychiatric disorders are covered in brief but thorough chapters, each of which provides a concise review of measurement issues related to the relevant condition, along with recommendations on which dimensions to measure – and when. The Handbook also includes ready-to-photocopy versions of the most popular, valid, and reliable scales and checklists, along with scoring keys and links to websites containing on-line versions. Moreover, the Handbook describes well known, structured, diagnostic interviews and the specialized training requirements for each. It also includes details of popular psychological tests (such as neuropsychological, personality, and projective tests), along with practical guidelines on when to request psychological testing, how to discuss the case with the assessment consultant and how to integrate information from the final testing report into treatment. Focused and immensely useful, the Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health is an invaluable resource for all clinicians who care for patients with psychiatric disorders.

Psychiatric Interviewing and Assessment

Author: Rob Poole
Publisher: Cambridge University Press
ISBN: 9781316614037
Release Date: 2017-07-31
Genre: Medical

Interviewing and assessment are integral to the practice of psychiatry, and this book helps psychiatrists and other mental health professionals develop the skills needed to gain the right information to make diagnostic formulations and build therapeutic relationships with their patients. The text examines common dilemmas and problems in an engaging and accessible way, and the use of case studies relates the principles discussed to identifiable psychiatric settings. This new edition has been revised and expanded to reflect changes in clinical practice in recent years. New chapters have been added covering the assessment of neurodevelopmental disorders, fragmented interviews and 'impossible' clinical situations such as the assessment of intoxicated patients and rhetorical interviews. Essential reading for all mental health professionals, the practical grounding in real-world clinical experience will benefit trainee psychiatrists, experienced clinicians, nurses, social workers and physician associates.

Workplace Based Assessments in Psychiatry

Author: Amit Malik
Publisher: RCPsych Publications
ISBN: 1908020067
Release Date: 2011-06
Genre: Medical

This book outlines the workplace-based assessments (WPBAs) that are required by the current competency-based psychiatry curriculum. The authors explore the theory and practice of different assessment methods such as case-based discussion, long-case evaluation and directly observed practice, changes in the MRCPsych examinations and multi-source feedback.

Psychiatric Clinical Skills

Author: David S Goldbloom
Publisher: Centre for Addiction and Mental Health
ISBN: 1770523790
Release Date: 2010
Genre: Medical

Psychiatric Clinical Skills is a practical guide to engaging and assessing people who have mental health problems. Written by a team of experienced clinicians, it focuses on "what to ask" and "how to ask" and covers a wide spectrum of clinical problems and settings. It includes a chapter written from the perspective of people who live with mental health problems. As well as covering the full range of mental health disorders, the guide includes informaition about: culture competence assessment of children, adolescents and older adults assessment of families use of standardized rating scales documentation. Each chapter includes easy-to-use features such as clinical vignettes, chapter overviews and key-point summaries.

Cultural Assessment in Clinical Psychiatry

Author: Group for the Advancement of Psychiatry
Publisher: American Psychiatric Pub
ISBN: 1585627674
Release Date: 2008-08-13
Genre: Medical

Culture permeates human activity the world over. In today's technological "global village," people from very different cultures are interacting more closely and more often than ever -- making it critical for clinicians to understand and incorporate cultural dimensions into their daily practices. This volume offers a contemporary pragmatic understanding of how culture is inextricably intertwined with mental health and mental illness. In Chapter 1, the 17-member GAP Committee on Cultural Psychiatry begins by discussing the history (particularly within the last two decades) and scope of culture in clinical psychiatry. In Chapter 2, the authors describe 11 selected cultural variables that strongly influence clinical work: ethnic identity, race, gender and sexual orientations, age, religion, migration and country of origin, socioeconomic status, acculturation and acculturative processes, language, dietary influences, and education. In Chapter 3, the authors present a brief history and detailed analysis of the Cultural Formulation, the newest instrument for ensuring thorough clinical assessments, explaining its clinical use based on DSM-IV guidelines. In Chapter 4, the authors integrate the 11 cultural variables described in Chapter 2 with the use of the Cultural Formulation described in Chapter 3, producing an extraordinary cross-section of case vignettes: How the son of Irish Catholic immigrants struggles to reconcile old-country traditions with life in modern American society The sometimes painful and always complex process and outcomes of acculturation for a Pakistani Muslim family who had come to the United States for only a temporary period but ended up staying permanently Diagnosing social phobia in an Asian American, whose traditional reticence must be viewed within the context of Asian culture Loss of country of origin and family ties as catalysts leading to significant behavioral changes and severe depressive symptoms in an African immigrant tribesman from Kenya and the cultural context of his recovery The interplay of gender, age, and religion with developmental issues, personality organization, and symptom development for a "good Catholic girl" The existential, interpersonal, and clinical experiences of a Protestant minister from predominantly Catholic Ecuador, who came to the United States as pastor of an Hispanic church in a predominantly white city In Chapter 5, the authors conclude with a summary and suggestions regarding the complex issues raised by a thorough cultural assessment. Enhanced by a detailed index, this powerful work meets the significant -- and rapidly growing -- need for psychiatrists and other mental health professionals to understand the role of culture in psychiatry and to integrate this knowledge into their practice so that they can provide the most comprehensive and useful care to their patients.

Handbook of Forensic Assessment

Author: Eric Y. Drogin
Publisher: John Wiley & Sons
ISBN: 1118028007
Release Date: 2011-06-24
Genre: Psychology

The first handbook to explore forensic assessment from psychiatric and psychological perspectives "The editors have assembled a magnificent collaboration between psychiatrists and psychologists to bring forth critical knowledge and insight to the core competency of forensic assessment. This handbook is essential reading and a comprehensive resource for both newly minted and seasoned forensic practitioners." —Robert I. Simon, MD, Director, Program in Psychiatry and Law, Georgetown University School of Medicine "This long-awaited resource blows the dust off traditional standards, shakes the cobwebs out of our old ways of thinking, and shows the practical steps in producing work that will make sense to juries and withstand the most skillful cross-examination. . . . [T]here is no better resource." —Kenneth S. Pope, PhD, ABPP, Diplomate in Clinical Psychology; coauthor, Ethics in Psychotherapy and Counseling, Fourth Edition "From preparation to collection to interpretation to communication of the results, this excellent, comprehensive treasure shows how to conduct forensic assessments. Each splendid evidence-based chapter is presented from the collaboration between psychologists and psychiatrists. It is a must-have resource for forensic experts as well as general practitioners or anyone wishing to understand standard of care in forensic assessment." —Melba Vasquez, PhD, ABPP, 2011 American Psychological Association President The practitioner-oriented coverage in the Handbook of Forensic Assessment examines: The current state of psychology and psychiatry—including requisite clinical competencies, ethical guidelines, and considerations of multidisciplinary collaboration Various approaches to assessments in criminal and civil matters The principles of effective preparation, data collection, and interpretation, as well as communication for each special situation Topics including competence to stand trial, sexual offender evaluations, addictions, child abuse, and education Overarching practice issues, such as practice development, retention, compensation, consultation, and forensic treatment Includes sample reports that demonstrate the integrative potential of both psychology and psychiatry Incorporating a wealth of current and multidisciplinary research, the Handbook of Forensic Assessment is destined to become every mental health professional's most valuable one-stop reference for their forensic work.

Preventing Patient Suicide

Author: Robert I. Simon
Publisher: American Psychiatric Pub
ISBN: 9781585629473
Release Date: 2010-08-24
Genre: Medical

Today's psychiatrists practice in an environment that poses difficult challenges. Both treatment time and duration are limited by insurance requirements; many facilities are understaffed; split treatment arrangements are typical; and high-risk, acutely suicidal patients are admitted to inpatient units for short lengths of stay. In addition, law now plays a pervasive role in the practice of psychiatry. The doctor-patient relationship is no longer defined solely by the involved parties. Clinicians must juggle these requirements and limitations while providing the very best care to their patients, especially those at high risk. Preventing Patient Suicide: Clinical Assessment and Management provides the wisdom of Dr. Robert I. Simon's vast clinical experience, combined with the latest insights from the evidence-based psychiatric literature, to offer a cutting-edge survey of suicide prevention and management techniques. The author: Addresses sudden improvement in high-risk suicidal patients, a phenomenon both common and perilous, with techniques for determining whether the improvement is real or feigned. Explores in depth the misuse of suicide risk assessment forms, with emphasis on their inherent limitations. Examines the many entrenched myths and traditions about suicide, exposing them to the critical light of evidence-based medicine, including the concept of "imminent suicide risk" and the myth of "passive suicide ideation". Discusses the continuum of chronic and acute high-risk suicidal patients, the fluidity with which one can become the other, and the difficulty in assessing these patients. Explores how the law and psychiatry interact in frequently occurring clinical situations, and the importance of therapeutic risk management. In addition, the book contains a variety of features that illuminate the subject and enhance the reader's understanding, including: Inclusion of illustrative case studies, combined with commentary on commonly occurring but complex clinical situations. Key points at the end of each chapter that identify critical information. A Suicide Risk Assessment Self-Test, a teaching instrument that consists of fifty questions designed to enhance clinician suicide risk assessment by incorporating evidence-based risk and protective factors. Dr. Simon provides a nuanced, empathic, yet pragmatic perspective on identifying, assessing, and managing the suicidal patient while successfully navigating a complex legal and clinical environment that poses its own risks to the practitioner.

The American Psychiatric Publishing Textbook of Suicide Assessment and Management

Author: Robert I. Simon
Publisher: American Psychiatric Pub
ISBN: 9781585629671
Release Date: 2012-04-25
Genre: Medical

The second edition of The American Psychiatric Publishing Textbook of Suicide Assessment and Management has been extensively updated and expanded to more thoroughly reflect the challenges clinicians face in assessing and managing suicide risk -- and ultimately in preventing tragedy. The number of chapters has been increased approximately 20%, from 28 to 34. In addition, 22 new chapter authors were recruited for the second edition, representing nearly half of the 50 authors from the first edition, to allow the reader to obtain a more varied and sometimes new point of view. Focusing on core competencies where appropriate, the book offers many new features: An extensively revised organization of sections and chapters to coincide with the natural sequence of events in evaluating and treating patients. Depending on where clinicians are in this series of events, they may more readily access information they need. A robust and entirely new section on suicide prevention that includes chapters on lethal means restrictions, suicide prevention programs, and current research related to prevention A chapter on suicide in the military, which was added to address the critical social challenge of depression and posttraumatic stress disorder in soldiers returningfrom Iraq and Afghanistan An entire chapter on the role of the Internet in subjecting people to intimidation, humiliation, and the exposure of private acts to the public sphere. Cyberbullying is an emergent problem, that clinicians should know about. An extensive review of neurobiological findings related to the risk and completion of suicide, many of which have been reported since the last edition was published A thoughtful discussion of the myriad issues raised by managed care, including "split" treatment, involving two clinicians managing a patient's care. A thorough exploration of the essential aspects of suicide risk assessment. Unlike physicians in other fields, psychiatrists treating patients at risk for suicide do not have access to diagnostic procedures and laboratory tests to assist them. With this new edition of The American Psychiatric Publishing Textbook of Suicide Assessment and Management, clinicians can hone their assessment skills and ensure that their knowledge of suicide assessment and management is current, evidence-based, and comprehensive. When dealing with patients at risk for self-harm, nothing less will do.

Clinical Assessment of Malingering and Deception Fourth Edition

Author: Richard Rogers
Publisher: Guilford Publications
ISBN: 9781462533497
Release Date: 2018-03-28
Genre: Psychology

"Widely used by practitioners, researchers, and students--and now thoroughly revised with 70% new material--this is the most authoritative, comprehensive book on malingering and related response styles. Leading experts translate state-of-the-art research into clear, usable strategies for detecting deception in a wide range of psychological and psychiatric assessment contexts, including forensic settings. The book examines dissimulation across multiple domains: mental disorders, cognitive impairments, and medical complaints. It describes and critically evaluates evidence-based applications of multiscale inventories, other psychological measures, and specialized methods. Applications are discussed for specific populations, such as sex offenders, children and adolescents, and law enforcement personnel. Key Words/Subject Areas: malingering, deception, deceptive, feigning, dissimulation, feigned cognitive impairment, feigned conditions, defensiveness, response styles, response bias, impression management, false memories, forensic psychological assessments, forensic assessments, clinical assessments, forensic mental health, forensic psychological evaluations, forensic psychologists, forensic psychiatrists, psychological testing and assessment, detection strategies, expert testimony, expert witnesses, family law, child custody disputes, child protection, child welfare Audience: Forensic psychologists and psychiatrists; other mental health practitioners involved in interviewing and assessment, including clinical psychologists, social workers, psychiatrists, and counselors. Also of interest to legal professionals"--

Psychiatric Diagnosis and Classification

Author: Mario Maj
Publisher: Wiley
ISBN: 0471496812
Release Date: 2002-04-22
Genre: Medical

This book provides an overview of the strengths and limitations of the currently available systems for the diagnosis and classification of mental disorders, in particular the DSM-IV and the ICD-10, and of the prospects for future developments. Among the covered issues are: * The impact of biological research * The diagnosis of mental disorders in primary care * The usefulness and limitations of the concept of comorbidity in psychiatry * The role of understanding and empathy in the diagnostic process * The ethical, legal and social aspects of psychiatric classification Psychiatric Diagnosis & Classification provides a comprehensive picture of the current state of available diagnostic and classificatory systems in psychiatry and the improvements that are needed.

Clinical Child Psychiatry

Author: William M. Klykylo
Publisher: John Wiley & Sons
ISBN: 9781119967705
Release Date: 2012-03-23
Genre: Medical

Making a psychiatric diagnosis in children can be challenging: some clinicians say the incidence of some childhood disorders, such as bipolar disorder and ADHD, is over-diagnosed while others say they are undiagnosed, undertreated, and are a large burden on society. The drug treatment of child psychiatric disorders can also be controversial in children and adolescents. Clinical Child Psychiatry fills the need for an objective, clinically relevant source to dispel this confusion.

Psychiatric Interview of Children and Adolescents

Author: Claudio Cepeda
Publisher: American Psychiatric Pub
ISBN: 9781615371174
Release Date: 2016-10-17
Genre: Medical

The psychiatric interview is the foundation of the psychotherapeutic process and is critically important to establish trust, elicit useful responses, assess patient behavior and psychopathology, and establish treatment goals and plans. Building on the success of its predecessor, a highly regarded guide to interviewing young patients and their families, Psychiatric Interview of Children and Adolescents, has been thoroughly updated and painstakingly revised to address emerging issues and evolving treatment strategies in an accessible, down-to-earth, and comprehensive style and structure. The book retains its comprehensive coverage of the principles of interviewing, use of the AMSIT model for mental status examinations, and evaluation of both internalizing and externalizing symptoms, as well as its coverage of neuropsychiatric assessment, psychiatric formulation, comorbidities, resistances, and countertransference. Additional features, either notable or new to this book, include: The importance of diagnostic and therapeutic engagement in establishing trust with the patient and family, and techniques for forging a positive emotional connection, which the authors view as an essential responsibility for the clinician and a linchpin of successful practice. A new chapter on the psychiatric evaluation of preschoolers and very young children, which recognizes that assessment cannot be conducted based solely on adult report, and which presents the "multiples" model: multiple sessions, multiple informants, multiple experts, multiple modes of assessment, multicultural approach, and multiaxial emphasis. Expanded coverage of bullying, including cyber bullying, which has a pervasive and potentially pernicious effect on young people steeped in social media. Recognition, both throughout the book and in a separate chapter on family assessment, that behavior problems in a child or young adult cannot be understood without the relational context of the family, and that any family member's problems are best understood as manifestations of dysfunctions within the broader family unit. Expanded coverage of the factors and issues involved in evaluating children and adolescents from special populations, including those with neurodevelopmental disorders or intellectual disabilities; those who are disadvantaged, displaced, or victims of discrimination; and those with posttraumatic stress disorder related to terrorism or burn trauma. The book's instructional aims are enhanced by the use of carefully chosen and compellingly crafted clinical vignettes that illustrate vital concepts and techniques, and key points at the end of each chapter help the reader identify and remember the most important material. Psychiatric Interview of Children and Adolescents will help clinicians master the skills and attain the insight they require to accurately assess and effectively treat this most vulnerable of patient populations.