Download Clinical Manual for the Psychiatric Interview of Children by Claudio Cepeda PDF

By Claudio Cepeda

This publication deals a complete and sensible advisor to the kid and adolescent psychiatric interview, offering an overview of the way first to elicit information from more youthful sufferers and their households, then tips on how to arrange and combine this knowledge to shape a definitive software of care. medical guide for the Psychiatric Interview of youngsters and teens exhibits find out how to concentration the exploration of universal psychiatric syndromes whereas delivering advice in such issues as normal rules of interviewing, use of the AMSIT in psychological prestige examinations, and overview of either internalizing and externalizing signs. The guide is phenomenally functional, illustrated with medical vignettes and stronger with quick-reference tables that summarize key issues. as well as overlaying the psychiatric assessment, it additionally brings clients in control on such issues as neuropsychiatric evaluate, psychiatric formula, comorbidities, resistances, and countertransference. It expands vastly at the assurance within the writer s earlier ebook Concise consultant to the Psychiatric Interview of youngsters and kids, and lines new chapters on engagement, specified ideas, evaluation of the kinfolk, delivering suggestions to households, and precise populations.

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Sample text

How old are you? Where do you go to school? The examiner may ask if the child knows where they are, what kind of doctor the examiner is, why the child is at the doctor’s office now, and/or why the child needs to see a psychiatrist. After these preliminary questions, the specific interviewing process begins. Engagement is fostered when the examiner promotes a positive bond with the child and family; this is boosted when the examiner expresses empathy for the child’s or family’s circumstances and when the examiner identifies with the child’s or family’s perspectives.

Occasionally, parents are not forthright with a child regarding the need for psychiatric evaluation. When parents feel intimidated or when they fear General Principles of Interviewing 19 the child’s response, they are likely to be less than candid with the child about the evaluation. In these circumstances, parents often cajole or deceive the child by saying that he or she will be taken to a medical doctor, a counselor, a special school, or somewhere else. In crisis or emergency situations, the preparatory aspects of the interview are usually dispensed with.

2. 3. 4. 5. 6. Beginning the interview (engagement) Elaborating the presenting problem Extending the exploration Completing the mental status examination Closing the interview Interpreting the results Source. Reprinted from Cepeda C: "General Principles of Interviewing," in Concise Guide to the Psychiatric Interview of Children and Adolescents. Washington, DC, American Psychiatric Press, 2000, p. 20. Copyright 2000, American Psychiatric Press. Used with permission. In a similar fashion, Katz’s (1990) description of the adolescent’s anxiety preceding the initial interview with a therapist could be aptly applied to the first meeting between the child and the psychiatrist: “While the first few minutes of an interview are significant with all patients, they are particularly significant with adolescents, as many of them are struggling for independence, trying to establish an identity, and choosing their place in the world.

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