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A psychiatric assessment is a structured clinical conversation, complemented by observation and mental state examination, and supplemented by a physical examination and the interview of family members when appropriate. After the initial interview, the clinician should be able to establish whether the individual has a mental health problem or not, the nature of the problem, and a plan for the most suitable treatment. Essentials of Psychiatric Assessment provides the resident or beginning psychiatrist with a complete road map to a thorough clinical evaluation.
The Perspectives approach to psychiatry focuses on four aspects of psychiatric practice and research: disease, dimensional, behavior, and lifestory. In Systematic Psychiatric Evaluation, Drs. Margaret S. Chisolm and Constantine G. Lyketsos underscore the benefits of this approach, showing how it improves clinicians' abilities to evaluate, diagnose, and treat patients. Drs. Chisolm and Lyketsos use increasingly complex case histories to help the mental health provider evaluate patients demonstrating symptoms of bipolar disorder, psychosis, suicidal ideation, depression, eating disorders, and cutting, among other conditions. The book also includes an exercise that simulates the Perspectives approach side by side with traditional methods, revealing the advantages of a method that engages not one but four points of view. Featuring a foreword by Drs. Paul R. McHugh and Phillip R. Slavney, the originators of the Perspectives approach, this innovative book will be used in psychiatric training programs as well as by practicing mental health clinicians. -- Arnold E. Andersen, M.D., The University of Iowa College of Medicine
Psychiatric mental status examinations are part of the job of nurses, physicians, and many others in the field of mental health and addictions. In this highly accessible guide, Cheryl Webster Pollard introduces students and beginning practitioners to the skills and knowledge necessary to conduct a comprehensive examination. Fundamentals of the Psychiatric Mental Status Examination is an interactive workbook containing case studies, activities, and study questions to guide students through the process of administering the examination and documenting the information. Each chapter explores a distinct aspect of the assessment, allowing readers to focus on key areas of interest. Students will learn how to assess for potential psychopathology, psychosis, and suicidal or homicidal ideation, and will examine unique cultural and age considerations that may affect individual experiences. Well-suited to a wide range of disciplines, including health, nursing, social work, and occupational therapy, this workbook’s practical approach and rich pedagogical content make it an ideal resource for new and aspiring practitioners in these fields.
Developed from years of teaching psychiatry to medical students and residents, this comprehensive text devoted solely to describing the mental status examination (MSE) fills a void in the teaching literature and will be valuable to both students first learning about the MSE and seasoned clinicians seeking an informative reference. The introductory chapter offers basic advice on interviewing patients and eliciting information. Six major sections of the MSE follow and are thoroughly described with a chapter devoted to each: Appearance, Attitude, Activity; Mood and Affect; Speech and Language; Thought Content, Thought Process, and Perception; Cognition; and Insight and Judgment. Each chapter lists a detailed definition of reference for students describing their findings, and are an insightful review even for experienced practitioners. The clinical relevance of mental status abnormalities is illustrated through frequent examples of disorders that can cause the particular signs and symptoms defined in each chapter. A final chapter describing fictional case histories with hypothetical examples of written mental status reports will be particularly useful for those learning to write such reports. This text is an important addition to the libraries of students and practitioners who work with psychiatric patients and should help to simplify and organize a challenging task.
The ability to effectively assess cognitive and other behavioral functions is an essential skill for neurologists, psychiatrists, geriatricians, nurses, and other clinicians who perform clinic and bedside examinations. Unique in the field, The Mental Status Examination Handbook is a user-friendly, comprehensive resource that provides practical guidance on cognitive assessment, clarifies mental status testing procedures, and assists with decision making for neuropsychological referrals. This detailed manual draws from the full history of behavioral neurology testing, making the complex and challenging area of cognitive assessment accessible for both students and practitioners. - Offers guidance on how to choose and perform a large number of mental status tests, with information on selected test materials and normative values. - Covers the bedside evaluation of arousal, attention, memory, language, perception, executive abilities, and other cognitive and behavioral areas. - Provides an authoritative assessment and compendium of commonly used mental status scales, inventories and questionnaires. - Describes relevant correlations with formal neuropsychological testing, neuroimaging, and neuropsychiatric disease. - Explains how to weigh, use, and understand mental status scales and neuropsychological instruments. - Discusses the meaning of cognitive symptoms and signs, and their neuroanatomical and neuropathological correlations.
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The United States Social Security Administration (SSA) administers two disability programs: Social Security Disability Insurance (SSDI), for disabled individuals, and their dependent family members, who have worked and contributed to the Social Security trust funds, and Supplemental Security Income (SSSI), which is a means-tested program based on income and financial assets for adults aged 65 years or older and disabled adults and children. Both programs require that claimants have a disability and meet specific medical criteria in order to qualify for benefits. SSA establishes the presence of a medically-determined impairment in individuals with mental disorders other than intellectual disability through the use of standard diagnostic criteria, which include symptoms and signs. These impairments are established largely on reports of signs and symptoms of impairment and functional limitation. Psychological Testing in the Service of Disability Determination considers the use of psychological tests in evaluating disability claims submitted to the SSA. This report critically reviews selected psychological tests, including symptom validity tests, that could contribute to SSA disability determinations. The report discusses the possible uses of such tests and their contribution to disability determinations. Psychological Testing in the Service of Disability Determination discusses testing norms, qualifications for administration of tests, administration of tests, and reporting results. The recommendations of this report will help SSA improve the consistency and accuracy of disability determination in certain cases.
This book offers an alternative to operational diagnostic manuals and manuals for structured interviewing as the only sources of theoretical and clinical knowledge. It provides an exposition of psychiatric interviewing that is theoretically and clinically well founded and supplies the reader with a coherent framework for performance of a thorough psychiatric examination. The goal is not to come up with yet another interview scheme but to facilitate an understanding of the basic (but, today, completely neglected) tenets of psychopathology and phenomenology. This exposition targets the disorders of subjectivity (consciousness), the second-person processes involved in converting subjective, first-person and observable data into a third person, diagnostically useful, format. In addition, the most pertinent clinical descriptions concerning the major diagnostic groups are presented and discussed.
Updated to reflect all of the latest research in psychology and neurology, Psychiatry Test Preparation and Review Manual, 2nd Edition precisely mirrors the written ABPN board exam so you can expertly prepare and achieve your highest score. Enhance your preparation with recommended readings from key textbooks in the field. Understand why your answers are correct or incorrect through detailed explanations of each possible response.
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.