Limited Offer
Save 50% on book bundles
Immediately download your ebook while waiting for your print delivery. No promo code needed.
A Guide to Psychiatric Examination
- 1st Edition - May 1, 2021
- Editors: Carmelo Aquilina, Gavin Tucker
- Language: English
- Paperback ISBN:9 7 8 - 0 - 7 2 9 5 - 4 3 9 7 - 2
- eBook ISBN:9 7 8 - 0 - 7 2 9 5 - 8 9 1 9 - 2
- eBook ISBN:9 7 8 - 0 - 7 2 9 5 - 8 9 1 7 - 8
"Nothing provides a better foundation for good mental healthcare than access to a range of excellent supervisors and role models. This text is liking having a supervisor in your po… Read more
Purchase options
Institutional subscription on ScienceDirect
Request a sales quote"Nothing provides a better foundation for good mental healthcare than access to a range of excellent supervisors and role models. This text is liking having a supervisor in your pocket"
Roderick McKay, Past Binational Chair, RANZCP Faculty of Psychiatry of Old Age and Adjunct Senior Lecturer, University of New South Wales, Australia
This guide is for anyone working with people with mental health conditions, covering the techniques needed for a good psychiatric interview and preparing readers to work with specific groups, presentations, and in different settings. It covers everything from the basics of psychiatric assessment through to in-depth topics and how to approach examinations.
This jargon free guide is a practical handbook that can be read quickly and consulted as needed to build confidence. It is ideal for medical students, psychiatric trainees, nurses, and allied health professionals.
- Practical guidance on writing reports and communicating your findings effectively
- Starts from first principles to give a sound foundation for all psychiatric interviews
- Covers all mental health conditions with both DSM-V and ICD-11 classifications
- Key topics such as risk assessments, managing difficult encounters, home visits, practising safely
- Insights into how it feels to be interviewed written by a patient
- Includes an Enhanced eBook version with purchase. The enhanced eBook allows the end user to access all of the text, figures, and references from the book on a variety of devices.
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Foreword to the elsevier edition
- Foreword to the 2004 edition
- Principal authors and editors
- Contributing authors
- Acknowledgments
- How to use this book
- Introduction
- A note on terminology
- List of Tables
- List of Illustrations
- 1. Being interviewed: The psychiatric assessment as a co-constructed relationship
- First, do no harm
- Patients are not problems to be solved
- Assumptions as barriers
- Intervention versus acknowledgment
- No one size fits all
- How to seek and learn from feedback
- Section I. The basics
- Introduction
- 2. Information gathering
- What information am I getting?
- How do I get this information?
- 3. Becoming a skilled interviewer
- How to develop your skills
- What are the qualities of a good interviewer?
- Section II. The diagnostic psychiatric interview
- Introduction
- 4. Preparing for the interview
- The right setting
- The right preparation
- 5. The diagnostic interview
- What are you trying to find out?
- Stages of the interview
- The psychiatric history
- Conclusion
- The next steps
- 6. The mental state examination
- Commonly asked questions
- The headings
- 7. Bringing it all together
- What is happening? – the diagnosis
- Collaborative diagnosis
- The formulation – why is it happening now?
- Investigations and management plans – what happens next?
- 8. Recording and communicating your assessment to others
- Recording your assessment
- Communicating your assessment
- Section III. Specific presentations
- Introduction
- 9. Depression
- Definition
- Differential diagnosis
- Assessment
- Practical points
- 10. The suicidal person
- Definition and description
- Differential diagnosis
- Risk and risk factors
- When and how to assess
- Confidentiality
- Special populations
- Pitfalls
- Safety planning
- Looking after yourself
- 11. Mania
- Definition
- Common presentations
- Differential diagnosis
- Assessment
- Practical points
- 12. Psychosis
- Definition
- Causes of psychosis
- Differential diagnosis
- Assessment
- Practical points
- 13. Anxiety
- Definition
- Common anxiety presentations
- Differential diagnosis
- Assessment
- Practical points
- 14. Obsessive–compulsive symptoms
- Definition
- Differential diagnosis
- Common presentations
- Assessment
- Practical points
- 15. Post-traumatic stress disorder
- Definition
- Co-morbidities
- What causes PTSD?
- Related concepts
- Risk factors for PTSD
- Assessment
- Practical points
- 16. Confusion part 1: Delirium
- The basis of delirium
- Causes of delirium
- Variants
- Differential diagnosis
- Assessing delirium
- 17. Confusion part 2: Dementia
- Definition
- Types of dementia
- Presentation
- Differential diagnosis
- When to suspect dementia
- Screening
- Assessment
- Practical points
- 18. Substance use and addiction behaviours
- Importance
- Which substances are used?
- Definition of terms
- Components and dynamics of substance use and dependence
- Substance use disorder
- Common presentations
- Assessment
- Practical points
- 19. The person with feeding and eating disorders
- Common presentations
- Screening
- Binge eating disorder (BED)
- Bulimia nervosa
- Anorexia nervosa
- Practical points
- 20. Borderline personality disorder
- Aetiology
- Description
- Common presentations
- Differential diagnosis
- Assessment
- Giving a diagnosis
- Practical points
- Assessment of suicide risk and crisis presentations (see also chapter 10)
- Tips for common out-of-hours situations
- 21. Pregnancy and the postnatal period
- Common presentations
- Assessment
- Special considerations
- 22. The unresponsive person
- Catatonia
- Mutism
- 23. Dealing with a potentially violent person
- Types of violence
- Factors involved in episodes of aggression
- Common situations
- De-escalation techniques
- 24. Neurodevelopmental disorders
- Attention deficit hyperactivity disorder
- Autism spectrum disorder
- Practical points
- Section IV. Specific places
- Introduction
- 25. Interviewing in the accident and emergency department
- The emergency department (ED)
- Psychiatric assessment in the ED
- 26. Assessments in the home
- Why do a home assessment?
- Who would benefit from a home assessment?
- The dynamics of home visits
- How to do a home assessment
- 27. Assessments in the general hospital (or CL unplugged)
- Models of care
- What CL psychiatrists do
- Types of presentations for CL psychiatry in general hospitals
- Challenges of working in the hospital setting
- The consultation–liaison psychiatric assessment
- Special situations
- Section V. Specific groups
- Introduction
- 28. The assessment of children and adolescents
- Preparing for the interview
- Obtaining the history and examining the child’s mental state
- Specific considerations
- 29. Assessment of older people
- What is old age?
- How are older people different?
- Effects of age on mental health presentations
- How is assessment different?
- The interview
- 30. Assessment of people with intellectual disabilities
- Diagnosis of intellectual disability
- Communication
- Decision-making capacity
- Informants
- A developmental approach
- Psychopathology
- Physical health
- Assessment
- Conclusion
- 31. Assessment of people from different ethnic, cultural, and linguistic backgrounds
- The culturally competent practitioner
- Identity
- Administrative labelling
- Interview techniques
- Pitfalls
- Section VI. In-depth topics
- Introduction
- 32. Personality difficulties
- What are personality disorders?
- Why are they important ?
- Describing personality disorders
- Are personality disorders an ‘illness’?
- Assessment of personality disorders
- Common problems with diagnoses
- 33. The extended cognitive assessment
- What is cognition?
- Why test?
- What are we testing?
- 34. Assessment of mental capacity
- Capacity models
- Definition
- Elements
- Reasons for testing
- Testing
- 35. Risk and risk assessment
- Risk and risk factors
- How not to assess risk
- How to assess risk
- Formulating risk
- 36. Assessment of physical health
- Common situations
- Asking about physical health issues
- The general physical examination
- Psychiatry-specific physical examination tasks
- 37. Changed behaviours in people with dementia
- Why does behaviour change?
- What changes in behaviour can happen?
- What is happening?
- 38. Difficult encounters
- Why is an encounter difficult?
- General approach
- Boundary violations
- Other difficult interactions
- Section VII. Approaching examinations
- Introduction
- 39. Examination skills
- The OSCE
- Creating an OSCE station
- Differences with clinical assessment
- Preparation
- Interpreting the tasks
- Communication skills in an OSCE
- Marking schemes
- General tips and strategy
- Appendix 1. History taking checklist
- Appendix 2. Mental state examination checklist
- Appendix 3. Suicide assessment checklist
- Appendix 4. Risk review checklist
- Appendix 5. Categorical classification of personality disorders
- Appendix 6. NEAMI health prompt
- Appendix 7. Montreal cognitive assessment MoCA
- Appendix 8. Publishing history
- Index
- No. of pages: 842
- Language: English
- Edition: 1
- Published: May 1, 2021
- Imprint: Elsevier
- Paperback ISBN: 9780729543972
- eBook ISBN: 9780729589192
- eBook ISBN: 9780729589178
CA
Carmelo Aquilina
Affiliations and expertise
Director, Older People’s Mental Health Services, South West Sydney Local Health District, Mental Health Centre Level 1, Liverpool Hospital, New South Wales, AustraliaGT
Gavin Tucker
Affiliations and expertise
Core Psychiatry Trainee, South London & Maudsley NHS Foundation Trust, London, United Kingdom