Clinical Psych Test 1- Clinical Interviewing
Questions and Answers (100% Pass)
face to face meeting w/ patient - ✔️✔️-foundation for most/all clinical activities
-often the 1st encounter b/w patient and clinician
when to conduct clinical interview? - ✔️✔️-intake interview
-assessment & diagnosis
-treatment
-research
goals of clinical interviewing - ✔️✔️-develop positive working alliance w/ the patient
-gather relevant data about the person's symps
-determine initial case conceptualization
-gather enough info to facilitate initial decisions about treatment planning
setting of int is important - ✔️✔️-professional dress and demeanor
-private office setting w/ closed door
-professional but comfortable decor
-minimize personal items/photos
-no distractions/interruptions
-clock should be visible by clinician
-clinician seated w/ easy access to door
clinical interview begins with... - ✔️✔️informed consent
unstructured clinical interview - ✔️✔️-free-from/no specific template of ?s
-non-directive/client steers convo
-"go with the flow" of client's thoughts, feelings
-used mostly in therapy settings
structured clinical interview - ✔️✔️-preplanned/ template of ?s
-directive/clinician steers convo
-often used for diagnostic purposed
-scoring system to decide if person meets criteria for a diagnosis
MINI International Neuropsychiatric Interview - ✔️✔️-fully structured w/ scoring criteria for
current/past
-versions for adults and children
-covers 15 common disorders + suicidality
-has "modules" for MDD, Bipolar Disorder, Anorexia Nervosa, PTSD, Sub Abuse, OCD, and
others
Unstructured int pros - ✔️✔️-client feels heard --> rapport
-discover unknown info/flexibility
-gain deeper understanding
Unstructured int cons - ✔️✔️-might miss key info
-difficult/takes skill/practice
-unreliable, clinical bias
Structured int pros - ✔️✔️-reliable across raters
-easy to administer
-info on most disorders
Structured int cons - ✔️✔️-rigid
-irrelevant ?s
-jaring to patients
-can be time consuming
-might miss info
Structured Ints used ... - ✔️✔️mostly in research and assessment
Unstructured Ints used ... - ✔️✔️when first meeting new therapy patient
Semi-structured ints - ✔️✔️-templated ?s about key domains
-clinician decides on follow up ?s
-allows for clinical judgement and unstructured time
-used in both therapy and assessment setting
mental status exam - ✔️✔️assesses basic cognitive functioning: alterness/attention, orientation
in time and space, thought & speech (tangential? racing? rambling?), memory
-observations of the patient:
2
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