Introduction: What Is Interviewing?
1. Openings and Introductions
2. Chief Complaint and Free Speech
3. Developing Rapport
4. Managing the Early Patient Interview
5. History of the Present Illness
6. Getting the Facts about the Present Illness
7. Interviewing about Feelings
8. Personal and Social History
9. Sensitive Subjects
10. Control of the Later Interview
11. Mental Status Exam I: Behavioral Aspects
12. Mental Status Exam II: Cognitive Aspects
13. Signs and Symptoms in Areas of Clinical Interest
14. Closure
15. Interviewing Informants
16. Meeting Resistance
17. Special or Challenging Patient Behaviors and Issues
18. Diagnosis and Recommendations
19. Sharing Your Findings with the Patient
20. Communicating Your Findings to Others
21. Troubleshooting Your Interview
Appendix A. Summary of the Initial Interview
Appendix B. Descriptions of Selected Disorders
Appendix C. Sample Interview, Written Report, and Formulation
Appendix D. A Semistructured Interview
Appendix E. Assessing Your Interview
Appendix F. Bibliography and Recommended Reading
James Morrison, MD, is Affiliate Professor of Psychiatry at Oregon Health and Science University in Portland. He has extensive experience in both the private and public sectors. With his acclaimed practical books--including DSM-5 Made Easy; Diagnosis Made Easier, Second Edition; The First Interview, Fourth Edition; Interviewing Children and Adolescents, Second Edition; When Psychological Problems Mask Medical Disorders, Second Edition; and The Mental Health Clinician's Workbook--Dr. Morrison has guided hundreds of thousands of mental health professionals and students through the complexities of clinical evaluation and diagnosis.
"An absolute 'must read' for any clinician at any level of
experience. This clearly written, highly practical, step-by-step
guide to conducting the first interview is filled with wisdom.
Morrison is sensitive to and respectful of the patient while
recognizing the clinician's need to get as much information as
possible. The Appendices are invaluable. I cannot think of another
book that comes close to this masterpiece. Thank you, Dr. Morrison,
for providing this essential guide."--Robert L. Leahy, PhD,
Director, American Institute for Cognitive Therapy; Department of
Psychiatry, Weill Cornell Medical College
"With pressure to improve quality, availability, and the economic
value of mental health care, an effective, efficient start to the
therapeutic process is more important than ever. The First
Interview, Fourth Edition, addresses the reality that whatever the
therapist’s orientation, a successful therapeutic alliance depends
on the first encounter. This gives the book universal appeal and
will benefit novice and seasoned therapists alike. Science and
personal experience are woven into a seamless work that reads like
common sense but is based on a substantial body of evidence. In an
easy-to-read, conversational tone, Morrison conveys empathic
interviewing techniques that can win patients' trust and allow them
to share the most intimate life details."--Gary J. Kennedy, MD,
Department of Psychiatry and Behavioral Sciences, Albert Einstein
College of Medicine and Montefiore Medical Center
"As a clinician educator who teaches interviewing, I have been
searching for accessible reading material that incorporates DSM-5
and is appropriate for medical students, psychiatry residents, and
multidisciplinary mental health care providers. My search is over!
This book integrates DSM-5 and the latest research on interviewing
without compromising the art of clinical care. Rather than rigidly
applying diagnostic categories or theoretical frameworks, Morrison
helps clinicians become attuned to the nuances of the interview in
a way that will make patients feel heard and understood. I know
that my patients and my trainees' future patients will receive more
thorough, compassionate care as a result of the abundant clinical
insights in this book."--Alana Iglewicz, MD, Department of
Psychiatry, University of California, San Diego
"Morrison has written one of the most comprehensive texts on the
principles, techniques, and practice of initial interviewing. This
book is indispensable for students first learning to work with
clients, and is a valuable reference for experienced practitioners
wishing to enhance their interviewing skills. Morrison presents
sound and practical methods for establishing a warm and empathic
therapeutic relationship, which in turn will help students and
practitioners productively work with sensitive material."--Roy
Jerome, PhD, Department of Psychiatry, Icahn School of Medicine at
Mount Sinai -
"An absolute 'must read' for any clinician at any level of
experience. This clearly written, highly practical, step-by-step
guide to conducting the first interview is filled with wisdom.
Morrison is sensitive to and respectful of the patient while
recognizing the clinician's need to get as much information as
possible. The Appendices are invaluable. I cannot think of another
book that comes close to this masterpiece. Thank you, Dr. Morrison,
for providing this essential guide."--Robert L. Leahy, PhD,
Director, American Institute for Cognitive Therapy; Department of
Psychiatry, Weill Cornell Medical College
"With pressure to improve quality, availability, and the economic
value of mental health care, an effective, efficient start to the
therapeutic process is more important than ever. The First
Interview, Fourth Edition, addresses the reality that whatever the
therapist’s orientation, a successful therapeutic alliance depends
on the first encounter. This gives the book universal appeal and
will benefit novice and seasoned therapists alike. Science and
personal experience are woven into a seamless work that reads like
common sense but is based on a substantial body of evidence. In an
easy-to-read, conversational tone, Morrison conveys empathic
interviewing techniques that can win patients' trust and allow them
to share the most intimate life details."--Gary J. Kennedy, MD,
Department of Psychiatry and Behavioral Sciences, Albert Einstein
College of Medicine and Montefiore Medical Center
"As a clinician educator who teaches interviewing, I have been
searching for accessible reading material that incorporates DSM-5
and is appropriate for medical students, psychiatry residents, and
multidisciplinary mental health care providers. My search is over!
This book integrates DSM-5 and the latest research on interviewing
without compromising the art of clinical care. Rather than rigidly
applying diagnostic categories or theoretical frameworks, Morrison
helps clinicians become attuned to the nuances of the interview in
a way that will make patients feel heard and understood. I know
that my patients and my trainees' future patients will receive more
thorough, compassionate care as a result of the abundant clinical
insights in this book."--Alana Iglewicz, MD, Department of
Psychiatry, University of California, San Diego
"Morrison has written one of the most comprehensive texts on the
principles, techniques, and practice of initial interviewing. This
book is indispensable for students first learning to work with
clients, and is a valuable reference for experienced practitioners
wishing to enhance their interviewing skills. Morrison presents
sound and practical methods for establishing a warm and empathic
therapeutic relationship, which in turn will help students and
practitioners productively work with sensitive material."--Roy
Jerome, PhD, Department of Psychiatry, Icahn School of Medicine at
Mount Sinai
"A well-organized, comprehensive text on the initial interview,
applicable to screenings, initial treatment sessions, or more
formal evaluations. Graduate clinical training programs often do
not provide finely grained, detailed instruction on conducting and
reporting on the initial session. Field instructors and supervisors
teach these skills, but instruction is often inconsistent and
lacking in overall structure. Chapters regarding the mental status
exam, providing client feedback, and report writing are especially
helpful for students and beginning clinicians."--Eliot Goldman,
PhD, Department of Psychiatry, Columbia University Medical Center -
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