The psychiatric interview is the foundation of the psychotherapeutic process and is critically important to establish trust, elicit useful responses, assess patient behavior and psychopathology, and establish treatment goals and plans. Building on the success of its predecessor, a highly regarded guide to interviewing young patients and their families, Psychiatric Interview of Children and Adolescents, has been thoroughly updated and painstakingly revised to address emerging issues and evolving treatment strategies in an accessible, down-to-earth, and comprehensive style and structure. The book retains its comprehensive coverage of the principles of interviewing, use of the AMSIT model for mental status examinations, and evaluation of both internalizing and externalizing symptoms, as well as its coverage of neuropsychiatric assessment, psychiatric formulation, comorbidities, resistances, and countertransference.
Additional features, either notable or new to this book, include:
The importance of diagnostic and therapeutic engagement in establishing trust with the patient and family, and techniques for forging a positive emotional connection, which the authors view as an essential responsibility for the clinician and a linchpin of successful practice.
A new chapter on the psychiatric evaluation of preschoolers and very young children, which recognizes that assessment cannot be conducted based solely on adult report, and which presents the “multiples” model: multiple sessions, multiple informants, multiple experts, multiple modes of assessment, multicultural approach, and multiaxial emphasis.
Expanded coverage of bullying, including cyber bullying, which has a pervasive and potentially pernicious effect on young people steeped in social media.
Recognition, both throughout the book and in a separate chapter on family assessment, that behavior problems in a child or young adult cannot be understood without the relational context of the family, and that any family member’s problems are best understood as manifestations of dysfunctions within the broader family unit.
Expanded coverage of the factors and issues involved in evaluating children and adolescents from special populations, including those with neurodevelopmental disorders or intellectual disabilities, those who are disadvantaged, displaced, or victims of discrimination, and those with posttraumatic stress disorder related to terrorism or burn trauma.
The book’s instructional aims are enhanced by the use of carefully chosen and compellingly crafted clinical vignettes that illustrate vital concepts and techniques, and key points at the end of each chapter help the reader identify and remember the most important material. Psychiatric Interview of Children and Adolescents will help clinicians master the skills and attain the insight they require to accurately assess and effectively treat this most vulnerable of patient populations.
Chapter 1. The Diagnostic and Therapeutic Engagement
Chapter 2. General Principles of Interviewing
Chapter 3. Special Interviewing Techniques
Chapter 4. Family Assessment
Chapter 5. Providing Post-Evaluation Feedback to Families
Chapter 6. Evaluation of Special Populations
Chapter 7. Psychiatric Evaluation of Preschoolers and Very Young Children
Chapter 8. Documenting the Examination
Chapter 9. Evaluation of Internalizing Symptoms
Chapter 10. Evaluation of Externalizing Symptoms
Chapter 11. Evaluation of Abuse and Other Symptoms
Chapter 12. Neuropsychiatric Interview and Examination
Chapter 13. Comprehensive Psychiatric Formulation
Chapter 14. Symptom Formation and Comorbidity
Chapter 15. Diagnostic Obstacles (Resistances)
Chapter 16. Countertransference
Appendix: Sample Format/Protocol for Documentation of Psychiatric Evaluation of Children and Adolescents
About the Authors:
Claudio Cepeda, M.D., is Adjunct Clinical Professor in the Department of Psychiatry at the University of Texas Health Science Center at San Antonio. He is also a Fellow of the American Academy of Child and Adolescent Psychiatry, Life Member of the American Psychiatric Association, and Fellow of the American Academy of Psychoanalysis and Dynamic Psychiatry.
Lucille Gotanco, M.D., is Assistant Medical Director of Inpatient Services at Clarity Child Guidance Center in San Antonio, Texas, and Adjunct Assistant Professor with the Child and Adolescent Psychiatry Division at the University of Texas Health Sciences Center—San Antonio. She is affiliated with Southwest Psychiatric Physicians. Dr. Gotanco is a member of the American Academy of Child and Adolescent Psychiatry.