The Clinical Interview - Simpson, Scott

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Résumé :
The Clinical Interview offers a new perspective on the patient encounter. Interpreting decades of evidence-based psychotherapy and neuroscience, it provides 60 succinct techniques to help clinicians develop rapport, solicit better histories, and plan treatment with even the most challenging patients....

Biographie:

SECTION I. BUILDING RAPPORT

1. Elicit one goal

Be more efficient by learning the patient's agenda

2. Validate three different ways

Be authentic in your validation by expanding the ways in which you can agree with the patient

3. Mirror the patient's language to build rapport

Use the patient's phrasing to avoid misinterpretation

Jodi Zik, MD

4. Use the power of and

Introduce and rather than or/but statements to your interview to establish rapport, validate the patient's experience, and facilitate change

Ashley Curry, MD

5. Redirect demanding patients

Reinforce that the patient, like everyone, is entitled to good medical care

6. Be silent

Use active silence to support the patient's emotional expression

Jesse Markman, MD, MBA

7. Be playful

Introduce playful irreverence to challenge rigidity, signal affection, and build social connection

Amy Dowell, MD, and Alexia Giblin, PhD, CEDS

8. Handle the hollering with a calming question

Through tone of voice, active listening, and setting limits, invite a conversation to de-escalate a shouting patient

Thomas Dunn, PhD

9. Recognize your own emotions

Identify and process your countertransference during the interview to improve the patient's well-being (and your own)

Jonathan Buchholz, MD, Lionel Perez, MD, Lindsay Lebin, MD, and Heidi Combs, MD, MS

10. Reflect the patient's statements

Use a well-timed reflection to disrupt a negative thought spiral

Jesse Markman, MD, MBA

11. Introduce progressive muscle relaxation

Give the patient an active task to change their emotional experience

Jesse Markman, MD, MBA

12. Use emotional validation to manage negative countertransference

Disarm your negative emotions and humanize your patients

Melanie Rylander, MD

13. Consider fear when the patient is angry

Assess what the patient might be afraid of when they become upset

14. Validate the patient's perspective of where they are now and where they need to go

Understand and support the patient's reality and goals to enhance motivation for treatment

15. Share how you feel

Put your own feelings into words to reset a difficult conversation

16. Agree to disagree

De-escalate an argument by repeating this short phrase

17. Be honest about your limitations

Relieve yourself of unobtainable expectations and reset the conflictual encounter

SECTION II. TAKING A HISTORY

18. Be curious

When curious about what a patient has said, ask more questions to obtain useful information and show the patient that you are interested

Rachel Glick, MD

19. Prioritize information you need right now

Shift your line of questioning without shifting the topic

David Kroll, MD

20. Use open-ended questions for sensitive topics

Invite greater honesty and avoid a sense of judgment through open-ended questions

21. Attend to affect

Emphasize the patient's emotional words for a richer history

22. Validate and move

Use validation as a transitional tool in the unwieldy interview

23. Write a timeline

Organize chaotic histories and validate the patient's experience

24. Ask How come? instead of Why?

Vary your phrasing slightly to improve the tone of the interview

25. Observe caregivers' nonverbal cues

Gather information from caregivers to increase accuracy and efficiency in diagnosis of cognitive disorders

Joleen Sussman, PhD, ABPP

26. Roll with impaired reality testing

Provide a validating and grounded interview for patients with psychotic...

Sommaire:

Scott A. Simpson, MD, MPH, is Medical Director of Psychiatric Emergency Services at Denver Health Medical Center and an Associate Professor at the University of Colorado School of Medicine. Dr. Simpson has advanced the treatment of behavioral emergencies through clinical practice, scholarship, and program development. A practicing emergency psychiatrist, he appreciates the unique challenge and privilege of working with patients and families in crisis. He lectures frequently across the country and has numerous peer-reviewed publications. Dr. Simpson is board certified in psychiatry, consultation-liaison psychiatry, and addiction medicine.

Anna K. McDowell, MD, is a psychiatrist and Co-Director of the Depression Consultation Team at the Rocky Mountain Regional Veterans Affairs Medical Center. As clinical faculty at the University of Colorado School of Medicine, Dr. McDowell teaches students, residents, and clinical staff. She is passionate about treating patients with complex mood, anxiety, and personality disorders and integrates multiple psychotherapeutic modalities in her patients' treatment. Dr. McDowell has formal training in dialectical behavior and psychodynamic psychotherapies and is board certified in psychiatry and addiction medicine.