TY  - CHAP
M1  - Book, Section
TI  - Evaluation of Psychiatric Disorders
A1  - Schneiderhan, Mark E.
A1  - Nelson, Leigh Anne
A1  - Bishop, Jeffrey R.
A1  - Bauer, Steven
A2  - DiPiro, Joseph T.
A2  - Yee, Gary C.
A2  - Posey, L. Michael
A2  - Haines, Stuart T.
A2  - Nolin, Thomas D.
A2  - Ellingrod, Vicki
Y1  - 2020
N1  - 
T2  - Pharmacotherapy: A Pathophysiologic Approach, 11e
AB  - KEY  CONCEPTS  Patients  with  psychiatric  conditions  are  treated  in  all  healthcare  settings.  All  clinicians  can  apply  the  basic  skills  of  the  psychiatric  assessment  to  provide  the  best  care  for  patients.  The  Diagnostic  and  Statistical  Manual  of  Mental  Disorders,  Fifth  Edition  (DSM-5)  and  the  Pocket  Guide  to  the  DSM-5  Diagnostic  Exam  provides  clinicians  with  a  standardized  approach  for  the  initial  assessment  and  follow-up  of  patients  with  psychiatric  conditions.  The  World  Health  Organization’s  International  Classification  of  Diseases  and  Related  Health  Problems  (ICD)  classification  is  currently  used  in  all  patient  care  settings  for  billing  purposes.  Clinicians  should  be  prepared  to  gather  both  the  psychiatric  and  physical  health  history  from  their  patients.  Obtaining  a  release  of  information  (ROI)  from  patients  to  communicate  with  other  healthcare  providers  or  significant  others  is  often  necessary  when  sharing  protected  health  information  (PHI).  Patient  interviews  should  be  conducted  in  an  atmosphere  that  ensures  the  comfort,  privacy,  and  safety  of  both  the  patient  and  the  clinician.  Effective  listening  skills  and  the  application  of  open-ended  questions  are  essential  in  the  interview  process  and  therapeutic  relationship.  Motivational  interviewing  (MI)  can  empower  patients  to  participate  and  design  achievable  treatment  goals.  If  a  patient  is  in  crisis,  the  clinician  may  feel  some  apprehension  about  asking  certain  assessment  questions.  Knowing  what  specific  questions  to  ask  can  help  facilitate  inquiry  about  sensitive  areas,  such  as  delusional  thinking  and  suicidality.  Current  and  past  medication  histories,  including  allergies,  side  effects,  and  clinical  response  are  the  cornerstone  of  effective  medication  management.  The  medication  history  should  be  assessed  for  safety  (eg,  contraindications  and  drug  interactions),  tolerability  (eg,  side  effects),  efficacy  (eg,  response  of  target  symptoms  and  adequate  dosage  and  duration),  and  adherence  (eg,  affordability).  Baseline  mental  status  examination  (MSE),  psychiatric  rating  scales,  and  psychological/neuropsychological  tests  are  useful  tools  in  diagnosing  and  monitoring  the  severity  of  symptoms  and  response  to  treatments  of  psychiatric  disorders.  Although  there  are  no  diagnostic  tests  for  psychiatric  disorders,  physical  and  laboratory  assessments  can  help  rule  out  drug-induced  or  medical  causes  that  may  produce  similar  or  overlapping  symptoms.  Psychiatric  rating  scales,  cognitive  testing  (neuropsychiatric  rating  scales),  and  psychological  testing  provide  objective  measures  of  psychiatric  symptoms,  adverse  side  effects,  memory,  and  intellectual  capacity  and  are  often  used  in  research  and  clinical  settings.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesspharmacy.mhmedical.com/content.aspx?aid=1182447803
ER  -