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Clinical Interview

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Clinical Interview
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Purpose of the clinical Interview Typically, an initial clinical interview is the first step towards developing the initial DSM-IV-TR diagnosis and treatment plan for a mentally troubled person. This interview follows an unstructured format of clinical interviews. The unstructured interview format has often been criticized for its shortcoming but researchers (Craig, 2003; Miller, 2003) assert the importance of the initial interviews to psychiatrists as a critical tool in diagnosis and treatment of mental illnesses. The interview is a typical assessment procedure which involves collection and integration of a patient’s data. It remains the single most used tool among clinicians and practitioners due to its flexibility (Miller, 2003). The unstructured clinical interview is considered flexible because it does not follow any standardized format. This interview will therefore follow an unstructured format to recognize diagnostic clues. The interview will also use diagnostic questioning throughout the clinical assessment for purposes of making a DSM-IV-TR diagnosis.
How will the purpose be achieved? The underlying challenge for every clinician is to interview for diagnosis is to sound more conversant with all possible symptoms and to avoid being sidetracked by unnecessary information. To achieve that purpose the clinician must be able to listen for diagnostic clues as well as watch out for symptoms and signs of DSM-IV-TR (APA, 2006) as exhibited or observed in the client throughout the clinical interview. By following up the diagnostic clues with diagnostic questions this initial clinical assessment hopes to achieve its purpose of a positive diagnosis. The diagnostic questioning will focus on the client’s symptoms, signs and behaviors following a diagnostic criterion of any given disorder (Othmer, 2002). The

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