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The purpose of the intake interview often includes establishing and diagnosing any problems the client may have. [1] Usually, the clinician diagnoses the patient using criteria from the first two DSM axes. Some intake interviews include a mental status examination [2] During the intake interview, the clinician may determine a treatment plan. In ...
A clinical formulation, also known as case formulation and problem formulation, is a theoretically-based explanation or conceptualisation of the information obtained from a clinical assessment. It offers a hypothesis about the cause and nature of the presenting problems and is considered an adjunct or alternative approach to the more ...
The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and ...
It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]
The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [1] [2] [8] The length and focus of each component of a SOAP note vary depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status.
This example continues for the same patient as in the example for the epidemiology-based method. As with the previous example of epidemiology-based method, this example case is made to demonstrate how this method is applied but does not represent a guideline for handling similar real-world cases.
A chart with descriptions of each Myers–Briggs personality type and the four dichotomies central to the theory. The Myers–Briggs Type Indicator (MBTI) is a self-report questionnaire that makes pseudoscientific claims [6] to categorize individuals into 16 distinct "psychological types" or "personality types".
Structured interviews can also be used as a qualitative research methodology. [2] [3] For structured qualitative interviews, it is usually necessary for researchers to develop an interview schedule which lists the wording and sequencing of questions. [4]