By James Morrison MD, Kathryn Flegel MD
New to This Edition
*Current terminology, codes, and diagnostic standards built-in through the case examples and disorder-specific discussions.
*Features either DSM-5 and ICD-10-CM codes.
*Essential Features--prototypes that encapsulate the indications and different diagnostic components of every disorder.
*Reproducible instrument (Questionnaire for fogeys) that may be downloaded and revealed for repeated use.
*Additional problems and vignettes.
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Additional info for Interviewing Children and Adolescents, Second Edition: Skills and Strategies for Effective DSM-5® Diagnosis
However, these 31 32 I. IntervIewIng ChIldren and adolesCents are activities that can lead to interference with schoolwork, preoccupation with violence, and confusion about sexually explicit material—or even to conduct disorder, early use of alcohol or drugs, cyberbullying, and access to predatory adults. It is important to learn whether parents are aware of areas of potential controversy and discuss them with their children. Medical History What were the facts about the mother’s pregnancy with this child?
A basic rule in interviewing children is to set the fewest limits and controls possible. However, hurting the therapist or another person, or intentionally destroying play materials or office equipment, must be prohibited early and consistently. Each interviewer must define a personal comfort zone of acceptable behavior. Averting temptation is far better than repeatedly telling a child not to use something because it makes a mess; arranging the office or playroom before a session in a way that will minimize the need for limit setting may be the key.
Are the symptoms the same each time? Do they appear in a specific order? What is the first sign of disorder? What comes next? Do the symptoms resolve completely between episodes? Here you may need to distinguish between episodes of the present illness; of course, onset can sometimes be quite gradual, with no clearly definable beginning. Almost regardless of the duration of symptoms, you will want to know about previous treatment. Was medication used? If so, what effects did it have, wanted as well as unwanted (side effects)?