Main description:

Hundreds of thousands of students and early-career professionals have relied on this authoritative report-writing tool, now updated for DSM-5/ICD-10-CM and newer types of evaluations. In a convenient large-size format with lay-flat binding, the book covers nearly all areas of concern addressed in intakes, evaluations, treatment plans, progress notes, and closing summaries. The user seeking the right wording for a clinical document can skim and select from thousands of technical terms, behavioral descriptors, and standard statements. Also provided are interview questions for almost every symptomatic behavior, a huge collection of mental status questions, a reproducible Mental Status Evaluation summary form, and links to hundreds of Internet resources. The periodically updated companion website offers all the URLs from the book, the reproducible forms, and a handy reference on current psychiatric medications.

New to This Edition
*A unique list of all psychiatric ICD-10 diagnoses (all of the codes in DSM-5, plus many more), including Z codes essential to a comprehensive biopsychosocial evaluation.
*Sample evaluation report keyed to the book's chapters.
*Sections on additional clinical issues: intimate partner violence, gender identity, human trafficking, recovery-oriented language, and more.
*Many more Internet links, including a wide variety of screening and assessment tools.

See also The Paper Office for the Digital Age, Fifth Edition, by Edward L. Zuckerman and Keely Kolmes, which provides the essential record-keeping and risk-reduction tools that every psychotherapy practice needs.

Contents:

Getting Oriented to the Clinician's ThesaurusI. Conducting a Mental Health Evaluation1. Beginning and Ending the Interview2. Mental Status Evaluation Questions/Tasks3. Questions about Signs, Symptoms, and Other Behavior PatternsII. Standard Terms and Statements for Wording Psychological ReportsA. Introducing the Report4. Beginning the Report: Preliminary Information5. Referral Reasons6. Background Information and HistoryB. The Person in the Evaluation7. Behavioral Observations8. Responses to Aspects of the Examination9. Presentation of Self10. Emotional/Affective Symptoms and Disorders11. Cognition and Mental Status12. Abnormal Signs, Symptoms, and Syndromes13. Personality PatternsC. The Person in the Environment14. Activities of Daily Living15. Social/Community Functioning16. Couple and Family Relationships17. Vocational/Academic Skills18. Recreational Functioning19. Other Specialized EvaluationsD. Completing the Report20. Summary of Findings and Conclusions21. Diagnostic Statement/Impression22. Recommendations23. Prognostic Statements24. Closing StatementsIII. Useful Resources25. Treatment Planning and Treatment Plan Formats26. Formats for Reports, Evaluations, and Summaries27. Treatments for Specific Disorders and Concerns28. Listing of Common Psychiatric and Psychoactive Drugs29. Psychiatric Masquerade of Medical ConditionsAppendices: A. Abbreviations in Common UseB. Annotated Readings in Assessment, Interviewing, and Report Writing