Main description:

This new Pocket Guide, based on the 2015 edition of the Practice Guidelines for the Psychiatric Evaluation of Adults, focuses on the initial psychiatric evaluation, including additional domains of evaluation relevant to CPT documentation requirements. The Guide covers aspects of the Chief Complaint; History of Present Illness; Psychiatric, Substance Use, Family, Personal and Social, and Medical Histories; Review of Systems; Examination, including Mental Status Examination; Review of Available Data; and Formulation, Diagnostic Impression, and Treatment Plan.

Contents:

Section I: Chief ComplaintSection II: History of Present IllnessSection III: Psychiatric HistorySection IV: Substance Use HistorySection V: Family HistorySection VI: Personal and Social HistorySection VII: Medical HistorySection VIII: Review of SystemsSection IX: Examination, Including Mental Status ExaminationSection X: ConstitutionalSection XI: MusculoskeletalSection XII: Psychiatric ExaminationSection XIII: Review of Available DataSection XIV: Formulation, Diagnostic Impression and Plan