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Diagnostic interviewing

 As your patient’s story unfolds you should begin to take the interview in a direction which will provide you with the information to come up with a differential diagnosis. In the UK most psychiatrists work by the International Statistical Classification of Diseases and Related Health Problems 10th Revision (IDC-10) to diagnose mental illness.

Diagnostic interviewing is they key to ascertain if the patients experiences and behaviours fit a specific diagnosis. The site includes  'diagnostic interviews' for the common conditions under the six major classifications of mental illness...

 

Cognitive disorders

Schizophrenia

Mania & Hypomania

Depressive disorders

Neurotic disorders

Somatic and somatoform

Eating disorders

Substance Misuse

 

Each section outlines...

  • Criteria for major mental illnesses within ICD-10

  • Diagnostic interviewing questions for each disorder

  • Triggers for when to assess for each disorder

  • Clinical signs associated with disorders


Your aim should be to collect all the necessary details whilst keeping a good rapport. As you get more practice you will become more skilled at the task. Important skills for diagnostic interviewing are knowing when to assess for a specific condition, how to assess and what conditions to rule out.

 

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