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Assessment slides - Clinical Assessment Lesley A. Allen,...

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    Clinical Assessment Lesley A. Allen, Ph.D. Department of Psychiatry, RWJ Med School Department of Psychology, Princeton Univ.
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Goals of Clinical Assessment Clarify the problem Identify if sxs = DSM-IV category Define target behaviors Identify maintaining conditions (CBT) or  origin of problem (Insight) Design treatment plan Monitor progress
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Clarifying the Problems Conduct interviews with client/patient Conduct interviews with others e.g., family members, teachers Administer tests/questionnaires Projective tests Self-report inventories assessing personality  characteristics, behavioral tendencies, mood,  functioning Intelligence tests (Wechsler tests)
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Are the client’s symptoms consistent with a known disorder? Using assessment data and the clinical  picture, clinicians attempt to make a  diagnosis A determination that a person’s problems  reflect a particular disorder or syndrome Based on an existing classification  system
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Classification Systems Lists of categories, disorders, and symptom  descriptions, with guidelines for assignment Focus on clusters of symptoms (syndromes) In current use in the U.S.: DSM-IV-TR Diagnostic and Statistical Manual of Mental  Disorders (4th edition) Text Revision
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DSM-IV-TR 1 st  edition (DSM-I) published in 1952 DSM-IV published in 1994 Text, not categories, revised in 2000 (DSM-IV- TR) Lists approximately 400 disorders Describes criteria for diagnoses, key clinical  features, and related features that are often, but  not always, present (based on field studies)
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DSM-IV-TR Multiaxial Uses 5 axes (branches of information) to  develop a full clinical picture People usually receive a diagnosis on either  Axis I or Axis II, but they may receive one or 
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Assessment slides - Clinical Assessment Lesley A. Allen,...

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