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“Eases the workload for busy and newly minted clinicians. Graduate students will be most appreciative of this field guide during their training and clinicals. The terminology and wording enable them to be as objective as possible while maintaining an idiosyncratic presentation of the client. Dr. Zuckerman is an expert at compiling such a thorough and meaningful collection of terminology as well as the means to accurately write useful psychological reports….This is an indispensable reference tool for busy clinicians. The author’s work is well known, and he is one of the foremost authorities on writing in the behavioral health field. This update surpasses the previous edition and will certainly be an invaluable resource on every clinician’s desk. *****!”

—Doody's Review Service


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Table of Contents

Getting Oriented to the Clinician’s Thesaurus

A Functional Guide to Report Construction

I. Conducting a Mental Health Evaluation

1. Beginning and Ending the Interview

2. Mental Status Evaluation Questions/Tasks

3. Questions about Signs, Symptoms, and Other Behavior Patterns

II. Standard Terms and Statements for Wording Psychological Reports

A. Introducing the Report

4. Beginning the Report: Preliminary Information

5. Referral Reasons

6. Background Information and History

B. The Person in the Evaluation

7. Behavioral Observations

8. Responses to Aspects of the Examination

9. Presentation of Self

10. Emotional/Affective Symptoms and Disorders

11. Cognition and Mental Status

12. Abnormal Signs, Symptoms, and Syndromes

13. Personality Patterns

C. The Person in the Environment

14. Activities of Daily Living

15. Social/Community Functioning

16. Couple and Family Relationships

17. Vocational/Academic Skills

18. Recreational Functioning

19. Other Specialized Evaluations

D. Completing the Report

20. Summary of Findings and Conclusions

21. Diagnostic Statement/Impression

22. Recommendations

23. Prognostic Statements

24. Closing Statements

III. Useful Resources

25. Treatment Planning and Treatment Plan Formats

26. Formats for Reports, Evaluations, and Summaries

27. Treatments for Specific Disorders and Concerns

28. Listing of Common Psychiatric and Psychoactive Drugs

29. Psychiatric Masquerade of Medical Conditions

Appendices

A. Abbreviations in Common Use

B. Annotated Readings in Assessment, Interviewing, and Report Writing

Feedback Solicitation Form

References

About the Clinician's Electronic Thesaurus, Version 7.0

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About the Author

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Contributors

Pamela Kaden,PsyD, Chicago, IL

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Audience

Clinicians, graduate students, interns, and residents in all mental health disciplines, including clinical psychology, psychiatry, social work, counseling, and psychiatric nursing.

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Course Use

Serves as a text in graduate-level courses such as Clinical Assessment, Diagnostic Interviewing, and Professional Practice.

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Previous editions published by Guilford:

Seventh Edition, © 2010
ISBN: 9781606238745

Sixth Edition, © 2005
ISBN: 9781572304376

Fifth Edition, © 2000
ISBN: 9781572305694

Fourth Edition, © 1995
ISBN: 9780898628425

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New to this edition:

• A 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.