Areas to Improve on
There are also some few things that need improvement on. The practitioner did not greet or introduce himself to Sean. Not greeting or introducing oneself can always be seen as arrogance especially when culture has to be taken into consideration. Not greeting and introducing oneself can be negative and can sometimes cause a barrier to a successful therapeutic approach. It is always advisable to master the questions to be asked a client and let writing be very minimal. The practitioner could be seen writing during this interview, causing distractions and communication breakdown. Comprehensive Integrated Psychiatric Assessment discussion essay examples – YMH Boston Vignette 4 video..
Sean does not like school but the practitioner did not ask about his school and why he hates school. More could have been gotten just by asking that question. Comprehensive Integrated Psychiatric Assessment discussion essay examples – YMH Boston Vignette 4 video. Another ignored spot was his relationship with his mother. The practitioner should have been able to get more from this too. Allowing Sean to participate by encouraging him to use his own words in describing his problem would have led to more information. As said and emphasized by Goldstein, & Findling (2006), an open inquiry followed by more focused questions later in the interview provides the most information and how a provider should also seek detailed descriptions of the behavioral or emotional symptoms and ask for specific examples of the behavior.
Another area where the practitioner needs improvement is to avoid asking leading questions. He asked Sean “I bet that really made you angry, right?” An obvious answer is “yes.” A better question would be, “How did you feel when that happened?
Compelling Concerns during the Clinical Interview
Sean’s deep rooted anger towards his mom is a compelling concern. Knowing that Sean has this deep rooted anger should have led to more questions to find out why. Knowing that many teenagers do not like to confide in or talk to their mothers, the practitioner should not have seen it as a reason not to ask, but instead find out if Sean’s mother even know about this deep rooted anger and why. Also, the practitioner should be concerned about the coach being his father figure. Where is his biological father, and how often if at all do they see each other, and why? Comprehensive Integrated Psychiatric Assessment discussion essay examples – YMH Boston Vignette 4 video.
Next Question and Reason Behind the Question
Just for curiosity sake, questions like what makes Sean angry, if angry does he feel like hurting himself or someone or not, if he likes his life, what he enjoys doing besides basketball and talking with his girlfriend, and also get more insight into his relationship with his girlfriend and its seriousness. His performance in school, questions like “what is going on at school that makes you hate it so much?” According to (American Psychiatric Association, (2013), struggling academically may indicate an inability to concentrate which may point to a psychiatric diagnosis such as depression, anxiety, or attention-deficit hyperactivity disorder. Comprehensive Integrated Psychiatric Assessment discussion essay examples – YMH Boston Vignette 4 video.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental
` disorders (5th ed.). Washington, DC: Author.
Goldstein, A., & Findling, R. (2006). Assessment and evaluation of child and adolescent
psychiatric emergencies. Psychiatric Times, 23(9), 76-111.
Pope, K. S., & Vasquez, M. J. (2016). Ethics in psychotherapy and counseling: A practical guide. John Wiley & Sons.
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