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The foundation of the diagnostic workup of the older adult experiencing a psychiatric disorder is the diagnostic interview. Unfortunately, in this age of increasing technology in the laboratory and standardization of interview techniques, the art of the clinical interview has suffered. Also, time pressures limit the ability of clinicians to perform a thorough diagnostic workup. Nevertheless, such a workup will save valuable time over the course of an older adult’s illness. In this chapter, I review the core of the psychiatric interview, including history taking, assessment of the family, and the mental status examination; describe structured interview schedules and rating scales that are of value in the assessment of older adults; and outline techniques for communicating effectively with older adults.
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