Clinician's Thesaurus

Ninth Edition
The Guide to Conducting Interviews and Writing Psychological Reports

Edward L. Zuckerman and Bradley W. Estes

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Hundreds of thousands of students and early-career mental health professionals have relied on this authoritative reference, now in an updated ninth edition including the latest terms and diagnostic codes. In a convenient large-size format, the Thesaurus covers nearly all areas of concern addressed in intakes, assessments, treatment plans, progress notes, and closing summaries. Users seeking the right wording for a clinical document can scan and select from thousands of technical terms, behavioral descriptors, and standard statements. The book provides interview questions for almost every symptomatic behavior, a huge collection of mental status questions, and hundreds of internet resources. Also featured is a list of all psychiatric ICD-10-CM diagnoses, including Z codes and medical codes essential to a comprehensive biopsychosocial evaluation. The companion website presents web links, reproducible forms from the book, and a detailed list of psychiatric medications.

New to This Edition

“The Clinician’s Thesaurus is like having a trusted colleague nearby to consult with. It helps you develop more nuanced, clinically relevant descriptions when writing a report, treatment plan, or case conceptualization. The Thesaurus has been beside me since graduate school, and continues to be a clinical companion that I enthusiastically recommend to colleagues and supervisees.”

—Joseph G. Potaczek, PsyD, private practice, Chicago


“Psychological interviews and psychological reports are among the most important aspects of working with patients—and have the least amount of published guidance. The Clinician's Thesaurus text fills a gap in the literature by providing a wealth of information, strategies, and practical suggestions. In its ninth edition, this book remains by far the most thorough, comprehensive, and helpful guide that I have seen for both psychological interviewing and report writing.”

—Andrew S. Davis, PhD, School of Education, University of Wisconsin–Milwaukee


“The ninth edition of this comprehensive resource is useful for clinicians at all stages, from trainees writing their first reports to seasoned professionals. It offers practical content including relevant questions across a range of clinical presentations; rich descriptive terms for behavioral, cognitive, and emotional phenomena; and guidance for describing the person and their behavior in everyday contexts. The authors describe key aspects of clinical reports and other types of documentation and discuss ethical considerations in interviewing and report writing. The ninth edition provides fully updated online resources and guides, along with current and inclusive language. This is an invaluable resource and text for mental health training programs, as well as for teaching and supervising integrated clinical assessments.”

—Jill D. Stinson, PhD, Department of Psychology, East Tennessee State University

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 Authors

Edward L. Zuckerman, PhD, consults and creates effective practice tools for clinicians. He found his life’s passion while working as a psychiatric aide at New York’s Bellevue Hospital in the 1960s. Dr. Zuckerman has worked with adults in a variety of clinical contexts, acted as liaison with state hospitals, taught undergraduates and professional clinicians, and maintained an independent practice in general clinical psychology for many years. He lives in Pittsburgh, Pennsylvania.

Bradley W. Estes, PsyD, is a clinical neuropsychologist with a passion for serving others through diagnostics, psychotherapy, and professional consultation. Dr. Estes has worked with children and adults of all ages in a variety of settings, including psychiatric hospitals, rehabilitation hospitals, skilled nursing facilities, and schools. He lives in Indiana, where he has an independent practice focused on clinical and forensic neuropsychological and psychological assessment. Dr. Estes is also a faculty advisor for the Brain Health Initiative.

Audience

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

Course Use

Serves as a text in graduate-level courses such as Clinical Assessment, Diagnostic Interviewing, and Professional Practice.
Previous editions published by Guilford:

Eighth Edition, © 2019
ISBN: 9781462538805

Seventh Edition, © 2010
ISBN: 9781606238745

Sixth Edition, © 2005
ISBN: 9781572304376

Fifth Edition, © 2000
ISBN: 9781572305694

Fourth Edition, © 1995
ISBN: 9780898628425
New to this edition: