The Diagnostic Interview: Conceptual and Practical Considerations

Abstract

The diagnostic interview remains the primary clinical procedure for arriving at a mental health diagnosis. However, variability in the way psychologists are taught and trained in this procedure results in a broad range of approaches to collecting a history, conducting a mental status examination, and documenting the final product in the way of a consultation report. In some cases, this variability may compromise clinical and diagnostic accuracy and have an adverse impact on professional functioning. In this article, we review conceptual elements that clinicians and trainees may find helpful when approaching the diagnostic interview, present a structure that has facilitated effective practice and training, and encourage discussion regarding developing consensus as to the need for practice guidelines for this critical clinical procedure.

Keywords: Psychiatric Diagnostic Interview, Clinical Interview, History Taking, Mental Status Examination, Psychological Consultation