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W1. Introduction to Assessment, W2. Clinical Assessment - Coggle Diagram

- - - - can be primary or secondary method
      - Mutliple sources ie; teahcers, parents
- - - - is time cognitively challenged? IQ test
      - Why is Tim sad all the time? Depression questionnaire
    - - if poor can harm client
      - Should be fluid and adaptable
    - - Interventions require symptoms but people tell stories. you need to read between the lines or uncover things they dont realise.
      - Many highly similar presentations - ie Bipolar and bordeline personality disorder can be hard to distinguish between
      - Many symptoms co-occur (anxiety typically occurs with depression)
      - 2 primary considerations
        
        Validitiy
        
        does it assess what its supposed to
        
        Reliability
        
        does it consistently asses the same thing? ie; test retest reliability, and or internal consistency.
- - - - is it interfering on other aspects of their life?
      - Do you have clinical evidence that they differ from the norm?
      - Are they experiencing a marked level of distress?
- - - - Nature and setting of problem
      - Focus/scope of concepts being measured
  - - - Cognition - thoughts ideas
      - Affect - feelings, moods, emotional responses
      - Behaviour - actions, rections
      - Physical symptoms - bodily sensatins
      - Environment - situation context
      - All 5 factors can influence each other
      - Use this to enter formulation phase
      - If you can understand what is maintaing the issue then you can focus on breaking the maintenance cycle
- - - - goal to understand what issues are going on currently and why this has led the person to seek treatment
      - want to know:
        
        what has brought the client to the service
        
        Description of most recent symptoms - frequency, duration, severity
        
        How is this problem impacting the client? functional? work? family?
        
        Is the problem causing distress? how much?
        
        Typical day: on average how do the symptoms play out
    - - Cognitions, emotions, behaviour, pysical symptoms
      - Context, triggers, modulating variables
      - maintaining factors
    - - necessary for accurate diagnosis
      - Goal = understand course and trajectory of problem/symptoms
      - want to know:
        
        When symptoms strated?
        
        Any triggers or changes at that time? (ie; moving, relationship, job change)
        
        have the symptoms changed over time?
        
        Does anything make them feel better/worse
        
        effects on long term functioning
        
        what was their premorbid functioning like
        
        is this an acquired issue or lifelong
- - - - Avoidance reinforces anxiety