EDITION CARLAT TEST BANK FINAL
PAPER 2026 FULL QUESTIONS WITH
CORRECT ANSWERS GRADED A+
⩥ what is our intitaly first job? how do we do this? Answer: to ease their
suffering, this is before making a dx. all our pts are suffering, you have
to address this first.
how: depression is different for everybody and may present with
different sxs. For a 24 y/o college graduate who has been floundering
around, may just need help clarifying her goals. this is what we can help
them do in their first visit. spend most of this first visit thinking about
their lives and not their dx. this alone is an alliance booster, just be sure
to ask about their life and that starts it all.
⩥ what is the overall goal of the interview? Answer: to figure out
treatment not to figure out a dx.
⩥ what percentage drop out of tx brute they're 4th visit? Answer: 50%
⩥ what is the most important part of the interview? Answer: negotiating
a tx plan. if they don't feel comfortable with it then the interview might
as well not have been done.
,⩥ length of time for the 3 phases of the interview Answer: opening: 5-10
min
body: 30-40 min
closing: 5-10 min
⩥ explain what the 3 phases of the interview Answer: intro:
- learn about their life
- give a few minutes to tell why they came
body:
- est. interviewing priorities
- HPI
- Hx of depression, SI, substance abuse
- FHx
- determine whether they meet criteria
- if have time: social/developmental Hx, PMHx, psych ROS
closing:
- discuss assessment (w/ pt education)
- negotiated tx plan
,⩥ what to put in your office Answer: make it homie: photos of family,
plants, decorations on wall
arrange seating: put clock easy for you to see ( just behind pt)
⩥ guidelines for patient contact Answer: - never give home or cell phone
number
- if giving a contract number specify times they may call you
- instruct what to do in emergency when you can't be contacted
- leave a voicemail system for them to call and let them know if it's
emergent you'll call back within 24 hrs
- sign pts out to another clinician when you're on vacation and inform
him of more severe pts or chronically suicidal pts. change voicemail to
have instruction to contact this clinician.
- use email but this too needs ground rules (limit to scheduling needs and
refills, anything more has to be added to their EMR).
- for HIPPA add note saying: "please be aware that email communication
can be intercepted in transmission or misdirected. your use of email to
communicate protected health information to us indicate that you
acknowledge and accept the possible risks associated with such
communication. please consider communicating any sensitive
information by telephone, fax, or mail. if you do not wish to have your
information sent by email, please contact the street immediately."
- get pts number and email. ask if it's okay to identify yourself when you
call because some people don't want family or employers knowing
, they're in tx. hey contact info for energy contact people, need consent
before doing this.
⩥ rapport building techniques Answer: - empathic or sympathetic
statements: "you must have felt Truckee when she left you".
communicate your average and understanding of painful emotions. but
don't over use them.
- direct feeling questions: "how did you feel when she left you?"
- reflective statements: "you sound dad when you talk about her". don't
overuse because it sounds like you're stating the obvious.
- if you notice countertransference happening, see them as
psychopathology and develop compassion for them on that basis first
⩥ techniques to make the patient comfortable Answer: - greet naturally:
introduce yourself and make small talk for a minute (unless in emotional
distress)
- ask what they wanna be called and use their name a few times during
the interview
- learn something about them so they're more comfortable sharing about
themselves: "before we get into what brought you here, if like to know a
little about you as a person, where you live, what you do, that sort of
thing."
- explain what will happen in the interview: many think they're just here
for psychotherapy. start by asking if they know why they're here and
then give your explanation (length of interview, what info you'll be
asking about, and follow up going forward).