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Ирина Архипова – English for Psychotherapy and Counselling: Handbook for Practitioners. Английский для психотерапии и консультирования: практическое руководство (страница 21)

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• Create a brief background story for your character

• Respond naturally to questions

• Provide enough detail but also some ambiguity that requires follow-up questions

After the role-play, switch roles and try a different scenario.

PROFESSIONAL PRACTICE:

Structuring an Initial Assessment Session

Sample Assessment Structure

A typical initial assessment session (usually 60—90 minutes) follows this general structure:

1. Introduction and Informed Consent (5—10 minutes)

• Introduce yourself and explain your role

• Explain confidentiality and its limits

• Discuss the structure and purpose of the session

• Answer any questions the client has

• Establish initial rapport

2. Presenting Problem (15—20 minutes)

• Use open-ended questions to understand why the client is seeking help

• Explore onset, duration, frequency, severity

• Identify triggers and patterns

• Understand the client’s perspective on the problem

• Explore previous attempts to address the issue

3. Psychosocial History (20—30 minutes)

• Developmental and family background

• Educational and occupational history

• Relationship and social history

• Medical history

• Past psychiatric history

• Substance use

4. Mental Status Examination (Ongoing throughout session)

• Observe appearance, behaviour, speech

• Assess mood and affect

• Note thought process and content

• Evaluate cognition, insight, and judgment

5. Risk Assessment (5—10 minutes)

• Assess suicidal ideation, intent, plan

• Assess risk of harm to others

• Identify protective factors

6. Summary and Next Steps (10 minutes)

• Summarize key information gathered

• Share preliminary impressions (when appropriate)

• Discuss treatment options and recommendations

• Schedule follow-up appointment

• Answer questions

Useful Phrases for Conducting Initial Assessment

Opening the Session:

• Thank you for coming in today.

• Before we begin, I’d like to explain how our session will work.

• Everything we discuss is confidential, with a few exceptions I’ll explain.

• Do you have any questions before we start?

• I’m here to listen and help you understand what’s been happening.

Exploring the Presenting Problem:

• What brings you here today?

• Tell me what’s been happening.

• When did you first notice this problem?

• How has this been affecting your daily life?

• What have you tried so far to address this?

• What made you decide to seek help now?

Gathering History:

• I’d like to learn more about your background.

• Tell me about your family.

• How would you describe your childhood?

• Walk me through your work history.

• Have you experienced mental health difficulties before?

• Is there any family history of mental health issues?

Asking Sensitive Questions:

• I need to ask some important questions that I ask everyone.

• These questions might feel uncomfortable, but they’re important for understanding your situation.