Important Points about the History of Drug Use Regular or intermittent Amount (know the units) Pattern dependence/withdrawal Impact on work, relationships, money, police Screening questionnaires e.g. CAGE
Behavior and Body Language During History Taking Establish and maintain eye-contact and rapport. Relaxed non-threatening posture and appear unhurried. Use facilitated noises (I see, okay, etc.) Pick up on nonverbal cues Acknowledge what they are saying Show a willingness to understand Do not offer opinion/advice to early Control over-talkativeness with polite authority at the right time
Diagnostic formulation What is the diagnostic formulation?? We use a diagnostic formulation to integrate and better evaluate the information we have obtained from the assessment of the patient. It has these components: The problem Differential diagnosis Etiology Management Prognosis