Psychiatric Interviewing,
Edition 3 The Art of Understanding: A Practical Guide for Psychiatrists, Psychologists, Counselors, Social Workers, Nurses, and Other Mental Health Professionals, with online video modules
By Shawn Christopher Shea, MD

Publication Date: 25 Oct 2016

Print purchase includes enhanced Expert Consult eBook with over 7.5 hours of streaming video; quickly search text, figures, references, and videos on laptops, tablets, and smart phones.

With time at a premium, today's clinicians must rapidly engage their patients while gathering an imposingly large amount of critical information. These clinicians appropriately worry that the "person" beneath the diagnoses will be lost in the shuffle of time constraints, data gathering, and the creation of the electronic health record. Psychiatric Interviewing: The Art of Understanding: A Practical Guide for Psychiatrists, Psychologists, Counselors, Social Workers, Nurses, and other Mental Health Professionals, 3rd Edition tackles these problems head-on, providing flexible and practical solutions for gathering critical information while always attending to the concerns and unique needs of the patient.

Over five years in the making, this classic introduction to the art of clinical interviewing returns, updated, expanded and innovatively designed for today's reader with over 7.5 hours of streaming video integrated directly into the text itself. Readers now also become viewers, acquiring the rare opportunity to see the author both illustrating specific interviewing techniques and subsequently discussing effective ways in which to employ them. The founder and Director of the acclaimed Cape Cod Symposium, Rob Guerette, describes Dr. Shea's skills as a speaker as follows, "Dr. Shea is an extremely gifted teacher, whose vibrant story-telling skills and compelling videos have led to him garnering some of the highest evaluations in the 30 year history of the Cape Cod Symposium. In short, readers are in for a rare treat when viewing the book's video component."

Within the text, Dr. Shea deftly integrates interviewing techniques from a variety of professional disciplines from psychiatry to clinical psychology, social work, and counseling providing a broad scope of theoretical foundation. Written in the same refreshing, informal writing style that made the first two editions best sellers, the text provides a compelling introduction to all of the core interviewing skills from conveying empathy, effectively utilizing open-ended questions, and forging a powerful therapeutic alliance to sensitively structuring the interview while understanding nonverbal communication at a sophisticated level. Updated to the DSM-5, the text also illustrates how to arrive at a differential diagnosis in a humanistic, caring fashion with the patient treated as a person, not just another case.

Whether the reader is a psychiatric resident or a graduate student in clinical psychology, social work, counseling or psychiatric nursing, the updated third edition is designed to prepare the trainee to function effectively in the hectic worlds of community mental health centers, inpatient units, emergency rooms, and university counseling centers. To do so, the pages are filled with sample questions and examples of interviewing dialogue that bring to life methods for sensitively exploring difficult topics such as domestic violence, drug abuse, incest, antisocial behavior, and taking a sexual history as well as performing complex processes such as the mental status. The expanded chapter on suicide assessment includes an introduction to the internationally acclaimed interviewing strategy for uncovering suicidal ideation, the Chronological Assessment of Suicide Events (CASE Approach). Dr. Shea, the creator of the CASE Approach, then illustrates its techniques in a compelling video demonstrating its effective use in an interview involving a complex presentation of suicidal planning and intent.

A key aspect of this text is its unique appeal to both novice and experienced clinicians. It is designed to grow with the reader as they progress through their graduate training, while providing a reference that the reader will pull off the shelf many times in their subsequent career as a mental health professional. Perhaps the most unique aspect in this regard is the addition of five complete chapters on Advanced and Specialized Interviewing (which comprise Part IV of the book) which appear as bonus chapters in the accompanying e-book without any additional cost to the reader. With over 310 pages, this web-based bonus section provides the reader with essentially two books for the price of one, acquiring not only the expanded core textbook but a set of independent monographs on specialized skill sets that the reader and/or faculty can add to their curriculum as they deem fit.

Key Features

New and Expanded Content:

  • Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices
  • Bonus chapter on advanced aspects of cross-cultural interviewing, including approaches for recognizing clinician biases and exploring the client’s spirituality and framework for meaning
  • Bonus chapter on motivational interviewing
  • Bonus chapter on transforming patient anger and moments of potential disengagement
  • Bonus chapter for prescribing clinicians -- such as psychiatrists and psychiatric nurse clinicians -- on how to collaboratively talk with patients about their medications
  • Includes over 7.5 hours of video illustration and instruction
  • Brings to life the pain and phenomenology of people coping with severe mental illnesses, such as schizophrenia, bipolar disorder, and major depressive disorder
  • An entire chapter on engaging patients with difficult personality disorders, such as borderline personality disorder and narcissistic personality disorder
  • A new and unique chapter covering often overlooked areas, such as positive psychology and methods for uncovering client wellness and strengths
  • Extensive chapter on nonverbal communication, including the complex challenges related to interviewing on the web by text and/or tele-psychiatry
  • A comprehensive introduction to facilics (an innovative supervision system for helping clinicians learn how to transform interviews into naturalistically flowing conversations), including an interactive web-based self-learning module on facilic supervision schematics for both faculty and students
  • Practical tips for creating a good EHR/write-up, in addition to sample clinical forms for EHR/written documentation
  • A specialized appendix for faculty, which includes four complete articles from the Psychiatric Clinics of North America that address educational topics including: effectively designing interviewing training courses and macrotraining suicide assessment skills
About the author
By Shawn Christopher Shea, MD, Director, Training Institute for Suicide Assessment and Clinical Interviewing, Inc (TISA), Newbury, New Hampshire
Table of Contents

Part I: Clinical Interviewing: the Principles Behind the Art

1. The Delicate Dance: Engagement and Empathy

2. Beyond Empathy: Cornerstone Concepts and Techniques for Enhancing Engagement

3. The Dynamic Structure of the Interview: Core Tasks, Strategies, and the Continuum of Open-Endedness

4. Facilics: The Art of Transforming Interviews into Conversations

5. Validity Techniques for Exploring Sensitive Material and Uncovering the Truth

6. Understanding the Person Beneath the Diagnosis: the Search for Uniqueness, Wellness, and Cultural Context

7. Assessment Perspectives and the Human Matrix: Bridges to Effective Treatment Planning in the Initial Interview

8. Nonverbal Behavior: The Interview as Mime

Part II: The Interview and Psychopathology: from Differential Diagnosis to Understanding

9. Mood Disorders: How to Sensitively Arrive at a DSM-5 Differential Diagnosis

10. Interviewing Techniques for Understanding the Person Beneath the Depression

11. Psychotic Disorders: How to Sensitively Arrive at a DSM-5 Differential Diagnosis

12. Interviewing Techniques For Understanding the Person Beneath the Psychosis

13. Personality Disorders: Before the Interview Begins – Core Concepts

14. "Personality Disorders: How to Sensitively Arrive at a DSM-5 Diagnosis"

15. Understanding and Effectively Engaging People with Difficult Personality Disorders: the Psychodynamic Lens

Part III: Mastering Complex Interviewing Tasks Demanded in Everyday Clinical Practice

16. The Mental Status: How to Perform and Document It Effectively

17. Exploring Suicidal Ideation: The Delicate Art of Suicide Assessment

18. Exploring Violent and Homicidal Ideation: From Domestic Violence to Mass Murder

Part IV: Specialized Topics & Advanced Interviewing – Bonus Material Online

19. Transforming Anger, Confrontation, and Other Points of Disengagement

20. Culturally Adaptive Interviewing: The Challenging Art of Exploring Culture, Worldview, and Spirituality

21. Vantage Points: Bridges to Psychotherapy

22. Motivational Interviewing (MI): A Foundation Stone in Collaborative Interviewing

23. Medication Interest Model (MIM): Moving from Mere "Adherence" to Genuine Interest and Effective Use

Glossary & Appendices

App I: Annotated Interview (Full 60-Minute Intake)

App II: The Written Document/Electronic Health Record (EHR): Effective Strategies

App IIA: Practical Tips for Creating a Good EHR/Write-Up

App IIB: Dictation Prompts and Quality Assurance Guidelines for the Written Document

App IIC: Sample Written Assessment

App IID: Initial Clinical Assessment

GL: Glossary of Interview Supervision Terms

Book Reviews


"Enormously practical, elegant in execution and delightfully fun to read, every page holds clinical wisdom . . . . I can think of no better first book for any trainee in mental health, for it is not only, in my opinion, an unsurpassed book about how to interview, it is a book about why we interview. It is a book that captures the wonderment of our work and the soul of our mission. . . . I have never seen such great teaching videos on eliciting suicidal ideation. They are a treasure, and I believe that many lives will be saved by those lucky enough to view them."

From the Foreword by Jan Fawcett, M.D.
Professor of Psychiatry, University of New Mexico
Recipient of Lifetime Achievement Awards
from both the American Association of Suicidology
and the American Foundation for Suicide Prevention

"Dr. Shea has done the impossible – written a text that works for bachelors, masters, and doctoral level social workers. Throughout the text, Shea integrates cultural humility, the client perspective, clinical wisdom, and the best that research has to offer. The accompanying videos are the most amazing instructional videos I’ve ever seen – they include mini-lectures, video of an actual client interview, and wondrously realistic role-plays (which invite you into the mind of a master) and speak directly to the content in the text. I hate to say it, but a medical doctor has written the best social work interviewing text on the market. I hope this text gets adopted in every school of social work."

Jonathan B Singer, Ph.D., LCSW
Associate Professor
School of Social Work, Loyola University Chicago
Founder and host, Social Work Podcast

"Insightful, wonderfully practical, and surprisingly comprehensive, Shea’s chapter on culturally sensitive interviewing in Psychiatric Interviewing: the Art of Understanding, 3rd Edition sets a new bar on effective literature on multiculturalism. Shea not only eloquently delineates important cross-cultural principles for students - while modeling numerous immediately useful questions and strategies - he provides examples of clinician/client dialogue in which the student can actually see the interviewer gracefully transforming awkward cultural disconnects. I’ve never seen anything quite like it in the clinical literature. Simply superb! PS: Year after year my master level counseling students have raved - and I mean raved - about Shea’s textbook, and this Third Edition looks to be even better! I know of no book that better prepares a student for actual clinical practice."

Dottie R. Morris, Ph.D.
Chief Officer of Diversity and Multiculturalism, Keene State College
Former Director of Student Affairs for the Clinical Mental Health Counseling
Program at Antioch University New England

"Interviewing skills are not only indispensible, they are the rate-limiting factor in providing quality care. In the 3rd Edition of Dr. Shea’s classic text, we now have an indispensable book to match the training needs of our psychiatric residents (indeed, of our trainees in any mental health discipline). The skills delineated within these chapters should, in my opinion, be taught in all psychiatric residency programs. Every resident should buy and read this entire book before taking his or her first night of call. Every resident. In fact, I recommend reading it twice. I almost forgot to mention, Shea’s extraordinary streaming videos will thrust this book to the forefront of web-based learning. Trust me on this point. They’re fabulous."

James L. Knoll, IV, M.D.
Professor of Psychiatry
Director of Forensic Psychiatry
SUNY Upstate Medical University

"Both of the previous editions of Dr. Shea’s book have anchored Bryn Mawr’s advanced clinical social work practice curriculum for a generation of our master’s degree students. This third edition is a masterful integration of text and video instruction. Indeed, it represents a pedagogical leap, in which Dr. Shea brings the beginning and advanced student into the mysteries of the first encounter with his characteristic warmth, compassion, and wisdom that has so enthralled our students over the years. Only now, we can see it, not only in engaging text, but in amazingly effective video instruction and interview demonstrations, that bring to life the clinical encounter. With the publication of this book, I personally believe that Dr. Shea has cemented his standing as one of the most influential mental health educators of the 21st Century."

James A. Martin, Ph.D., LICSW
Colonel, U.S. Army (Retired)
Professor of Social Work and Social Research
Bryn Mawr College, Bryn Mawr, PA.

"We have been using the second edition of this book for over a decade at our school, and it has been an indispensable resource for both our faculty and our students. This 3rd Edition has been revised and expanded including fascinating new chapters on topics such as wellness, motivational interviewing, cultural diversity and how to collaboratively talk with patients about their medications. Many of the chapters are enriched with engrossing video demonstrations. I can’t recommend this book enough. It will infuse passion and curiosity in your students. It will be a resource they will return to for learning for years to come."

Palmira Brouwer R.N. BscN, MA (psychology)
Faculty Department of Psychiatric Nursing
Douglas College, B.C. Canada

"Dr. Shea is an extremely gifted teacher, whose vibrant story-telling skills and compelling videos have led him to garnering some of the highest evaluations in the 30 year history of the Cape Cod Symposium. In short, readers are in for a rare treat when viewing the book’s video component."

Rob Guerette, M.D.
Founder and Director of the Cape Cod Symposium

"Here is a book I would enthusiastically recommend to all graduate students in psychology on the art of clinical interviewing and to all faculty who teach such courses. Even the most experienced clinician will enjoy and learn much from this text. I don’t believe I’ve ever seen an author capture the pain of patients dealing with serious disorders such as major depression, schizophrenia, and bipolar disorder with such sensitivity and compassion, while transforming this understanding into easily learned questions and techniques for use in actual practice. Combine this sensitive and comprehensive approach with Shea’s skillful use of advanced technology (over 7 hours of streaming video modules and interviewing demonstrations) and you have a book, whose shelf-life will be measured not in years, but decades."

Lawrence A. Welkowitz, Ph.D.
Co-Editor of Asperger’s Syndrome: Intervening in Clinics, Schools and Communities
Principle Investigator: Use of iPad Assisted Learning for Autism

"While reading the pages of this wonderful book, I kept wishing I could have held this book in my hands when I was a psychiatric resident. Dr. Shea’s stand-out chapters on personality dysfunction (from DSM-5 differential diagnosis to the effective application of object relations and self psychology) are suffused with an understanding of the pain experienced by patients with personality disorders, and the confusion and intensity they can stir-up in the interviewer. Using Shea’s techniques, clinicians will feel competent at steering through the most turbulent and treacherous of interpersonal eddies in order to connect with and help these patients. Readers of this highly engaging, ground-breaking book, and viewers of its over 7 hours of stunning videos, will be able to become the clinicians their patients deserve, the ones they were meant to be."

Laura Miller, M.D.
Medical Director of Women’s Mental Health
at Edward Hines Jr. VA Hospital
Professor of Psychiatry, Loyola University Stritch School of Medicine

"This edition retains all the elements responsible for the success of the earlier editions, yet is significantly expanded with ample new material in the print version, additional online material, and videos. This remains one of the premier books on the psychiatric interview."

Susan L. Glodstein, DNP, PMHNP, BC, PMHC, BC

Clinical Assistant Professor

Director of Continuing Education

Graduate Studies

School of Nursing, Stony Brook University


"Overflowing with practical interviewing techniques for sensitively uncovering accurate information from suicidal ideation and incest to nuanced DSM-5 diagnostic information. Written in a remarkably compelling and entertaining writing style. Accompanied by over seven hours of equally compelling streaming video of Dr. Shea demonstrating the techniques. Also, of particular note - every page of the text mirrors the great interpersonal approach of nurses such as Peplau and Nightingale. An extraordinarily rewarding must-read for any graduate nurse entering the field of psychiatry - should be mandatory reading for PMHNPs!"

Doody’s Book Review Score: 97/100 – 5 Stars!

Marina Bayeva, M.D., Ph.D.
Northwestern University
Feinberg School of Medicine

Reviews from Journals for Previous Editions

" Using a rich palette of information from various fields, including psychoanalysis, behavioral psychology, and sociology, the author writes about the entire interview, and reveals the rich interaction that begins even before the first words are spoken . . . . . It is no surprise that this book has been well received by major psychiatric journals. However, it is always a pleasant surprise to find an engaging book that is both theoretically sound and clinically indispensable."

Doody’s Book Reviewer

"This is a book I wish I could have written. . . . . can be read with interest by expert and novice alike."

Clinical Psychology Review
Arthur Weins, Ph.D.

"Rich in information, wisdom, humor, and charm, this book teaches not only interviewing skills but also the attitudes and behaviors that underpin the therapeutic personality and process."

American Journal of Psychiatry

"Provides a well-balanced synthesis of many approaches from various schools of psychiatry, psychology, and counseling . . . . enjoyable and stimulating to read. . . . . written with eloquence and humor."

British Journal of Psychiatry

"Intensely practical, with a riveting chapter on the assessment of risk for suicide and homicide. . . . . Reviewers have a way of telling you that a good book is essential for every psychiatric library. This time it really is true."

Canadian Journal of Psychiatry

"Shea’s book, which is now in its second edition, is a valuable counter-weight to the ‘one size fits all’ approach to interviewing and eliciting data. It is an invaluable book for those training in psychiatry or other mental health professions and indeed for practicing clinicians."

Australian and New Zealand Journal of Psychiatry

"Rich with sensitive observations and practical suggestions and enlivened by frequent examples of diagnostic interviewing."

Transactional Analysis Journal

"A marvelous text on an aspect of psychiatry that often does not receive as much attention as it deserves."

Hospital and Community Psychiatry

Book details
ISBN: 9781437716986
Page Count: 876
Retail Price : £75.99