Clinician Administered Severity Scales

Diagnostic interviews are valuable for identifying target disorders and accompanying comorbid conditions. However, the range of severity assessed by such interviews is somewhat limited and the time frame relatively broad. Moreover, given their length, these instruments can be cumbersome to readminister. For assessment of change during or after treatment, therefore, clinician rating scales that focus more intensively on target symptoms can be quite helpful.

One such scale, the Children's Depression Rating Scale—Revised (CDRS-R; Poznanski & Mokros, 1995), is a 17-item scale, three items of which are observational ratings by the clinician (Depressed Facial Affect, Listless Speech, and Hypoactivity). The remaining 14 items are assessed in interviews with the adolescent or child and a parent or other observer. We recommend that the adolescent be interviewed first and the parent second, with the clinician then completing summary ratings based on both interviews. For younger children it is usually preferable to interview the parent first to establish the time frame for symptom onset and duration. CDRS-R items are arranged to proceed from less intrusive symptoms (e.g., the effect of depression on schoolwork) to more intrusive or sensitive items (e.g., suicidal ideation). The clinician may modify the order of items to follow spontaneous comments by the respondent.

Exploring EFT

Exploring EFT

EFT stands for Emotional Freedom Technique. It works to free the user of both physical and emotional pain and relieve chronic conditions by healing the physical responses our bodies make after we've been hurt or experienced pain. While some people do not carry the effects of these experiences, others have bodies that hold onto these memories, which affect the way the body works. Because it is a free and fast technique, even if you are not one hundred percent committed to whether it works or not, it is still worth giving it a shot and seeing if there is any improvement.

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