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This essay will look at client centred interviewing focusing on the skills that must be present when engaging with a client It will go on to discuss the systematic ways of gathering information the use of clinical measures and case formulation skills based on client-centred interviewing The essay will focus on a client suffering from depressionClient centred interviewing accepts that the client is the expert by experience and uses the patients experience of distress to guide the assessment IAPT 2009 The relationship that forms between the nurse and the client is crucial to building a rapport trust and a therapeutic relationship Equally a client- centred interview aims to reflect recognition of clients needs and preferences characterised by behaviours such as encouraging the patient to voice ideas listening reflecting and offering collaboration Byrne and Long 1976 According to Gask et al 2003 patients with depression seek a special relationship with their prescribing clinician This suggests that initial consultation is critical in terms of establishing rapport and trustAccording to Calinoi 2004 psychiatric interview remains the main assessment tool in clinical practice They are however essential communication and interpersonal skills that should be present when engaging with a client effective communication and skilful listening Johnson 2008 defines interpersonal skill as the ability to communicate effectively with others In addition -------------defines communication as They are two types of communication skills that are essential when engaging with a client verbal spoken and written and nonverbal facial expressions active listening posture maintaining personal space According to Arnold and Boggs 2007 most communication between people is nonverbal When these skills are properly observed the nurse can convey warmth attention empathy geniuses and respect which are essential to effective communication Client centred interviewing observes three steps introduction and orientation information gathering and formulation Initial contact with the client the nurse should introduce herself and state her credentials The nurse may use the SOLER framework by Egan 1975 see box 1 to maintain
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