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This essay will look at a client centred interviewing focusing on the skills that a clinician must have when engaging with a client It will go on to critically discuss the systematic ways of gathering information the use of clinical measures and case formulation skills based upon 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 2009The relationship that is formed between the nurse and the client is crucial a rapport trust and therapeutic relationship Conversely patient centred consultations reflect recognition of patients 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 winning the patients trust and commitment to the treatmentAccording 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 communication and skilful listening Johnson 2008 defines interpersonal skill as the ability to communicate effectively with others There are two types of communication skills verbal spoken and written and non-verbal facial expressions active listening posture maintaining personal space According to Arnold and Boggs 2007 the majority of our communication between people is non-verbal If these skill are properly observed the nurse can convey warmth attention empathy geniuses and respectDuring initial contact with client the nurse should introduce him or herself and state his or her credentials The nurse may use the SOLER framework by Egan 1975 to maintain non- verbal cues The nurse has to Sit squarely to the client open posture lean slightly forward maintaining eye contact and relax However Pryjmachuk 2011 urges that if too
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