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The American Psychiatric Association Practice Guidelines for the Psychiatric Evaluation of Adults

Third Edition

APA Work Group on Psychiatric Evaluation

APA wishes to acknowledge the contributions of former APA staff to these guidelines: Robert Kunkle, M.A., Robert Plovnick, M.D., Sara Reid, M.A., Seung-Hee Hong, and William E. Narrow, M.D., M.P.H.  APA and the Work Group on Psychiatric Evaluation especially thank Laura J. Fochtmann, M.D., M.B.I, and Robert Kunkle, M.A., for their outstanding work and effort on developing these guidelines.  The executive summary for this practice guideline was published by The American Journal of Psychiatry in 2015 (doi: 10.1176/appi.ajp.2015.1720501).

  1. Joel J. Silverman , M.D., Chair
  2. Marc Galanter , M.D.
  3. Maga Jackson-Triche , M.D., M.S.H.S.
  4. Douglas G. Jacobs , M.D.
  5. James W. Lomax II , M.D.
  6. Michelle B. Riba , M.D.
  7. Lowell D. Tong , M.D.
  8. Katherine E. Watkins , M.D., M.S.H.S.

Systematic Review Group

  1. Laura J. Fochtmann, M.D., M.B.I.
  2. Richard S. Rhoads, M.D.
  3. Joel Yager, M.D.

APA Steering Committee on Practice Guidelines

  1. Michael J. Vergare, M.D., Chair
  2. James E. Nininger, M.D., Vice-Chair
  3. Thomas J. Craig, M.D.
  4. Deborah Cowley, M.D.
  5. Nassir Ghaemi, M.D., M.P.H.
  6. David A. Kahn, M.D.
  7. John M. Oldham, M.D.
  8. Carlos N. Pato, M.D., Ph.D.
  9. Mary S. Sciutto, M.D.

Assembly Area Liaisons

  1. Daniel J. Anzia, M.D., Chair of Area Liaisons (and Area IV)
  2. John M. de Figueiredo, M.D. (Area I)
  3. Marvin Koss, M.D. (Area II)
  4. William M. Greenberg, M.D. (Area III)
  5. John P. D. Shemo, M.D. (Area V)
  6. Robert M. McCarron, D.O. (Area VI)
  7. Jason W. Hunziker, M.D. (Area VII)

The authors have worked to ensure that all information in this book concerning drug dosages, schedules, and routes of administration is accurate as of the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice advance, however, therapeutic standards may change. For this reason and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of a physician who is directly involved in their care or the care of a member of their family.

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Copyright © 2016 American Psychiatric Association

ALL RIGHTS RESERVED

Manufactured in the United States of America on acid-free paper 19 18 17 16 15  5 4 3 2 1 Third Edition

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Library of Congress Cataloging-in-Publication Data APA Work Group on Psychiatric Evaluation, author.  The American Psychiatric Association practice guidelines for the psychiatric evaluation of adults / APA Work Group on Psychiatric Evaluation, Joel J. Silverman, chair, [and eleven others]. — Third edition.   p. ; cm.  Practice guidelines for the psychiatric evaluation of adults.  Includes bibliographical references.  ISBN 978-0-89042-465-0 (pbk. : alk. paper)  I. Silverman, Joel J., contributor. II. American Psychiatric Association, publisher. III. Title. IV. Title: Practice guidelines for the psychiatric evaluation of adults.  [DNLM: 1. Adult. 2. Mental Disorders—diagnosis—Practice Guideline. 3. Interview, Psychological—methods—Practice Guideline. WT 150]  RC469  616.89075—dc23                                            2015022857

British Library Cataloguing in Publication Data A CIP record is available from the British Library.