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James Morrison First Interview Analysis

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James Morrison First Interview Analysis
Reflection on First Interview
Sensitive Subjects The area of sensitive subjects as defined by James Morrison in The First Interview (2014) includes five topics. The first topic I broached was regarding substance use. The subject of alcohol use does not bring up issues for me except that I struggled to know if I should probe more or not when we initially talked about his drinking. I was unsure of myself because I did not readily remember the amounts of alcohol that would indicate a concern. In the end, my instinct was that it was not a problem for him now, so I left it where it was. I asked about any other substance use which did not bring up any issues for me. I was reasonably comfortable asking about sexual orientation. I was relieved
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I just enjoy knowing people. I almost always can develop a positive regard for the person sitting across from me, especially when I hear their story.
Areas of Clinical Interest The seven areas of clinical interest are key signposts during the first interview. During this interview, Al did not demonstrate any confusion, delusions, memory defects, speech that was difficult to follow, etc. In contrast, Al showed insight when discussing his anxiety at work when he stated, “how am I going to find out how to figure this out…It’s a good anxiety.” No indications of cognitive problems or psychosis were present. When discussing substance use, Al did state that he does have alcohol on occasion. He explained that typically “if I go, grab beers with friends; I’ll probably limit myself to three beers.” Recently he reported that “I get there and I have like one beer and I’m just exhausted…I just want to go to bed.” Al did not report any personal, occupational, or social consequences regarding any current substance use. In response to questions about his mood, Al did describe it as “reactive” and “short-tempered.” Also, he stated: “on those days that I have the energy or the desire to go, sometimes after 20 minutes, I’m already frustrated…like I’d rather be alone

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