title: Beyond the chief complaint.
abstract: Key to the psychiatric evaluation is opening the narrative of the life events and emotional states associated with the emergence of the presenting symptoms. This is fundamental to establishing a therapeutic alliance and laying a foundation for the psychotherapeutic part of the treatment plan. Three composite case examples illustrate common patterns of such discovery in a psychotic illness, panic disorder, and depression.
authors.affiliation: Case Western Reserve University and Cleveland Psychoanalytic Center.
authors.forename: Norman A
authors.initials: NA
authors.lastname: Clemens
mesh_terms: D000328:Adult; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D016584:Panic Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D011613:Psychotherapy / Q000379:methods*; D012307:Risk Factors; D013315:Stress, Psychological / Q000150:complications* / Q000523:psychology; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology*