Outcome evaluation Assessment of Therapeutic Effects

Effective interviewing skills and a therapeutic relationship with the patient are essential to assessing response to treatment. Understand the particular symptom profile and needs of individual patients. These become the primary therapeutic monitoring parameters. In addition to the clinical interview, some clinicians utilize symptom rating scales such as the Young Mania Rating Scale (YMRS) for mania and the Hamilton Depression Rating Scale (Ham-D, discussed in the chapter on depression). Check serum concentrations of mood stabilizing drugs as a guide to dosage adjustment for optimal efficacy. The frequency of follow-up visits depends on response, tolerability, adherence, and other factors.

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