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Interviewing patients with mental disorders is a complex process because symptoms, emotions, cognitive deficits, and behavioral disturbances can interfere with communication. Difficult patients may include those who are hostile, suspicious, aggressive, uncooperative, emotionally distressed, manipulative, highly anxious, intoxicated, cognitively impaired, or experiencing psychosis or severe mood disorders. The interviewer must obtain accurate clinical information while maintaining rapport, ensuring safety, and preserving the patient's dignity. One major challenge is lack of cooperation. Some patients refuse to answer questions, provide incomplete information, or deliberately withhold facts because of fear, mistrust, or poor insight into their illness. Patients with psychotic disorders may be suspicious of healthcare professionals _________ _____ ___ ____ __________ ____ _______.
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