Your patient has a new partner. But she doesn’t seem happy.

You’ve treated her for years. You know she’s been abused before. You want to ask the right questions—but the latest Preventive Services Task Force (USPSTF) review was lukewarm:

Screening tools don’t reduce violence. Quality of life doesn’t improve.

So what now?

We looked past the headlines. Here's what helps.

Start with framing: “Because domestic violence is so common, I ask everyone...”

Use inclusive language—say “partner,” not “husband” or “boyfriend.”

Choose tools carefully: HITS is fast and reliable.

And most importantly, don’t rush the rescue.

Leaving an abusive relationship too soon can increase the risk of harm.

Bottom line:

The USPSTF is right—the tools aren’t perfect.

But your tone, timing, and trust-building? That’s where the work happens.

Want the full breakdown?

Our article on Intimate Partner Violence (IPV) includes exact scripts, assessment tips, and guidance on what not to document—and why.

How do you screen when the tools fall short?

And what’s helped you build safety without pushing too hard?

(From the Sept 2023 issue of The Carlat Psychotherapy Report.)

Join the conversation on LinkedIn with Dr. Carlat