- Demographic Information: (1/2 page) 5 pts
• Name, age, gender, occupation, marital status, etc. - Family history: choose information pertinent to diagnosis (1-¬2 paragraphs) 5 pts
• Developmental/Psychosocial history ∙ Family & relationships ∙ Current living & support situation ∙ Employment history ∙ Legal history ∙ Medical/surgical/psychiatric history - Description of symptoms/behavioral problems: (1 page) 5 pts
• Example, drug use (drug dependence, both psychedelic & psychotropic drugs), impulsive behavior, etc. - Type of assessment tools (use at least 2 assessment tools in addition to a clinician interview, I prefer 2+ and include rationale for each assessment tool (NEED 3 total)) (1 paragraph) 6 pts
• Projective/personality inventory/intelligence tests, etc. - Diagnoses (majority of points are given here) 13 pts
• Section 2 of DSM V has the disorders and criteria for diagnosing - Recommendation /Treatment plan (provide rationale for rec/tx plan) 10 pts
• Should be 2 + pages
• explain responses for diagnoses and treatment plan. Who will be involved?
• Hospitalization
• How long in psychiatric hospital/setting?
• Medications (antidepressant, antianxiety, etc.)
• How many milligrams, how many times a day, for how long?
• Therapy (type of therapy, process of therapy techniques)
• Ex. Behavioral/ Psychoanalysis/Group, etc.
• Techniques ex. In-vivo, dream analysis, EMDR, etc.
• How many times a week?
• How long in therapy, 2, 6, 9, months?