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Part 1: Comprehensive Client Family Assessment

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NOTE:

64 year old Caucasian male living in the long term facility. He was diagnosed with  mood disorder and major depressive disorder. Patient on sertraline 20mg twice a day. Patient was seen by psych MD and no medication was recommended. Stable at this time

Part 1: Comprehensive Client Family Assessment

With this client in mind, address the following in a Comprehensive ClientAssessment (without violating HIPAA regulations):

  • Demographic information
  • Presenting problem
  • History or present illness
  • Past psychiatric history
  • Medical history
  • Substance use history
  • Developmental history
  • Family psychiatric history
  • Psychosocial history
  • History of abuse/trauma
  • Review of systems
  • Physical assessment
  • Mental status exam
  • Differential diagnosis
  • Case formulation
  • Treatment plan

Part 2: Family Genogram

Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents).

 
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