Comprehensive Evaluation Note Template

https://video-alexanderstreet-com.ezp.waldenulibrary.org/watch/mother-and-daughter-a-cultural-tale

 

 

Document the following for the family in the video, using the Comprehensive Evaluation Note Template:

  • Chief complaint
  • History of present illness
  • Past psychiatric history
  • Substance use history
  • Family psychiatric/substance use history
  • Psychosocial history/Developmental history
  • Medical history
  • Review of systems (ROS)
  • Physical assessment (if applicable)
  • Mental status exam
  • Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5diagnostic criteria
  • Case formulation and treatment plan
  • Include a psychotherapy genogram for the family

Note: For any item you are unable to address from the video, explain how you would gather this information and why it is important for diagnosis and treatment planning.

 

 

 

PLEASE INCLUDE INTRODUCTION AND CONCLUSION

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