Norwich University Outpatient Current Case Study
Description
- Type of Visit: Outpatient, Inpatient, Crisis?
- Current Psychotherapist (If Applicable)
- Presenting Problem Age/sex
- Past Psychiatric History
- Past Psychiatric Hospitalization
- Medication History
- Current Psychotropic Medications
- Medication Compliance: Y N
- Past Psychiatric Meds Trialed
- Other Medications
- Medical History
- Allergies
- Illnesses
- Surgeries
- Head Trauma
- Last Physical Exam:
- Family and Social History
- Employment
- Legal History
- Developmental History:
- Parents:
- Number of Siblings:
- Number of Children:
- Relationships:
- Highest Level of Education:
- Sleep:
- Diet (Meals and Water Intake):
- Substance Abuse and Addiction History
- Tobacco:
- Caffeine:
- Ethol:
- Marijuana
- Other:
- Family History of Psychiatric / Substance Abuse Problems:
- Self-Harm / Aggression History:
- Slap:
- Trauma History:
- Prescriber’s Evaluation
- Mental Status Exam:
- Appearance:
- Behavior:
- Speech:
- Affect:
- Mood:
- Thought Process:
- Thought Content:
- SI/HI:
- V/H, A/H:
- Laboratory Test Ordered (If Applicable):
- Recommendations for Client
- Formulated Diagnosis (Please Provide Evidenced from The Literature That Support Your Selection of the Diagnosis Based On Your Clients Presenting Symptoms)
- Education Provided
- Discuss the formulation of your assessment, diagnosis, and treatment.
Have a similar assignment? "Place an order for your assignment and have exceptional work written by our team of experts, guaranteeing you A results."