Please enable JavaScript.
Coggle requires JavaScript to display documents.
PSYCHOLOGICAL ASSESSMENT 8/4/2020 AR - Coggle Diagram
PSYCHOLOGICAL ASSESSMENT 8/4/2020 AR
CHIEF COMPLAIN
It refers to the actual problem and reason for the visit.
HISTORY OF PRESENT ILLNESS
The symptoms of the problem affecting the patient. When did start, and what triggers the problem
PAST PSYCHIATRIC HISTORY/PSYCHOLOGICAL HISTORY
Any history of psychotic, depressive, anxiety, panic, obsessive, and similar psychological symptoms.
PAST MEDICAL HISTORY
History of significant diseases, or medical conditions the patient had in the past and still affecting the patient.
PAST SURGICAL HISTORY
The history of any surgeries the patient had in the past.
ALLERGIES
Any medical or food allergy the patient has.
CURRENT MEDICATIONS
The total of medications and dosages, the patient is currently taking .
PAST MEDICATIONS
The medications the patient was taking in the past, and the reason for them to be stopped.
DRUG/ALCOHOL ASSESSMENT
The history of any addiction to drugs, smoking, alcohol, or any other stimulant such as caffeine and other stimulants.
SUICIDAL/HOMICIDAL IDEATION
History of suicidal and homicidal thoughts and the plan for those.
ABUSE ASSESSMENT
History of any physical, sexual, or emotional abuse by others to the patient.
FAMILY/SOCIAL HISTORY
Data about the patient 's family and social history
FAMILY HISTORY OF MENTAL ILLNESS
History about any psychiatric or mental illness in the family
EMPLOYMENT
Jobs history ( how many jobs, How many quits, how many times been fired, any problems with others, etc )
EDUCATION
The patient's level of education and highest grade of education, and any discipline problems at school.
CURRENT LEGAL STATUS
Any legal problems such as parole, probation, jail history, pending charges, or guardian.
DEVELOPMENTAL HISTORY
Data about the patient's developmental history such as where the patient was born, normal birth or not, number of siblings, childhood history,parents, relationships etc.
SPIRITUAL ASSESSMENT
Religion or , and spiritual practices by the patient..
CULTURAL ASSESSMENT
Any issues that affected the ethnic,and cultural background of the patient.
COPING SKILLS
How the patient copes with stressful situations or problems.
FINANCIAL ASSESSMENT
Data about the patient's financial situation, and what the patient do for a living.
INTEREST AND ABILITIES
The patient's hobbies, what is he/she good at, and what gives the patient pleasure.
MENTAL STATUS EXAM
Any abnormalities in: the patient's orientation, and appearance.