Intial MHC Assessment

Intial MHC Assessment - InitialMentalHealth...

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    Initial Mental Health  Counseling Assessment  Using the DSM IV-TR C6432 Diagnosis of Pathology Argosy University Jim Messina, Ph.D.
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    Step in formulating an initial  tentative diagnosis 1. Do a thorough Psychosocial  History 2. Do a Mental Status Examination 3. Develop a Multiaxial Diagnosis  using the DSM-TR-IV
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    In History First: Establish - WHY NOW? You must be able to describe the  presenting problem Listing specific symptoms and  complaints which would justify  diagnosis You must be able to list the duration of  the symptoms or at least estimate the  duration
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    Second: Review client’s mental  health history Previous treatment for mental health  problems? Hospitalization for psychiatric  conditions? As child involved in family therapy? Treatment for substance abuse  problems-outpatient or inpatient?
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    Third: Determine if client is on  any psychotropic medications What medications? Level of prescription? Who prescribed medications? For what are the medications  prescribed?
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    Fourth: Review client’s relevant  medical history What is current overall physical  health of client? When was last physical? Is there anything currently or in the  past medically accounting for this  current mental health complaint?
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  Fifth: Review client’s family  history Do a genogram of the family Identify psychosocial stressors  within the family structure
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This note was uploaded on 02/19/2011 for the course PSYC 202 taught by Professor Kosslyn during the Spring '09 term at George Mason.

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Intial MHC Assessment - InitialMentalHealth...

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