Assess the clients presenting for psychotherapy


Assignment:

Learning Objectives Students will:

• Assess clients presenting for psychotherapy

• Develop genograms for clients presenting for psychotherapy

To prepare:

• Select a client whom you have observed or counseled at your practicum site.

• Review pages 137-142 of the Wheeler text and the Hernandez Family Genogram video in Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected.

The Assignment

Part 1: Comprehensive Client Family Assessment With this client in mind, address the following in a Comprehensive Client Assessment (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).

Required Readings:

(1) Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

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