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Case Present

 

 
Case Present


Case Presentation Format for Psychology Fellows

Fridays - 8:00 - 11:00 am or TBA

Group Supervisor: Jeff Baker, Ph.D.

Individual Case Supervisor:

 

Fellow: DATE:

I. Identifying Data:

Age/Ethnicity/Sex/Marital Status/Employment/Previous Counseling or Therapy/Previous Hospitalizations

 

II. Confidentiality:

The following report may contain sensitive information subject to misinterpretation by unauthorized individuals. Nonconsensual redisclosure by individuals not associated with UTMB-Galveston is prohibited.

 

III. Identification and Referral:

IV. Presenting Concerns:

V. Relevant History:

Family

Family History of Psychiatric Problems

Previous School/Employment Performance

Suicidal Ideations/Attempts

Interpersonal Relationships

 

VI. Assessment Instruments Administered:

VII. Case Conceptualization (Results & Interpretation):

Psychological Deficits/Strengths

Stressors

Cognitive Skills

Environment/Culture

VIII.  Evidence Based Data

Citations/Lit Search

IX. DSM-IV:

Axis I

Axis II

Axis III

Axis IV

Axis V

 

X. Summary & Recommendations:

Strategies

 

XI. Questions/Issues:

 
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