Generic Mental Health Assessment



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Generic Mental Health Assessment Form

History Of Issue

Onset: When did the issue start? (the most current episode) When were you last well? Why is it worse now?

Precipitants: What circumstances change the problem? Can you identify any triggers?

Fluctuations and Modifiers: How have your symptoms changed over time? Have there been times when you are well or you suffer more?

Previous Treatments: In the past have you received any medication/therapy for the issue? Have they been effective or beneficial?

Psychiatric History: Have you ever been in contact with mental health services in the past for any other issues?

Hospital Admissions: Have you ever been admitted to a psychiatric hospital?
Self-help Methods: Have you read any books, tried alternative therapies, used helplines in regards to the issue?

Other: Is there anything else you do that helps/makes the issue worse that we have not yet discussed?





Genogram





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