Tranquility Counseling
Patient Name: _______________________________ MR# ________________
1. PRESENTING PROBLEMS / PRECIPITATING EVENTS:
PRESENTING PROBLEM / HISTORY OF PRESENTING PROBLEM: (Chief complaint and presenting problem, including recent events and history leading to admission into treatment)
2. FAMILY HISTORY:
FAMILY OF ORIGIN HISTORY (Including siblings and relationship history to present with family of origin)
HOW HAS YOUR SUBSTANCE ABUSE/PSYCHIATRIC PROBLEMS AFFECTED YOUR FAMILY OF ORIGIN?FAMILY OF ORIGIN HISTORY OF SUBSTANCE ABUSE AND/OR MENTAL ILLNESS: DENIES
FAMILY HISTORY OF MEDICAL ILLNESS:
SPIRITUAL OR RELIGIOUS HISTORY/ASSESSMENT (CLINICAL IMPRESSIONS-):
RELIGIOUS BACKGROUND / CURRENT LEVEL OF ACTIVITY, INCLUDING UPBRINGING AND VALUES WITHIN FAMILY OF ORIGIN, CHOICE AND HOW IT MIGHT HAVE AFFECTED IDENTITY
CURRENT SPIRITUAL BELIEFS AND PRACTICES: (Including belief in higher power / spirit)
DO YOU MEDITATE? YES NO
HAS YOUR SUBSTANCE ABUSE/MENTAL ILLNESS AFFECTED SPIRITUAL/RELIGIOUS ASPECTS OF LIFE? IF YES, EXPLAIN HOW. DENIES
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