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Assignment: Intake and psychological report
3-5 typewritten pages in APA. There will be 4 reports due.
It is best to choose someone with a psychiatric history (i.e. Ted Bundy, Kanye West).
Thoroughness–the written report reflects information gathered from all of the following
areas:
Introduction
(client’s first name in quotes, age, race, disability status, gender, marital status, number of children, and
any abnormal appearance),
Presenting problem
(what precisely brought the client into treatment? defined in behavioral terms with information as
to the where, when, what, and how of the problem, significant people involved and brief history of problem),
Family and social background
(describe the family’s relevant medical/psychological problems, education/career
achievements, quality of their relationships with each other and with the client, and describe the type of friendships the
client has had in the past and has currently),
Educational information and career information
(highest grade or degree achieved, past and current occupations,
grades in school, any special learning difficulties, reasons for transitions from occupation to occupation, quality of work
relationships– especially with authority figures),
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Medical/psychological history
(list drugs currently prescribed, any health problems present and past, history of
psychological treatment and client’s attitudes toward treatment), worth 10 pts
Drug/alcohol history
(list drugs used and the who, what, where, when of drug use past and present, has client
experienced: blackouts? memory lapses? early morning drug use? using the drug in increasing amounts? withdrawal
symptoms?), legal history a
Summary and conclusions
–include mention of your impressions and what you ruled out when making your
diagnosis