Abpsy

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Chief Complaint

Reason for Referral: [Client’s stated reason for seeking help]


Can you tell me more about the reason you’re here today?
She don’t know what she feels, and what to do.
What brings you to see me today?
She wanted to see me to seek help.
Could you describe the problem you’re facing?
She’s not feeling well like she can’t sleep well that her body clock is not healthy for her and she
can’t eat on time. Lastly she feels always tired that the point she has dysfunction.
Duration of Symptoms: [How long has the client been experiencing these symptoms?]
When did you first notice these symptoms?
She feels the symptoms a few year ago since COVID-19 or the pandemic came.
How often do you experience these symptoms?
Every she feels tired and exhausted, that the main reason is the school activities.

Severity of Symptoms: [How much do these symptoms interfere with the client’s daily life?]
How severe are these symptoms on a scale of 1-10?
5
Do these symptoms interfere with your daily life in any way?
Yes, definitely.
Have you tried any self-help strategies or treatments for this problem?
Yes, like turning off her all social medias account that help her to relax and not to socialize.
What are your expectations for therapy
It will help her to have better routine in her life now.

V. Anamnesis

Family
Are you a legitimate Child?
Pang ilan ka sa mag kakapatid?
Kumusta ang pagiging middle child?
Extended family kaba?
May history ba kayo ng mental illness?

Prenatal
Pinalaglag kava nung bata ka?
Kumusta nanay while pinag bubuntis ka?
Planned kaba of unplanned?
Yung parents mo ba ay may bisyo?
San ka pinanganak home or hospital?

Childhood
What age ka nag salita and maglakad?
What age nag ka crush?
Kumusta naging childhood mo?
If u have a chance para bumalik sa childhood mo ano ang babalikan mo,

Social
Ilan friend mo?
San kayo gumagala?

Educational
Achiever ka ba?
nag stop kaba or ano mga challenges mo?
Like, na bully or nang bully kaba?

Religion
Ano religion mo noon and ngayon, ano nag palipat kaba?

Relationship
Bf or gf hetero ba or homo.
If meron gaano na kayo katagal?
Ano usual na ginagawa nyo?
Paano kayo nag de date? And ano pinagaawayan nyo?

Sexual
Ilan na body count mo and sino ano nakauna?
Galing ba sa abuse or mutual decisions?
Gaano kadalas?
7
Medical
May history ba accident or surgery

Legal
Nakulong kaba?

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