IGNOU clinical psychology internship case history format, Lab Reports of Psychology

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Case History No. – Name- Address- Age- Gender- Educational qualifications- Occupation- Income- Marital status- Patient stays with parents- Stays with spouse- Has any siblings, if so, how many- Position of the patient in the family- Anyone in the family is suffering/has suffered from any mental disorder- Anyone in the family is suffering/has suffered from any physical disorder- Presenting complaints- Date of onset of illness (the first attack)- Precipitating factor if any- Duration of illness- Intensity of illness (on a scale of 10)-

Treatment taken- Got well at any time in between; duration of such period of wellness- Was there any precipitating factor at each relapse - How many relapses- Any other treatment tried in between- What was the effect - In what ways illness causes inconvenience?

Mental status examination (MSE)

1. Appearance-
2. Movement and behavior-
3. Affect-
4. Mood
5. Speech
6. Thought content
7. Thought process
8. Cognition-

9. Judgment-
10. Insight -