Southern New Hampshire University Psychology Essay
Description
Overview: One of the first steps in completing a DAP note is to fill a biopsychosocial. These assessments provide foundational information as well as a point of reference when counseling individuals with substance use disorders. The biopsychosocial form will guide you in taking background information from the client. The form generally outlines information to include; however, counselors must learn to request needed information in order to assess the needs of each individual client. In this activity, you will have a chance to complete a biopsychosocial based on your selected case study.
Prompt: Review your selected case study, then complete a biopsychosocial for your selected case study client. The information from this biopsychosocial will be used in subsequent assignments and support your final project DAP note.
Specifically, the following critical elements must be addressed. If any of these elements are NOT mentioned in the case study you have selected, be sure to note this on your form.
? Presenting Problem: This should include the client’s own words about why the services are needed and how the primary problem is affecting the client, including behavioral, cognitive, emotional, and physiological symptoms. Analyze the life span of the client for appropriate sexual development.
? Family History: This should include biological family members; describe what it was like growing up in this family, and include substance abuse and psychiatric history of family members if appropriate.
? Biological History: This should include illnesses, surgeries, and medications. Note any current medical problems, physical disabilities, and/or eating disorders.
? Substance Use History: This should include any substances the client is currently using as well as any withdrawal symptoms reported by the client.
? Recommendations: This narrative section pulls all of the information together, with a clinical opinion about what the primary issues are and what should be done to address them. Also, state potential referrals to rehabilitation, intensive outpatient programs (IOPs), and so on that are appropriate at this time.
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