Intake/Psychological Report Theodore Robert Bundy
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),
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
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Summary and conclusions
–include mention of your impressions and
what you ruled out when making your diagnosis
