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Anamnese Completa Adulto Paciente
Anamnese Completa Adulto Paciente
Anamnese Completa Adulto Paciente
CNPJ: 24.474.328/0001-08
Walace Rodrigues – Psicó logo CRP 04/44639
Doenças físicas:____________________________________________________________
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Estressores psicossociais:_____________________________________________________
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Funcionamento global:_______________________________________________________
Histórico da Queixa
Quando se iniciou:__________________________________________________________
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Eventos traumáticos de vida:__________________________________________________
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Eventos/fatores que precipitam ou agravam crises:_________________________________
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Uso de drogas?_____________________________________________________________
Tentativa de suicídio?_______________________________________________________
Focos de intervenção psicoterápica:_____________________________________________
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Relacionamentos Importantes
Conjuje:__________________________________________________________________
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Mãe:____________________________________________________________________________
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Pai:_____________________________________________________________________________
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Irmãos:__________________________________________________________________________
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Filhos:__________________________________________________________________________
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Outros importantes:_________________________________________________________
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Infância
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Outros comentários:_________________________________________________________
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Adolescência
Vida Adulta
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Situação Financeira:_________________________________________________________
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Abortos espontâneos/provocados:______________________________________________
Observações:_____________________________________________________________________
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Atendimentos Prestados
Profissional:_______________________________________________________________
Encaminhamentos Feitos:____________________________________________________
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Terapêutica Utilizada (prescrição de exercícios, leituras, relaxamento, etc.):_____________
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