I Need This In 24 Hours



Review Josh’s recorded video of his intake interview with therapist Dr. Amy Wenzel, and complete the attached biopsychosocial assessment.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This assignment is informed by the following CACREP Standards:

CNL-605: Biopsychosocial Assessment Template


Client’s Name: Enter client’s name here. Date: Select or enter the date here.
DOB: Select or enter the client’s DOB here. Age: Enter the client’s age here.
Start Time: Enter the start time here. End Time: Enter the end time here.



Identifying Information:



[Enter client’s identifying information here.]



Presenting Problem/Chief Complaint:



[Enter client’s presenting problem/chief complaint here.]



Substance Use History:



[Enter client’s substance use history here.]




Addictions (i.e., gambling, pornography, video gaming):



[Enter client’s addictions here.]



Medical History/Mental Health History/Hospitalizations:



[Enter client’s medical history, mental health history, and/or hospitalizations here.]



Abuse/Trauma History:



[Enter client’s abuse/trauma history here.]



Social History and Resources:



[Enter client’s social history and resources here.]



Legal History:



[Enter client’s legal history here.]




Educational History:



[Enter client’s identifying information here.]



Family History:



[Enter client’s family history here.]



Cultural Factors:



[Enter client’s cultural factors here.]



Resources, Strengths, and Weaknesses:



[Enter client’s resources, strengths, and weaknesses here.]



Case Conceptualization (Conceptualize the case using your preferred theoretical orientation):


[Enter your case conceptualization here.]



Clinical Justification:



[Enter your clinical justification here.]



Initial Diagnosis (DSM-5):

Principal Diagnosis: ICD-10 Code: DSM-5 Disorder: Subtypes: Specifiers:
Provisional Diagnosis: ICD-10 Code: DSM-5 Disorder: Subtypes: Specifiers:


Initial Treatment Goals Informed by Theoretical Orientation (SMART Goal Format):

Goal # 1:
Objectives: Interventions: Target Date:
Goal # 2:
Objectives: Interventions: Target Date:


Student Clinician’s Name: Enter your name here. Date: Select or enter the date here.




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