Therapist's Guide to Clinical Intervention - Sigmund Freud

S.O. Relationships and History of Chemical Use:
Effects of CD on Family/Support System:
Daily Activities that: A. Support Abstinence:
B. Encourage Usage:
History of Sexual/Physical Abuse (victim/abuser):
Sexual Orientation:
Education:
Vocational History:
Leisure/Social Interests:
Current Occupation:
Current Employer:
Impact of CD use on Job Performance:
EAP? Yes No Name:
Socioeconomic/Financial Problems:
Phone:
Legal: DWI: Yes No Court Ordered: Yes No
Patient's Perceptions of Strengths and Weaknesses:
Chemical Dependency Psychological Assessment 183