CNCSP 101 Lecture Notes - Lecture 6: Psychomotor Agitation, Informed Consent

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Initial contact with client: why client is seeking treatment, can the client"s needs be met in this setting, use open-ended questions during intake to acquire more information. Introduce to the clinic, legal issues, and services. Intakes are more structured than a typical counseling session. Identifying data (ex: job: presenting problems (ex: client"s definition, history, severity, client"s current life situation, family history, personal history, observation of client during interview, they may not always say what they are actually feeling. Mental status exam: appearance (grooming, malnutrition, clothing, attitude/rapport, behavior / activity (psychomotor agitation, lethargy, speech, mood (client"s perspective, affect (how the client presents, perceptual disturbances (hallucinations, thought (form and content, cognition - see mini-mental status exam. Mini-mental status exam: quick way to identify cognitive impairment, orientation to person, place, and time, memory/concentration, association (analogies, ex: simple questions. Do you know where you are right now? . Can you repeat back these three words to me .

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