Biopsychosocial Assessment

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Comprehensive biopsychosocial assessment for holistic understanding

biopsychosocial holistic assessment comprehensive

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1

Biological Factors

Medical conditions: [List]
Medications: [Current medications]
Substance use: [Alcohol/drugs/tobacco]
Sleep patterns: [Quality/duration]
Appetite: [Changes/patterns]
Energy level: [High/low/variable]

2

Psychological Factors

Mental health history: [Previous diagnoses]
Trauma history: [Experiences]
Coping mechanisms: [Current strategies]
Defense mechanisms: [Noted patterns]
Personality traits: [Observations]
Cognitive patterns: [Thought processes]

3

Social Factors

Family relationships: [Current dynamics]
Social support: [Available support]
Work/school: [Current status]
Financial situation: [Stability]
Cultural background: [Relevant factors]
Community involvement: [Activities/roles]

4

Environmental Factors

Living situation: [Current housing]
Neighborhood: [Safety/accessibility]
Transportation: [Access to transport]
Healthcare access: [Insurance/barriers]
Legal issues: [Current/past]
Stressors: [Environmental pressures]

5

Developmental History

Early development: [Milestones]
Family of origin: [Growing up]
Educational history: [School experiences]
Relationship history: [Patterns]
Career history: [Work experiences]
Significant life events: [Major events]

6

Current Functioning

Daily activities: [Routine]
Social functioning: [Interactions]
Occupational functioning: [Work/school]
Leisure activities: [Hobbies/interests]
Self-care: [Basic needs]
Quality of life: [Overall satisfaction]

How to Use This Template

1
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2
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3
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