INFORME CLINICO PSICOLOGICO Y DIAGNOSTICO DE PRUEBAS PROYECTIVAS

Anamnesis o Historia Clínica:

I- Identificación

Nombre ______________________________________

Edad_________

Sexo___

Estado Civil___________

Ocupación____________________

II- Motivo de Consulta

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III-Antecedentes Personales:

Tòxicos_____________________________________________________________

Traumàticos_________________________________________________________

Quirùrgicos__________________________________________________________

Psicològicos__________________________________________________________

Psiquiàtricos__________________________________________________________

Rasgos de personalidad

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IV- Antecedentes Familiares:

Relación Paterno- Filial______________________________________________________

Relación Materno- Filial_____________________________________________________

Relación Fraterna___________________________________________________________
Dinámica Familiar___________________________________________________________

Factores Hereditarios o Congénitos_____________________________________________

V- Análisis parcial de resultados de la prueba

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VI- Diagnóstico descriptivo

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VII- Conclusiones y Recomendaciones

Pronostico_______________________________________________________________________

Intervención o Tratamiento

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