Fecha:_________________

Paciente/s:___________________________

N. Sesin:________________

Motivo de consulta inicial:

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Cmo son los sntomas? Intensidad, Frecuencia, Desde cuando?Mejor o peor?

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Presencia de patologa orgnica o yatrogenia : - Factores desencadenantes: cambios, duelos

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- Entorno sociofamiliar
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- Antecedentes personales: episodios manacos, depresiones previas
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- Situaciones que empeoran o mejoran Exploracin de la esfera psicosocial:
- Creencias y expectativas
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- Contenido del pensamiento
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- Afectividad
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Ana Ruiz | Psiclogos Granada

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Personalidad_____________________________________________________________________
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Sntesis y enumeracin del (los) problema(s)

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Informacin al paciente de la naturaleza del problema

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Comprobacin de que ha entendido las explicaciones

Implicacin del paciente en la elaboracin de un plan diagnstico-teraputico:

- Acuerdos /- Negociacin / - Pactos
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Toma de precauciones

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Acuerdo final
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Prxima cita:
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