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Psychological History Report
<br /> Anger,Problems (555-66-7779) 29-Nov-01
<br /> Developmental History
<br /> _> Raised by mother and stepfather. (J1,f,8%,100%)(0)
<br /> The head of his childhood household was in a clerical position (e.g., secretary, bank teller).
<br /> (J2,f,4%,100%)(0)
<br /> There was one other child in his family when he was growing up. (J3,b,32%,100%)(0)
<br /> Was the oldest child in his family. (J4,b,32%,100%)(0)
<br /> His parents went through a separation or divorce while he was living at home. (J5,b,30%,100%)(0)
<br /> Was 18 or older when he last lived with both biological parents. (J6,f,40%,100%)(0)
<br /> => His parental caretakers never struck one another. (J9,a,89%,100%)(0)
<br /> Never personally observed his parental caretakers strike one another. (J10,a,92%,100%)(0)
<br /> => No members of his immediate family have been arrested and convicted of a serious crime.
<br /> (J11,f,68%,100%)(0)
<br /> His parental caretakers never physically disciplined him to the extent that it raised marks on his body.
<br /> (J12,a,82%,100%)(0)
<br /> • His parental caretakers treated him in a way that made him feel bad about himself.
<br /> (J13,b,11%,11%)(1)
<br /> • Feels that he was abused or neglected as a child. (J14,b,5%,5%)(2)
<br /> Was never held back a grade in grammar school or high school. (J15,a,84%,100%)(0)
<br /> Graduated from high school (regular graduation). (J16,a,92%,100%)(0)
<br /> Was never suspended from high school. (J17,a,82%,100%)(0)
<br /> Was never told,when a child,that he had dyslexia. (J18,a,98%,100%)(0)
<br /> Was never treated for dyslexia as a child. (J19,a,99%,100%)(0)
<br /> Was never treated for learning disabilities or Attention Deficit Disorder, as a child. (J20,a,97%,100%)(0)
<br /> Was never treated with medication for hyperactivity or other behavior control problems, as a child.
<br /> (J21,a,99%,100%)(0)
<br /> • Experienced traumatic events or injuries during childhood or adolescence. (J22,b,6%,6%)(2)
<br /> As a teenager,
<br /> • Had anxiety problems. (J23,n,1%,1%)(2)
<br /> As a teenager, did not
<br /> Use illegal drugs. (J23,a,66%,100%)(0)
<br /> Get in trouble with the law. (J23,b,92%,100%)(0)
<br /> Have family conflicts. (J23,c,86%,100%)(0)
<br /> Skip classes. (J23,d,73%,100%)(0)
<br /> Run away from home. (J23,e,98%,100%)(0)
<br /> Get in fights. (J23,f,89%,100%)(0)
<br /> Drop out of school. (J23,g,96%,100%)(0)
<br /> Get suspended or expelled from school. (J23,h,86%,100%)(0)
<br /> Join a gang. (J23,i,99%,100%)(0)
<br /> Have eating disorders(e.g., bulimia, anorexia). (J23,j,100%,100%)(0)
<br /> Make suicide attempts or threats. (J23,k,99%,100%)(0)
<br /> Have alcohol problems. (J23,1,99%,100%)(0)
<br /> Have phobias. (J23,m,99%,100%)(0)
<br /> Have anger management problems. (J23,0,99%,100%)(0)
<br /> =>Verify with applicant • Serious admission •.Conditional DQ admission ,, Unconditional DQ admission ??Unanswered
<br /> 7/3-lititS8YLEPS PLLC PsyQ_190520 43
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