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ANAMNESE DE PSICOLOGIA

Nome:
Idade:
Sexo:
Religio:
Data de Admisso:
1) ESTADO EMOCIONAL GERAL
auto controle auto estima ansiedade depresso informe sobre a doena informe
sobre o tratamento relao com a doena estrutura emocional bsica defesas
predominadas ruptura psictica
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2) SEQELAS EMOCIONAIS
perdas separaes bitos internaes acidentes cirurgias tratamentos
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3) TEMPERAMENTO EMOCIONAL OBSERVADO
introvertido extrovertido acentuado compensado
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4) POSTURA FRENTE DOENA E VIDA
tendncia positiva tendncia negativa
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5) ESTADO ATUAL FRENTE DOENA/HOSPITALIZAO/VIDA
negao barganha aceitao revolta depresso ganho secundrio
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6) COMO ERA O PACIENTE/ROTINA ANTES DE ADOECER
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7) COMO SE DEU O DIAGNSTICO/ACIDENTE
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8) MUDANAS NO COMPORTAMENTO DO PACIENTE/DINMICA FAMILIAR
APS O APARECIMENTO DA DOENA
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9) AVALIAO PSICOSSOCIAL
infncia (composio familiar, relao com os pais, vivncia, acontecimentos relevantes)
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10) EXAME PSQUICO


1 conscincia 2 senso percepo 3 pensamento 4 linguagem 5 memria
6 inteligncia/consignao 7 afetividade/humor
8 motivao/volio
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11) MANIFESTAES PSQUICAS E COMPORTAMENTAIS
CARACTERSTICAS
INTENSIDADES
baixa mdia alta

baixa mdia alta

baixa mdia alta

CULPA

PROJEO

NEGAO

ISOLAMENTO

RAIVA

DESAMPARO

HOSPITALIDADE

PNICO

FANTASIAS

DESCONFIANA

FANTASIAS
MRBIDAS
FRUSTRAO

DESPERSONALIZAO

IMPOTNCIA

FRACASSO

ESTRESSE
PSICORGNICO
AGITAO
PSICOMOTORA
HOSPITALISMO

REGRESSO

AGRESSIVIDADE

ANSIEDADE
RELIGIOSA
CONFUSO
MENTAL
INADEQUAO

DEPENDNCIA

MEDO REAL

TIMIDEZ

CONFORMISMO

MEDO IMAGINRIO

DESINIBIO

INSEGURANA

AMBIGIDADE

AUTO
PUNIO
ABANDNICO
SEM
AUTONOMIA
CONFLITO
SEXUAL
CONFLITOS
QUANTO
A
PRIVACIDADE
PRIVAO DA
LIBERDADE
LIMITAO
DAS
ATIVIDADES
HIPOCONDRIA

12) DIAGNSTICO PSICOLGICO/HIPTESES DIAGNSTICAS


a) FOCOS PRINCIPAIS
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b) CONDUTA
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c) SNTESE
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TCNICO RESPONSVEL - CRP