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Client History: Childhood

The Childhood section of the client history is comprised of childhood history and developmental challenges.

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Client History

 

 

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Childhood History

Description

Raised by

Where the client was born and raised

# of moves

Indicate if mental health issues existed for anyone present

Indicate if client was abused/neglected as a child

If so, indicate type of abuse

Indicate your assessment of the severity of childhood trauma, abuse, or neglect

Comments

Developmental

If the client had any developmental challenges as a child, describe the event type, the event, age, and add any remarks.

Assess the severity of the developmental challenges.

Add any comments or observations.
 


 

 

 

 

 

 

 

 

 

 

   

     
   

 

 

 

   

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