ee : Cant Progress ( Iafermationsl Netetian A Ae iS bY i Dynamic Behavioral Coasaiciag Re ae Bi HAV EAR Al 1975 FE. Serrise Bivd, Subte $32 4 ~ d Bie : = Ft Lawderdads, Plarkie 33364-1413 a CONSULTING Piychatherany « Lvaivabons 1 Comudtahons Cent Oe eee Seve pie = Jalizle MT WTHRSASL Serre laes vidual Session (] Family Session Time BjS am /pm ACS wu i pam, Sesston #: Doretion: whey minutes beh eres 0 A”. nisl eee - ef "face-tn Des [7] belaghanic “oF ee i f r & . rs x! = _ 7 Oe _ MOOD, (23 clenr Roepe reed? a as _ ; amen mi ; —— ~] mel Calm Lert ysnic [To] Cheerfetfiepey see] ertale Arp breedimg fig) Feartul/Ameins [TT] DeprensedSad ig Tearful Qtr ja fees L] Peswentic 7 |} Neutra I ‘| (aber. exyaicin = a APEBCT, (check anses ~ Eo) Apece nepereste [Ty teappeopme 7 LY Lite TET Bruenize:| I [z ] Wanted / Restrcied mer f | LJ Slightly irnteenar | LY Urknown 4 - on (telegtianic yun} SESSIQNCONTENT: ee Fe: Ce aT. Nag .\ St tire tee Pr dnearal in @ GS tn tel clarnend Panubsan — Geerese oe Oe PS Oe a La. ee: : ! Ee Os eee i roe am ha bebutedton ote aa a win ect ah RL. yore. Ve? nia Ft Revscretraiatee: Phos. Pease ne ante Pune ae “Stil tartan Lm lt: of “ypurerey Fees atcawl? algthch usikhe aan theeduscos ol mil \ of dP ie Aes 1 Aes BPC CN BE ee Oe Pe ee aaanloles cach TW: FEDS. 7 RS Re wT i aa PSYCHOTHOPIC MEDICATION: fcvue ond ote ud al ups Oe AD ae al Was panent sgn Jor pspomevar evaluation dy anderngned pedloe prescribed pychotropee mesic atewa by a pay ciara Dut | present!» non-compliare? [7] ¥ CIN Comment _ . _ 4 fs pulled camrent taking psychaecupic merccabsonit ET YCI6 Tyee? Dosage: : Compliast as presented? (JNA CVE NCormes . j MOTIVATION FOR TREATMENTCHANGE: oe 7 . Tl teghty moivared CY Reasonably motrcrind ] Pumty mutivated Ej Gemcivmd DISPOSITION, eaibdilieameals Conteuc Treauien! 7) Terminalion of Freannes [] Refer $a paychfalrist * other prowader ‘ Reasa Other: i Se . —— Wt Aarne Dh Di seroliy, Unapeert cal kayerns azo, Pay D. Od tree, ’ Lata Pep cholagla OF Y 76