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Client for Clinical Interview: Movie Character

Using the format described in Module 4 and the handouts in the Course Documents Module this semester you will be completing two clinical write ups. Your Clinical Interview Write Up assignment has to follow the same format as, “The Clinical Write Up” document in the Course Documents Module. The assignment needs to a maximum of two pages long, and have all 12 components that comprise an industry standard Clinical Interview Write Up that is outlined in the Course Documents Module. Please refer to the, “Sample Clinical Interview Write Up” in the Course Documents Module as an example of the appropriate format. Clinical Interview Write will be based on a fictional interview you complete with a character from a movie. Beyond the clinical symptom picture that the character presented in the movie, you can make up the rest of the report to fill out.

Clinical Interview Write Up needs to be from the list below.


Actor/Actress Character

Black Swan

Natalie Portman

Rain Man

Dustin Hoffman

Silence of the Lambs

Anthony Hopkins

As Good As It Gets

Jack Nicholson

Beautiful Mind

Russell Crowe

Silver Linings Playbook

Bradley Cooper

The Fighter

Christian Bale

Side Effects

Rooney Mara

The Notebook

Rachel McAdams

Shutter Island

Leonardo DiCaprio

Mozart and the Whale

Josh Hartnett

Fight Club

Brad Pitt/Edward Norton


Clinical Write Up Rubric (1)

Clinical Write Up Rubric (1)




Identifying Data Section

1 pts

Chief Complaint Section

1 pts

History of Presenting Illness Section

3 pts

Social History Section

1 pts

Substance History Section

1 pts

Psychiatric History Section

1 pts

Family History Section

1 pts

Medical History Section

1 pts

Mental Status Examination Section

3 pts

Formulation/Assessment Section

1.5 pts

Diagnosis Section

3 pts

Plan Section

1.5 pts

Organization of Write Up

1 pts

Total Points: 20


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