Social history

1. Source of income.

2. Level of education, relationship history (including marriages, sexual orientation, number of children); individuals that currently live with patient.

3. Support network.

4. Current alcohol or illicit drug usage.

5. Occupational history.

H. Developmental history. Family structure during childhood, relationships with parental figures and siblings; developmental milestones, peer relationships, school performance.

II. Mental status exam. The mental status exam is an assessment of the patient at the present time. Historical information should not be included in this section.

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