Anamnese Terapia de Casal

ANAMNESE CASAL IDENTIFICAÇÃO:  Nome: Data de Nascimento: Religião: Endereço: Profissão: Telefone: IDENTIFICAÇÃO:  Nome: Data de Nascimento: Religião: Endereço: Profissão: Telefone:

Idade:

Email:

Idade:

Email:

MOTIVO DA CONSULT CONSULTA E HISTORICO HI STORICO !"EI#A PRINCIP PRINC IPA$: A$:  %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%% 

&' E(O$"ÇÃO DA !"EI#A: In)cio da *+ei,a:%%%%%%%%%%%%%%%%% *+ei,a:%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%  %%%%%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   -./ita o+ 0rogressi1a:%%%%%%%%%%%%%%% 0rogressi1a:%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   !+ais as m+danças *+e ocorreram2 o *+e afeto+:%%%%%%%%%%%%%%%%%%%%%%%%%% afeto+:%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%  %%%%%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   -intomas:%%%%%%%%%%%%%%%% -intomas:%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%  %   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%% 

3

 !"EI#A- -EC"ND4RIA-:  %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%% 

5I-TORIA DO CA-A$ como se con6eceram7 como se a0ai,onaram7 0ontos negati1os e 0ontos  0ositi1os  %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%  5I-T8RIA FA9I$IAR: Com0osição Familiar:%%%%%%%%%%%%%%%%%%% Familiar:%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%  Dinmica Familiar:%%%%%%%%%%%%%%%%%% Familiar:%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%  E1entos -ignificati1os:%%%%%%%%%%%%%%% -ignificati1os:%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%  %%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%  %%%% 

5I-T8RIA -OCIA$:  (ida -ocial:%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%  ;

 5r+0os:%%%%%%%%%%%%%%%%%%%% >r+0os:%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%  Rede de A0oio:%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

CONSIDERAÇÕES FINAIS:  %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%  %%%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%  %%%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%  %%%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%  %%%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%  %%%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%  %%%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%  %%%%%   %%%%%%%%%%%%%%%%%%%%%%  %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%  %%%%% 

>isele Ri/eiro >omes Rodrig+es Psic?loga CRP&@2;;B3

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