Drug Abuse Assessment

Psychiatric Diagnostic Evaluation

Identifying Information

            Name: John Doe                                             Date of Interview: May 30, 2015

Sex: Male                                                        Date of Report: May 23, 201

Date of Birth: October 21, 1977                    Referral Source: Spouse

            Age: 38

Reason for Referral

While under the influence acted out. Made acts of abuse towards his wife. Had been making strides into quitting the addiction but had gone under withdraw.

History of Problem

Used narcotics like crack, cocaine, and marijuana heavily in the past. Had been caught twice with possession of the narcotics and once while under the influence.

Chief Complaint

Reason for entry into care was pushed by wife and in the patient’s own words “I thought I could control the problem but its apparent I need help”.  The patient will be sent to rehab to finally quit the habits.