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  Option 1:

LEVEL OF PERSONALITY FUNCTIONING

Indicate the level of personality functioning that most closely characterizes the patient:

 _____  0 - No Impairment

 _____  1 - Mild Impairment

 _____  2 - Moderate Impairment

 _____  3 - Serious Impairment

 _____  4 - Extreme Impairment

 

TYPE MATCH PROFILE

Indicate the degree to which the patient matches each of the following types:

Antisocial/Psychopathic:        

5 (very good)     4 (good)        3 (moderate)       2 (slight)        1 (no)

Avoidant:                             

5 (very good)     4 (good)        3 (moderate)       2 (slight)        1 (no)

Borderline:                            

5 (very good)     4 (good)        3 (moderate)       2 (slight)        1 (no)

Obsessive-Compulsive:         

5 (very good)     4 (good)        3 (moderate)       2 (slight)        1 (no)

Schizotypal:                          

5 (very good)     4 (good)        3 (moderate)       2 (slight)        1 (no)

 

 

TRAIT PROFILE

List traits scored as 3 (Extremely descriptive):

______________________________________________________________________________

List traits scored as 2 (Moderately descriptive):

______________________________________________________________________________

 

 

PERSONALITY DISORDER (301.xx) 

Does the patient meet the general criteria for personality disorder?      _____ NO  _____ YES

 

 

 

 

 

  Option 2: 

LEVEL OF PERSONALITY FUNCTIONING

Indicate the level of personality functioning that most closely characterizes the patient:

_____  0 - No Impairment

_____  1 - Mild Impairment

_____  2 - Moderate Impairment

_____  3 - Serious Impairment

_____  4 - Extreme Impairment

 

 TRAIT PROFILE

List traits scored as 3 (Extremely descriptive):

______________________________________________________________________________

List traits scored as 2 (Moderately descriptive):

______________________________________________________________________________

 

TYPE MATCH PROFILE

Indicate the degree to which the patient matches each of the following types:

 

Antisocial/Psychopathic:        

5 (very good)       4 (good)        3 (moderate)       2 (slight)        1 (no)

Avoidant:                              

5 (very good)       4 (good)        3 (moderate)       2 (slight)        1 (no)

Borderline:                            

5 (very good)       4 (good)        3 (moderate)       2 (slight)        1 (no)

Obsessive-Compulsive:         

5 (very good)       4 (good)        3 (moderate)       2 (slight)        1 (no)

Schizotypal:                          

5 (very good)       4 (good)        3 (moderate)       2 (slight)        1 (no)

 

PERSONALITY DISORDER (301.xx)

Does the patient meet the general criteria for personality disorder?      _____ NO  _____ YES 

 

Please provide comments below on the comparison of these two personality assessment formats.

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