How to fill in the content of mental health files

The most important thing when filling out a mental health file is to grasp the three basic points of "truth, accuracy and confidentiality". Fill it out objectively, not beautify it, and read the confidentiality rules first before writing. There is no need to regard it as a material for evaluation and political review. It is essentially an "exclusive medical record" of your mental state. The core is to serve as a reference for subsequent intervention or evaluation.

When I was rotating at the psychological support center of the district education bureau, I met several children who fell into trouble. I was afraid of being treated differently by my classmates and teachers when filling out the files when entering high school. I deliberately concealed all sensitive information such as family history of mental illness and childhood violence in schools. Later, when an acute panic attack occurred in school, the psychology teacher who contacted me could not find the past history, and it took several days of detours to find the right direction for intervention. The children suffered a lot for no reason.

Nowadays, many people are struggling with whether to truthfully fill in negative states and sensitive medical history. In fact, there have always been two voices in the industry: one group of practitioners insists that all information related to the psychological state must be written in order to help service providers accurately judge risks and provide appropriate intervention plans; the other group will also remind users to fill in the information based on scenarios. After all, many people nowadays The confidentiality mechanism of files has not been kept up. If it is an open file that needs to be submitted for job hunting or public examination and can be retrieved by multiple departments, those personal trauma histories that do not affect public safety or normal performance of duties can indeed be concealed as appropriate. After all, there are indeed cases where some units use psychological screening results to block people. Reasonable self-privacy protection is also necessary.

For objective information columns in general files, such as age, previous psychiatric visits, family medical history, and whether you have experienced suicide/self-injury, etc., as long as you are sure that they will only be seen by professional psychologists and have signed a formal confidentiality agreement, you can fill it in truthfully. There is no need to be embarrassed, and there is no need to deliberately exaggerate the symptoms to attract attention. If it is a self-completed scale, choose based on your true state in the week before filling in the scale. Don't always subconsciously think "I should be positive" and forcefully select options that do not meet the requirements. I have dealt with a 985 doctoral student before. When he was about to graduate, he cried for no reason every day and could not sleep all night. When filling out the school's psychological screening scale, he chose "good mood and normal sleep". He missed the school's free intervention quota and ended up being hospitalized for moderate depression, which delayed his graduation time.

If you are filling in an interview record that needs to be confirmed with the consultant, you can ask to read the content again after filling it out. If you feel that the record is inconsistent with your expressed feelings, you can make changes on the spot and confirm that there is no problem before signing. After all, if this file is stored in a formal institution, it may be retained for several years, so don't sign it in a daze. To put it bluntly, filling out a psychological profile is similar to going for an eye exam. The more accurate you describe your feelings, the more suitable the "plan" you get will be. If you lie for the sake of face, you will be the one who feels uncomfortable in the end.