Template library · Assessments & screeners
PTSD Structured Interview Guide template
Guide for a structured clinical interview assessing PTSD symptom clusters.
Clinician-administered structured interview outline
- 17 fields across 4 sections
- Included with MyWellOps
- Edit it, or save your own version
What’s in it
Assessment Details
- Client NameText
- Date of BirthDate
- Client ID / MRNText
- Date of AssessmentDate
- Clinician / CoachText
- Location / ModalityText
Symptom Clusters
- Intrusion symptoms (memories, dreams, flashbacks)Text
- Avoidance symptomsText
- Negative alterations in cognition and moodText
- Alterations in arousal and reactivityText
- Duration and onset of symptoms relative to the traumaText
Risk Flags
- Dissociative symptoms presentTick box
- Comorbid substance useTick box
- Suicidal ideation presentTick box
- Significant functional impairmentTick box
Signatures
- Clinician SignatureSignature
- Date signed (clinician)Date
When to use it
Use an assessment at the start of work to set a baseline, then repeat it at review points so you and the client can see what has changed.
How it works in MyWellOps
- Pick it from Documents.
- Send it to the client to complete, or fill it in together during a session.
- Each completed copy is kept on the client’s record, so earlier results are there to compare.
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