McChesney
Psychiatrist’s Report for Miss Brill
Imagine Miss Brill sees a doctor or counsellor about her difficulties or problems. Imagine her as
a patient telling the doctor about her problem or conflict. Then, create a doctor’s report (using
full sentences) containing notes on,
A) her personality
B) how the “patient” deals with her difficulty, and perhaps with other people
C) making suggestions for a solution to the problem
Dr. ____________________’s Notepad
Name of Patient
_________________________
Appointment date and time
____________________
A.Previous Information supplied by this patient:
(i.e. what you know of her personality from past meetings, i.e. a character sketch)
________________________________________________________________________
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B. Information supplied this appointment:
(i.e. what is her difficulty exactly, and how does she describe dealing with it?)
________________________________________________________________________
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C.Diagnosis and recommendation for healing:
(i.e. what solutions do you suggest?)
________________________________________________________________________
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Assessment Criteria
 accurately identifies Miss Brill’s problems
 detailed description of Miss Brill’s personality with support/examples
 suggests several possible solutions
 maintains character voice (formal tone of a doctor) throughout the piece
 grammar and mechanics
TOTAL
/20 marks