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Genogram · Mental health · Substance use

Clinical mental health and substance-use genogram

This medical genogram example combines mental health history, substance use, family structure, and relationship quality in one clinical view. Zoe is the index patient, with anxiety recorded alongside a maternal pattern of depression and a paternal alcohol use disorder.

Type GenogramStandard McGoldrick, Gerson & Petry (2020)Engine schematex-genogramUpdated 9/22/2026
Clinical mental health history
Drawing preview
The request

“Create a clinical medical genogram for Zoe, born 1999, with generalized anxiety and mark her as the index person. Her mother Amanda and maternal grandmother Helen have major depression. Zoe's biological father Brian has alcohol use disorder; Amanda and Brian divorced in 2004, and Zoe has limited contact with him. Amanda remarried Marcus in 2008. Zoe has a brother Luke and a close relationship with Amanda.”

Then tryAdd a close relationship between Zoe and Marcus.Change Zoe's relationship with Brian to cutoff.
What is in this drawing

Read the decisions behind it.

01Maternal mood pattern

Helen and Amanda carry major depression condition fills.

02Substance-use history

Brian's alcohol use disorder is separate from the mood condition color.

03Divorced biological parents

Amanda and Brian remain connected as Zoe's parents after their divorce.

04Relationship context

Zoe has a distant tie to Brian and a close tie to Amanda.

05Index patient

Zoe is highlighted as the person receiving the assessment.

Use this clinical genogram for an intake that needs both family mental health history and present relational context. It should be updated collaboratively as the patient's history is clarified.

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FAQ

Common questions

Why is Marcus not connected to Zoe as a parent?

He is Amanda's later spouse, not Zoe's biological parent in this case.

What do the colored fills represent?

They distinguish major depression, alcohol use disorder, and generalized anxiety.

What does the dashed line between Zoe and Brian mean?

It records a distant relationship with limited contact.