GENOGRAM

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.

UPDATED 2026-09-23
EXAMPLEClinical mental health and substance-use genogram
Make this diagram your own.

Open it in the AI editor with a prompt pre-filled — keep what works, change what doesn't.

CASE ANALYSIS

Scenario

A behavioral health clinician maps symptoms, substance use, divorce, and supportive ties during an intake with a young adult. The genogram keeps the clinical history alongside relational context without treating either as a diagnosis of the family.

Key decisions

  • Maternal mood pattern: Helen and Amanda carry major depression condition fills.
  • Substance-use history: Brian's alcohol use disorder is separate from the mood condition color.
  • Divorced biological parents: Amanda and Brian remain connected as Zoe's parents after their divorce.
  • Relationship context: Zoe has a distant tie to Brian and a close tie to Amanda.
  • Index patient: Zoe is highlighted as the person receiving the assessment.

When to reuse this

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.

FAQ

Frequently asked questions

Why is Marcus not connected to Zoe as a parent?01
He is Amanda's later spouse, not Zoe's biological parent in this case.
What do the colored fills represent?02
They distinguish major depression, alcohol use disorder, and generalized anxiety.
What does the dashed line between Zoe and Brian mean?03
It records a distant relationship with limited contact.
Open this example in the editor →

Tweak it with chat, export PNG/SVG, or fork it for your own use case.