Are you familiar with SOAP notes? The S and O are Subjective and Objective. One thing I don't see from your description is a separation or clarification about what is subjective and what is objective. For example, the patient's "self-concept mode" which I'm reading refers to "level of anxiety, involvement in self-care, relationship with family and friends and general outlook" sounds like it is all subjective (if we are simply talking asking the patient, "What is your level of anxiety?" and so forth). I think it is important to clearly distinguish what is subjective and objective, which seems to be lacking (at least from your description).