Summarize a case conceptualization of your client in an 8- to 10-page paper that includes:
From the biopsychosocial assessment client interview (do not use a Biopsychosocial form):
- Identifying information
- Description of client
- Presenting problem
- History of problem
- Social history
- Family history
- School history
- Work history
- Spiritual
- Cultural information
- Legal
- Trauma history/abuse
- Suicidal/homicidal
- Health and wellness history
From your interview with the client about their cultural background:
- What are the multicultural and pluralistic characteristics of your client?
- What is the impact of their heritage on their current worldview?
- What impact does their history and background have on the way they view the world today?
- What are characteristics of their help-seeking behaviors?
- Keeping their culture in mind, how are they actually looking to receive help (proactive/reactive)?
- How can they be assessed?
From the biopsychosocial assessment/clinical documentation:
Mental Status
- Activity
- Mood and affect
- Thought process, content, and perception
- Cognition, insight, and judgment
Case Summary
- Legal and ethical
- Cultural considerations
- Strengths
- Challenges
- Discussion
- Support the rationale for the diagnosis. What is your general impression?
Diagnosis
- Using the information gathered thus far, make a diagnosis using the DSM-5. Include the diagnostic title and code, as well as any specifiers.
Assessments to Support Diagnosis
- Identify any formal or informal assessments that have been used or that could be used to support a diagnosis.
Case Conceptualization
- Explain your theoretical framework for interpreting the client’s responses:
- The theory applied in this case: cognitive behavioral therapy (CBT), humanistic, Adlerian, psychodynamic, or behavioral
- How do the concepts of the theory explain the client’s symptoms and issues?
From your session notes:
- Summary of 3 clinical case notes from 3 sessions with the client.
- Plans for the future: Is this client appropriate for a group? What type of group would you refer them to, and how would you do it? What local resources are available to the client?
Ensure you maintain client confidentiality in completing this assignment.
Support your case conceptualization and clinical practice with at least 1 citation from each of these sources:
- ACA Code of Ethics
- AMCD Cultural Competencies
- current DSM
- at least 1 peer-reviewed article to support use of theory with client
- assessment instrument(s)
- state or federal laws guiding care/clinical practice
- professional sources to address the client’s unique needs, such as SAIGE, ASERVIC, ARCA disability related counseling competencies, etc.
Format your citations according to APA guidelines. Titles are required.
Submit this assignment on your assigned presentation day along with the Case Staffing Presentation and Transcription: Client B assignment about this client.
Resources
- Center for Writing Excellence
- Reference and Citation Generator
- Grammar Assistance
