Case Study Assignment – JEFF
Client Concerns
Symptoms Behaviors Stressors
(Examples) Sadness Trouble sleeping Parents’ divorce
Fatigue
No appetite
Hopelessness
Client Concerns: Using a table as in the example above, identify and list the client’s symptoms and any other key issues/concerns noted. (Modify the chart size as needed.)
Assessment
Give a short (3-5 sentences) overview of the assessment, what it would help you learn about the client, and why you chose it over other assessments.
Provide the primary diagnostic impression based upon the DSM-5. Include the ICD-10 code and full name of each diagnosis.
Signs and Symptoms
DSM-5 Diagnostic Criteria: disorder name and code number Client’s Signs/Reported Symptoms:
Criterion A:
Criterion B:
Criterion C:
Criterion D:
Criterion E:
Criterion F:
List other DSM-5 conditions you considered and the process you went through to decide they were not the correct diagnosis.
Discuss theories of normal and abnormal development and/or systemic and environmental factors that affect human development, functioning, and behavior.
Discuss multicultural or social justice considerations that went into your diagnostic thought process.
Key Issues for Treatment
Top 2-3 symptoms/issues you believe are involved in the case study, in order of importance.
X
X
Identify two treatment recommendations for individual counseling based on the 2-3 key issues you identified. Cite these recommendations using peer-reviewed journal articles, focusing on the treatments a counselor would provide.
Provide one paragraph (total) responding to the questions that correspond with case study.
How do multiple diagnoses affect the decision-making process for diagnostic impressions and treatment planning?
How do you decide what disorder you might address first, or do you address both simultaneously?
How does a substance use disorder affect the process of diagnostic impressions and the order you make treatment recommendations?
