Please label each section with the following headings and follow the rubric carefully. Your paper should be APA style (There is no lower- or upper-page limit for each case write-up).
• Introduction of the client: A brief paragraph stating the demographic information and the presenting problems that led the client to treatment, as well as how the client came in (mandated, self, family).
• DSM-5-TR Diagnosis that outlines the specific criteria met and provide a strong rationale for the selected diagnosis. The client may have more than one principal diagnosis, and don’t forget the specifiers and the Z Codes. Use the most current codes in parenthesis.
• Differential Diagnoses: The process of weighing the probability of one disorder versus that of other disorder possibly accounting for a client’s illness. Be sure to list
all relevant possible diagnoses. Use DSM-5-TR specific language to provide a rationale for why you considered a particular diagnosis and, subsequently, what allowed you to rule this diagnosis out at this time.
• Brief conceptualization of the client: What hypotheses do you have about this
person? Include strengths, challenges, and cultural implications. Think holistically and consider the biological, psychological, social, and spiritual issues. What is the person’s story?
• Suggested Treatment Care Recommendations:
• Crisis needs. Be sure to take into consideration the need for a suicide/homicide assessment; the need for hospitalization; the need for an immediate medical evaluation.
• Case Management and Referral Needs such as housing, funding, vocational assistance, respite care services, referral to a psychiatrist, or medical doctor.
• Type of Therapy/Treatment Recommended. Examples: medications, individual, psychosocial rehabilitation, group, family, vocational. What is the evidenced based recommendations as well as individual creative possible interventions?
• Prognosis. What is the likely course of the illness? Will the client likely get better or will this be a chronic disorder that will require ongoing intervention?
• Self-Reflection: What issues might you have working with the client and what issues might the client have with you?
• Medications:
o What type of medication(s) might be recommended for the client? (not specific but general category).
o What side effects might these medications cause?
o What counseling advice related to medication would you need to provide?
Case #1- Conduct disorder, secondary cannabis? Differential ODD?
Case #2- bpd, major depressive recurrent moderate?
Case #3- a personality disorder, paraphelia?
Case #4- Bipolar, triticlomaia, canabis abuse, explore bipolar, rule out autism by history?
Case #5- depressive personality, generalized anxiety?
