Case Presentation Review

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CasePresentationTemplate2ndClient.docx

Case Presentation Template

Student Name

School of Behavioral Sciences, XXXXX University

Author Note

Student Name https://orcid.org/#####

I have no conflicts of interests to disclose.

Correspondence concerning this paper should be addressed to Student Name, 1971 University Blvd., City, State zip. Email: student@xxxxxxxx.edu

1

CASE PRESENTATION TEMPLATE 1

Case Presentation Template

Part 1 – Assessment and Diagnosis Identifying Information

Identifying Data

Date of Initial Assessment:

PSEUDO Name:

Age:

Gender:

Sexual Orientation:

Race/Ethnicity:

Marital Status:

Employment Status:

Reason for Referral/Presenting Problem

Text here

Source of Information: Text here

Background, Family Information, and Relevant History

Text here

Problem and Counseling History

Text here

Diagnostic Impression

Principal diagnosis:

Diagnosis 2 or z-code:

Diagnosis 3 or z-code:

Differential Diagnosis:

Discussion of Diagnostic Impression

Text here

Part 2 – Case Conceptualization: Inverted Pyramid Model (IPM)

STEP 1: IDENTIFY AND LIST CLIENT CONCERNS AND ANY OTHER PROBLEM AREAS

Text here

Text here

STEP 2: ORGANIZE CONCERNS INTO LOGICAL THEMATIC GROUPINGS

Theme Used

Text here

STEP 3: THEORETICAL INFERENCES:

ATTACH THEMATIC GROUPINGS TO INFERRED AREAS OF DIFFICULTY

Text here

STEP 4: NARROWED INFERENCES AND DEEPER DIFFICULTIES

Text here

Narrative of the Case Conceptualization

Text here

Part 3 – Treatment Planning/Integration/Counseling Theory

Treatment Plan

Problems

Goals for Change

Objectives & Therapeutic Interventions

Outcome Measures of Change

Integration

Text here

Personal Model of Counseling

Text here

References

Provide all references here (at least five)

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CasePresentation2ndClient1.pptx

Malcolm X

Hard Knocks University

Case Presentation 2nd Client

29yo male

African American

Heterosexual

Married

No children

Masters in education

School teacher

Christian

Struggling with anxiety, depressed mood, and familial discord

No mental health history

Occasionally drinks alcohol

No legal history

Demographic Information/ Bio-Psycho-Social-Spiritual (10th visit)

Depressed mood

Sexual trauma

Feelings of anxiousness

Lacks focus

Sleep disturbances

Disinterested in previously enjoyed activities

Isolation

Low self-esteem

Low motivation

Fear

Presenting Concerns/Problems

DSM-5-TR diagnosis (provisional)

F43.10 Posttraumatic stress disorder PTSD)

F41.1 Generalized anxiety disorder (GAD)

Z61.3 Events resulting in loss of self-esteem in childhood

Z62.4 Emotional neglect of child

Differential Diagnosis

Major depressive disorder (MDD) as client meets the symptoms of at least 5 of the criterion but lacks frequency

Diagnostic Impression

Depressed mood

Feelings of anxiousness

Worry/fear

Relational discord (family)

Tearful spells

Relational discord (friends)

Irritability

Low motivation

Low self-esteem

Feelings of worthlessness

Grief

Sexual trauma

Sleep disturbances

Lack of focus

Self-isolation

Fatigue

Case Conceptualization/Inverted Pyramid Step 1 (wide net)

Sexual trauma (college)

Depressed mood

Anxiety

Fear

Clinically significant impairment in social (familial/friend) functioning

Supports the assigned diagnoses (PTSD, GAD, Z61.3 [low self-esteem], Z62.4 [childhood emotional neglect]).

Inverted Pyramid Step 2 (thematic groupings)

Gestalt Therapy

Empty chair techniques

Here and now

Maladaptive thoughts

Negative thoughts surrounding sexuality

Feelings of worthlessness (don’t have anything good to offer)

Self-confidence issues (never been validated by father).

Maladaptive behaviors

Self-sabotage

Inverted Pyramid Step 3 (Gestalt Therapy/CBT)

Deepest negative distortions

Continued self-blame (MDD)

Unresolved familial discord (MDD)

Suicidality

Inverted Pyramid Step 4 (deeper issues)

Treatment Plan

F43.10 Posttraumatic stress disorder

Client will increase self-efficacy by the engagement in self-affirming exercises.

Client will reduce overall stress by engaging in exposure to stress-producing stimuli

Client will improve self-awareness by practicing grounding techniques.

Clinician will provide psychoeducation on EMDR therapy

F41.1 Generalized anxiety disorder

Client will reduce overall stress by engaging in exposure to stress-producing stimuli

Client will reduce feelings of anxiousness by engaging in square breathing.

Z61.3 Events resulting in loss of self-esteem in childhood

Client will reduce self-doubt by authoring a minimum of three self-affirming statements and meditating on them daily

Client will increase self-efficacy by participating in the empty chair exercise during session.

Z62.4 Emotional neglect of child

Client will reduce harmful thoughts through finding closure by way of the empty chair technique

Treatment Plan (continued)

ACA code A.4.b (personal values) governs the clinician on not imposing their values onto the client (ACA, 2014).

Victim advocacy

Strained relationship with father.

Christian values

ACA code C.2.b charges the clinician to operate within their scope of practice (ACA, 2014)

EMDR therapy

Ethical Considerations

Client disclosed that being a teacher makes him prone to solution-focused culture. His treatment goals may require a modality layered approached for the highest efficacy rate.

Sexuality

Religiosity

Multicultural Components

American Counseling Association. (2014). 2014 ACA code of ethics. https://www.counseling.org/knowledge-center

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders: DSM-5 TR (5th ed. Text Revision). American Psychiatric Press, Inc. Retrieved from Psychiatry Online | DSM Library (liberty.edu).

References

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CasePresentationAssignmentInstructions2.docx
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CasePresentationExample2ndClient.docx
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