Assignemnt 9

Client Name

Presenting Concern: Why did the client come to counseling? Include specific information about client symptoms and presenting concerns.

Case Conceptualization: Evaluate substances and/or processes (e.g., gambling) of addiction. Include demographic information. Review bio-psycho-social-spiritual factors and considerations. Assess how addiction impacts all major life areas.

Substances and Processes (amount and frequency of use):

· Alcohol:

· Illicit (street) drugs:

· Prescription drugs:

· Nicotine:

· Processes (e.g., gambling):

Demographic Information (age, marital status, race, employment status)

Biological Factors (e.g., health concerns, genetic conditions)

Psychological Factors (e.g., previous mental health diagnoses)

Social Factors (e.g., friendships, family status, cultural factors)

Spiritual Factors (e.g., religious affiliation, sense of meaning and purpose).

Impact of Use or Addiction on Major Life Areas:

Assessment: Identify and describe one (1) assessment tool to be used with this client and the rationale for selecting the assessment tool.

Diagnostic Impressions:

Note: Include the provisional diagnosis for the client and any rule-out or alternative considerations noted.

Rationale for Diagnostic Impressions: Note: Use the DSM-5-TR to explain how the client’s symptoms are reflected in the diagnostic criteria for each diagnosis that you render.

Treatment Goals: Identify three (3) initial treatment goals you are considering in working with this client and note how you will measure/know when goals are attained. Note: Significant issues will need treatment goals.

Explain Results Using MI and TTM Concepts: Specifically, what MI tools or approaches do you feel would be most helpful with this client (no more than three)? What stage of change is this client in?

Identify ASAM Criteria: Identify where the client falls on the continuum of care, and then provide evidence to support your choice.