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go to the Argosy website to complete all readings before beginning the assignment at: www.argosy.edu Or you can google: Argosy University User ID: dwonluvcj Password: Chancyj11 Click on Diagnosis and treatment plan and launch class to read modules 1,2,3, 4, and 5. And answer the following in APA format: Remember this is a doctoral level assignment. You must complete the template and the chart in full detail at the back of the assignment. Please make sure you are consistent with the approach based on the attachments and what has been previously turned in about eliott. so before doing anything you need to look at all the attachments. it is critical that you are detailed oriented and answer all portions of the temeplate in complete sentences. remember this is doctoral level. I am available any time should you have questions: This is the assignment” Assignment 3: Clinical Project Paper Part 3 The Clinical Project Paper involves a review of a case vignette and completion of a project with four different sections that will be worked on throughout the course and will be submitted all together in Module 7. Your Clinical Project Paper consists of four sections, and Part 3 will be submitted for this assignment. Part 3: Intake Report & Treatment Plan (4 pages) 1. You will analyze your selected case vignette to develop an Intake Report,which includes a detailed Treatment Plan. utilize the Intake Report Template. 2. Complete the following sections on the Intake Report Template: Identifying Information, Presenting Concern(s), Situational Stressors, Mental Status Exam/Observations (Symptoms of Impaired Functioning), Client’s Strengths and Assets, Diagnosis (on all 5 axes), Differential Diagnosis, Theory-Based Case Conceptualization, and Treatment Plan. This section of the Clinical Project Paper should be an approximately 4-page Microsoft Word document, and APA style should be used to cite all references. Name your assignment as Assignment 3 Grading Criteria: Proficient Maximum Points Analyze case to complete the Intake Report Template section: Identifying Information. CO: 3 The Identifying Information section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts. Analyze case to complete the Intake Report Template section: Presenting Concern(s). CO: 3 The Presenting Concern(s) section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts. Analyze case to complete the Intake Report Template section: Situational Stressors. CO: 3 The Situational Stressors section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts. Analyze case to complete the Intake Report Template section: Mental Status Exam/Observations (Symptoms of Impaired Functioning). CO: 3 The Mental Status Exam/Observations section of the Intake Report was clear, complete and correct. Included at least 6 components from the options listed in the “Mental Status Exam” section of the template. 12 pts. Analyze case to complete the Intake Report Template section: Client’s Strengths and Assets. CO: 3 The Client’s Strengths and Assets section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts. Analyze case to complete the Intake Report Template section: Diagnosis (on all 5 axes). CO: 2 The Diagnosis (on all 5 axes) section of the Intake Report was clear, complete and correct. 12 pts. Analyze case to complete the Intake Report Template section: Differential Diagnosis. CO: 2,3 The Differential Diagnosis section of the Intake Report was clear, complete and correct. Numerous supporting details were drawn from the case. 12 pts. Analyze case to complete the Intake Report Template section: Theory-Based Case Conceptualization. CO: 3 The Theory-Based Case Conceptualization section of the Intake Report was clear, complete and correct. Several details were drawn from the case and specific concepts/terms from the selected theory were utilized appropriately. 16 pts. Analyze case to complete the Intake Report Template section: Treatment Plan. CO: 3 The Treatment Plan section of the Intake Report was clear, complete and correct, utilizing the Treatment Plan Template. Treatment Plan included at least two measurable goals for treatment and corresponding objectives and interventions, with all required components. 22 pts. Total 122 pts. C7458 Clinical Project Paper Introduction and Expectations Setting As doctoral students, one of your constant challenges is to demonstrate accuracy in diagnosis of your clients as well as to investigate the current research and look for new treatments, interventions, and the efficacy of outcomes for certain populations with certain disorders. Sound theory, knowledge of current empirical research, and integration of that theory and research into practice is the foundation for all sound professionals, and this distinguishes great clinicians from merely good clinicians. The Clinical Project Paper for this course will assist you as you progress from the role of a doctoral student to that of a competent diagnostic clinician. This project provides you with an opportunity to integrate your learning and to showcase a collection of your work from this class in the areas of diagnosis, theory, and treatment planning. This paper consists of review of a case vignette and completion of a project with four different sections that will be worked on throughout the course and will be submitted all together in Module 7. Your Clinical Project Paper will be comprised of the following four sections. Part 1: Diagnosis Section (3-4 pages) This section of the paper should contain: 1. A brief diagnosis of the case in the vignette provided (Axis I and/or II) 2. Identify: numeric code(s), full name of the diagnosis(es), and any relevant specifiers. 3. Include a summary of the recent literature and research on specific factors associated with this particular diagnosis in clients similar to the one in your selected vignette (e.g., gender, age, other factors). (1-2 pages) 4. Summary of the literature on effective treatments for this diagnosis (you may note medication if relevant, but the focus of the literature summarized should be treatment strategies implemented by mental health professionals). (2 pages) Part 2: Theory Section (2-3 pages) This section should explain the following from the framework of the selected counseling theory: 1. A clinician’s perspectives on the fundamental assumptions and key concepts about counseling. 2. Goals of therapy. 3. Structure of the therapy process. 4. Role of the therapist. 5. Curative factors and mechanisms of change. 6. Influence of your theoretical orientation on your diagnosing and treatment planning abilities. Part 3: Intake Report & Treatment Plan (4 pages) • You will analyze your assigned case vignette to develop an Intake Report, which includes a detailed Treatment Plan. Utilize the Intake Report Template provided as Appendix B to this syllabus. • Complete the following sections on the Intake Report Template: Identifying Information, Presenting Concern(s), Situational Stressors, Mental Status Exam/Observations (Symptoms of Impaired Functioning), Client’s Strengths and Assets, Diagnosis (on all 5 axes), Differential Diagnosis, Theory-Based Case Conceptualization, and Treatment Plan. Part 4: Critique of the DSM (1-2 pages) • Read the article: Zur, O., & Nordmarken, N. (2010). DSM: Diagnosing for money and power — Summary of the critique of the DSM. Retrieved from: http://www.drzur.com/dsmcritique.html • You may or may not agree with some or all of the points mentioned in the article. Regardless, you are to express briefly your reaction to this article, discussing any of the criticisms of the DSM system with which you agree. • Assess and describe how any of the criticisms of the DSM in this article are specifically relevant for the case vignette for the Clinical Project Assignment. Your final product will be in a word document and be approximately 10-13 pages in length and utilize 9-10 scholarly sources in your research. Your paper should be written in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation. You will start work on the Clinical Project Paper for this course in Module 1 and submit your final project with all four sections of Diagnosis, Theory, Intake/Treatment, and DSM Critique in Module 7. You will have the opportunity in Modules 2, 3, 5, and 6 to receive feedback from the Facilitator which you will incorporate for your final submission in Module 7. The specific activities you will perform in each module are: • Module 1: You will be introduced to the clinical project and provided with clarification relative to the tasks you need to perform through Modules 2 to 7. • Module 2: You will identify and develop an appropriate diagnosis based on the person in the case vignette, and you will submit the Diagnosis Section of your Clinical Project Paper. • Module 3: You will decide the theoretical orientation that you will use in your Clinical Project Paper and submit the Theory Section of your paper. • Module 4: No Clinical Project Paper deliverables are due this week. • Module 5: Using the Intake Report Template you will submit your Intake Report and Treatment Plan section of your Clinical Project Paper. • Module 6: You will submit your Critique of the DSM section of your Clinical Project Paper based on the Zur & Nordmarken (2010) article. • Module 7: You will submit your completed Clinical Project Paper with the four Diagnosis, Theory, Intake/Treatment, and DSM Critique sections while incorporating all of the feedback that you received on each of them from the Facilitator in Weeks 2, 3, 5, and 6. • No Clinical Project Paper deliverables are due in Week 8. Assignment 3: Clinical Project Paper Part 3 The Clinical Project Paper involves a review of a case vignette and completion of a project with four different sections that will be worked on throughout the course and will be submitted all together in Module 7. Your Clinical Project Paper consists of four sections, and Part 3 will be submitted for this assignment. Part 3: Intake Report & Treatment Plan (4 pages) 1. You will analyze your selected case vignette to develop an Intake Report,which includes a detailed Treatment Plan. Click here to Download and utilize the Intake Report Template. 2. Complete the following sections on the Intake Report Template: Identifying Information, Presenting Concern(s), Situational Stressors, Mental Status Exam/Observations (Symptoms of Impaired Functioning), Client’s Strengths and Assets, Diagnosis (on all 5 axes), Differential Diagnosis, Theory-Based Case Conceptualization, and Treatment Plan. This section of the Clinical Project Paper should be an approximately 4-page Microsoft Word document, and APA style should be used to cite all references. Name your assignment as M5_A3_LastName_Intake_Treatment.doc and submit to the Dropbox by Thursday, March 27, 2014. Assignment 3 Grading Criteria: Proficient Maximum Points Analyze case to complete the Intake Report Template section: Identifying Information. CO: 3 The Identifying Information section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts. Analyze case to complete the Intake Report Template section: Presenting Concern(s). CO: 3 The Presenting Concern(s) section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts. Analyze case to complete the Intake Report Template section: Situational Stressors. CO: 3 The Situational Stressors section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts. Analyze case to complete the Intake Report Template section: Mental Status Exam/Observations (Symptoms of Impaired Functioning). CO: 3 The Mental Status Exam/Observations section of the Intake Report was clear, complete and correct. Included at least 6 components from the options listed in the “Mental Status Exam” section of the template. 12 pts. Analyze case to complete the Intake Report Template section: Client’s Strengths and Assets. CO: 3 The Client’s Strengths and Assets section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts. Analyze case to complete the Intake Report Template section: Diagnosis (on all 5 axes). CO: 2 The Diagnosis (on all 5 axes) section of the Intake Report was clear, complete and correct. 12 pts. Analyze case to complete the Intake Report Template section: Differential Diagnosis. CO: 2,3 The Differential Diagnosis section of the Intake Report was clear, complete and correct. Numerous supporting details were drawn from the case. 12 pts. Analyze case to complete the Intake Report Template section: Theory-Based Case Conceptualization. CO: 3 The Theory-Based Case Conceptualization section of the Intake Report was clear, complete and correct. Several details were drawn from the case and specific concepts/terms from the selected theory were utilized appropriately. 16 pts. Analyze case to complete the Intake Report Template section: Treatment Plan. CO: 3 The Treatment Plan section of the Intake Report was clear, complete and correct, utilizing the Treatment Plan Template. Treatment Plan included at least two measurable goals for treatment and corresponding objectives and interventions, with all required components. 22 pts. Total 122 pts. APPENDIX B INTAKE REPORT TEMPLATE C7458 DIAGNOSIS AND TREATMENT PLANNING Identifying Information Presenting Concern(s) Situational Stressors Mental Status Exam/Observations This section might include any of the following: descriptions of the client’s appearance, grooming, and hygiene (e.g., normal, disheveled, body odor, bad breath) motor activity (e.g., relaxed, restless, pacing, sedate, catatonic, psychomotor retardation, tremors, tics), interpersonal style (e.g., cooperative, resistant, defensive), speech (e.g., normal, pressured, slow), mood (e.g., normal, euphoric, irritable, anxious, elevated, depressed, angry), affect (e.g., restricted, labile, flat, broad, inappropriate), orientation (to person, place, date/time), estimated intelligence (average, above average, below average), attention (normal, distractible, hypervigilant), concentration (e.g., normal, brief), memory (e.g., normal, abnormal), thought processes (e.g., normal, blocking, loose associations, confabulation, flight of ideas, ideas of reference, grandiosity, paranoia, magical thinking, obsessions, perseveration, delusions, depersonalization, suicidal ideation, homicidal ideation). Client’s Strengths and Assets (Most clients have strengths that will assist them in their treatment process.)   DIAGNOSIS: AXIS I: AXIS II: AXIS III: AXIS IV: AXIS V: CURRENT PAST DIFFERENTIAL DIAGNOSIS– Discuss the disorders or groups of disorders that you initially considered in the process of determining the selected diagnosis, including your rationale for considering each of these. Explain how you decided to either rule out or to select each of these in your final diagnosis. THEORY-BASED CASE CONCEPTUALIZATION–Using your selected theory, provide a theoretically grounded case conceptualization for the client (i.e., explain the client’s background and presenting concerns in the context of the required theoretical framework) TREATMENT PLAN — Include at least two measurable goals for treatment and corresponding objectives and interventions. Be sure these are consistent with the selected theory. Utilize the format below. PROBLEM (include problem and specific symptoms or indicators of problem) TREATMENT GOALS (based on presenting concerns) TREATMENT OBJECTIVES (what will the client do to meet the treatment goals; who does what, how often, with what resources; modality, frequency, duration?) TREATMENT INTERVENTIONS/PLAN (what the counselor will do to assist the client) Case Vignette: Elliott Elliott is a 67-year-old man who recently retired as the president of a large company where he had worked for the last 25 years. The Board of Trustees held a testimonial dinner for him during his last week at work. At the dinner, several speakers stood up to praise his wise leadership of the company during difficult economic times. Elliott thanked them all for their kind words and explained that he was looking forward to relaxing and doing nothing for the next several months. One Board member yelled, “Sure Elliott, you’re going to sit home and knit for six months!” The audience laughed, and Elliott smiled. Elliott spent the next couple of days cleaning out his office. He began to feel a little depressed when he noticed that his secretary and staff were already accommodating to his departure. They were polite but seemed somewhat distant and were preparing for the new president. On his last day, Elliott walked around the main office and personally said good-bye to everyone. One administrator commented, “I wish I could retire and play golf all day like you.” Elliott smiled but felt a queasy sensation in the pit of his stomach accompanied by some anxiety. He went home that night feeling mildly depressed and anxious about what he would do for rest of his life. The next morning he woke up early, had breakfast, and went to his club to play golf with three business colleagues. The group played nine holes of golf, showered, and had lunch. When they finished, Elliott suggested they take a walk. One of the men laughed and said, “You’re a free man, Elliott. We’re still part of the daily grind. I have to go back to the office.” The men left, and Elliott took a short walk around the grounds of the club. He felt restless and irritable. That night he had little appetite for dinner and experienced difficulty falling asleep. He woke up at 4:30 A.M. feeling anxious, worried, and depressed about his future. Elliott avoided the club and his business friends for several weeks. He sat home and watched television, but he found it difficult to sit still for more than a few minutes. Elliott’s wife observed her husband’s behavior for several weeks. She suggested they take a vacation or visit their children. Elliott was not interested. Finally, one night at dinner, she said, “I think you’re upset about retiring. You need to find something useful to do with your life.” Elliott was irritated at first by her comments and then nodded. “This isn’t what I expected retirement to be like,” he said.

go to the Argosy website to complete all readings before beginning the assignment at:

www.argosy.edu

Or you can google: Argosy University

User ID: dwonluvcj
Password: Chancyj11

Click on Diagnosis and treatment plan and launch class to read modules 1,2,3, 4, and 5.

And answer the following in APA format:

Remember this is a doctoral level assignment. You must complete the template and the chart in full detail at the back of the assignment. Please make sure you are consistent with the approach based on the attachments and what has been previously turned in about eliott. so before doing anything you need to look at all the attachments. it is critical that you are detailed oriented and answer all portions of the temeplate in complete sentences. remember this is doctoral level. I am available any time should you have questions:

This is the assignment”

Assignment 3: Clinical Project Paper Part 3
The Clinical Project Paper involves a review of a case vignette and completion of a project with four different sections that will be worked on throughout the course and will be submitted all together in Module 7. Your Clinical Project Paper consists of four sections, and Part 3 will be submitted for this assignment.
Part 3: Intake Report & Treatment Plan (4 pages)
1. You will analyze your selected case vignette to develop an Intake Report,which includes a detailed Treatment Plan. utilize the Intake Report Template.

2. Complete the following sections on the Intake Report Template:
Identifying Information, Presenting Concern(s), Situational Stressors, Mental Status Exam/Observations (Symptoms of Impaired Functioning), Client’s Strengths and Assets, Diagnosis (on all 5 axes), Differential Diagnosis, Theory-Based Case Conceptualization, and Treatment Plan.
This section of the Clinical Project Paper should be an approximately 4-page Microsoft Word document, and APA style should be used to cite all references. Name your assignment as

Assignment 3 Grading Criteria: Proficient Maximum Points
Analyze case to complete the Intake Report Template section: Identifying Information.
CO: 3 The Identifying Information section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts.
Analyze case to complete the Intake Report Template section: Presenting Concern(s).
CO: 3 The Presenting Concern(s) section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts.
Analyze case to complete the Intake Report Template section: Situational Stressors.
CO: 3 The Situational Stressors section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts.
Analyze case to complete the Intake Report Template section: Mental Status Exam/Observations (Symptoms of Impaired Functioning).
CO: 3 The Mental Status Exam/Observations section of the Intake Report was clear, complete and correct. Included at least 6 components from the options listed in the “Mental Status Exam” section of the template. 12 pts.
Analyze case to complete the Intake Report Template section: Client’s Strengths and Assets.
CO: 3 The Client’s Strengths and Assets section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts.
Analyze case to complete the Intake Report Template section: Diagnosis (on all 5 axes).
CO: 2 The Diagnosis (on all 5 axes) section of the Intake Report was clear, complete and correct. 12 pts.
Analyze case to complete the Intake Report Template section: Differential Diagnosis.
CO: 2,3 The Differential Diagnosis section of the Intake Report was clear, complete and correct. Numerous supporting details were drawn from the case. 12 pts.
Analyze case to complete the Intake Report Template section: Theory-Based Case Conceptualization.
CO: 3 The Theory-Based Case Conceptualization section of the Intake Report was clear, complete and correct. Several details were drawn from the case and specific concepts/terms from the selected theory were utilized appropriately. 16 pts.
Analyze case to complete the Intake Report Template section: Treatment Plan.
CO: 3 The Treatment Plan section of the Intake Report was clear, complete and correct, utilizing the Treatment Plan Template. Treatment Plan included at least two measurable goals for treatment and corresponding objectives and interventions, with all required components. 22 pts.
Total 122 pts.

C7458 Clinical Project Paper
Introduction and Expectations Setting
As doctoral students, one of your constant challenges is to demonstrate accuracy in diagnosis of your clients as well as to investigate the current research and look for new treatments, interventions, and the efficacy of outcomes for certain populations with certain disorders. Sound theory, knowledge of current empirical research, and integration of that theory and research into practice is the foundation for all sound professionals, and this distinguishes great clinicians from merely good clinicians.
The Clinical Project Paper for this course will assist you as you progress from the role of a doctoral student to that of a competent diagnostic clinician. This project provides you with an opportunity to integrate your learning and to showcase a collection of your work from this class in the areas of diagnosis, theory, and treatment planning.
This paper consists of review of a case vignette and completion of a project with four different sections that will be worked on throughout the course and will be submitted all together in Module 7. Your Clinical Project Paper will be comprised of the following four sections.
Part 1: Diagnosis Section (3-4 pages)
This section of the paper should contain:
1. A brief diagnosis of the case in the vignette provided (Axis I and/or II)
2. Identify: numeric code(s), full name of the diagnosis(es), and any relevant specifiers.
3. Include a summary of the recent literature and research on specific factors associated with this particular diagnosis in clients similar to the one in your selected vignette (e.g., gender, age, other factors). (1-2 pages)
4. Summary of the literature on effective treatments for this diagnosis (you may note medication if relevant, but the focus of the literature summarized should be treatment strategies implemented by mental health professionals). (2 pages)
Part 2: Theory Section (2-3 pages)
This section should explain the following from the framework of the selected counseling theory:
1. A clinician’s perspectives on the fundamental assumptions and key concepts about counseling.
2. Goals of therapy.
3. Structure of the therapy process.
4. Role of the therapist.
5. Curative factors and mechanisms of change.
6. Influence of your theoretical orientation on your diagnosing and treatment planning abilities.
Part 3: Intake Report & Treatment Plan (4 pages)
• You will analyze your assigned case vignette to develop an Intake Report, which includes a detailed Treatment Plan. Utilize the Intake Report Template provided as Appendix B to this syllabus.
• Complete the following sections on the Intake Report Template:
Identifying Information, Presenting Concern(s), Situational Stressors, Mental Status Exam/Observations (Symptoms of Impaired Functioning), Client’s Strengths and Assets, Diagnosis (on all 5 axes), Differential Diagnosis, Theory-Based Case Conceptualization, and Treatment Plan.
Part 4: Critique of the DSM (1-2 pages)
• Read the article:
Zur, O., & Nordmarken, N. (2010). DSM: Diagnosing for money and power — Summary of the critique of the DSM. Retrieved from: http://www.drzur.com/dsmcritique.html
• You may or may not agree with some or all of the points mentioned in the article. Regardless, you are to express briefly your reaction to this article, discussing any of the criticisms of the DSM system with which you agree.
• Assess and describe how any of the criticisms of the DSM in this article are specifically relevant for the case vignette for the Clinical Project Assignment.
Your final product will be in a word document and be approximately 10-13 pages in length and utilize 9-10 scholarly sources in your research. Your paper should be written in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.
You will start work on the Clinical Project Paper for this course in Module 1 and submit your final project with all four sections of Diagnosis, Theory, Intake/Treatment, and DSM Critique in Module 7. You will have the opportunity in Modules 2, 3, 5, and 6 to receive feedback from the Facilitator which you will incorporate for your final submission in Module 7. The specific activities you will perform in each module are:
• Module 1: You will be introduced to the clinical project and provided with clarification relative to the tasks you need to perform through Modules 2 to 7.
• Module 2: You will identify and develop an appropriate diagnosis based on the person in the case vignette, and you will submit the Diagnosis Section of your Clinical Project Paper.
• Module 3: You will decide the theoretical orientation that you will use in your Clinical Project Paper and submit the Theory Section of your paper.
• Module 4: No Clinical Project Paper deliverables are due this week.
• Module 5: Using the Intake Report Template you will submit your Intake Report and Treatment Plan section of your Clinical Project Paper.
• Module 6: You will submit your Critique of the DSM section of your Clinical Project Paper based on the Zur & Nordmarken (2010) article.
• Module 7: You will submit your completed Clinical Project Paper with the four Diagnosis, Theory, Intake/Treatment, and DSM Critique sections while incorporating all of the feedback that you received on each of them from the Facilitator in Weeks 2, 3, 5, and 6.
• No Clinical Project Paper deliverables are due in Week 8.

Assignment 3: Clinical Project Paper Part 3
The Clinical Project Paper involves a review of a case vignette and completion of a project with four different sections that will be worked on throughout the course and will be submitted all together in Module 7. Your Clinical Project Paper consists of four sections, and Part 3 will be submitted for this assignment.
Part 3: Intake Report & Treatment Plan (4 pages)
1. You will analyze your selected case vignette to develop an Intake Report,which includes a detailed Treatment Plan. Click here to Download and utilize the Intake Report Template.

2. Complete the following sections on the Intake Report Template:
Identifying Information, Presenting Concern(s), Situational Stressors, Mental Status Exam/Observations (Symptoms of Impaired Functioning), Client’s Strengths and Assets, Diagnosis (on all 5 axes), Differential Diagnosis, Theory-Based Case Conceptualization, and Treatment Plan.
This section of the Clinical Project Paper should be an approximately 4-page Microsoft Word document, and APA style should be used to cite all references. Name your assignment as M5_A3_LastName_Intake_Treatment.doc and submit to the Dropbox by Thursday, March 27, 2014.
Assignment 3 Grading Criteria: Proficient Maximum Points
Analyze case to complete the Intake Report Template section: Identifying Information.
CO: 3 The Identifying Information section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts.
Analyze case to complete the Intake Report Template section: Presenting Concern(s).
CO: 3 The Presenting Concern(s) section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts.
Analyze case to complete the Intake Report Template section: Situational Stressors.
CO: 3 The Situational Stressors section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts.
Analyze case to complete the Intake Report Template section: Mental Status Exam/Observations (Symptoms of Impaired Functioning).
CO: 3 The Mental Status Exam/Observations section of the Intake Report was clear, complete and correct. Included at least 6 components from the options listed in the “Mental Status Exam” section of the template. 12 pts.
Analyze case to complete the Intake Report Template section: Client’s Strengths and Assets.
CO: 3 The Client’s Strengths and Assets section of the Intake Report was clear, complete and correct. Several details were drawn from the case. 12 pts.
Analyze case to complete the Intake Report Template section: Diagnosis (on all 5 axes).
CO: 2 The Diagnosis (on all 5 axes) section of the Intake Report was clear, complete and correct. 12 pts.
Analyze case to complete the Intake Report Template section: Differential Diagnosis.
CO: 2,3 The Differential Diagnosis section of the Intake Report was clear, complete and correct. Numerous supporting details were drawn from the case. 12 pts.
Analyze case to complete the Intake Report Template section: Theory-Based Case Conceptualization.
CO: 3 The Theory-Based Case Conceptualization section of the Intake Report was clear, complete and correct. Several details were drawn from the case and specific concepts/terms from the selected theory were utilized appropriately. 16 pts.
Analyze case to complete the Intake Report Template section: Treatment Plan.
CO: 3 The Treatment Plan section of the Intake Report was clear, complete and correct, utilizing the Treatment Plan Template. Treatment Plan included at least two measurable goals for treatment and corresponding objectives and interventions, with all required components. 22 pts.
Total 122 pts.

APPENDIX B
INTAKE REPORT TEMPLATE
C7458 DIAGNOSIS AND TREATMENT PLANNING

Identifying Information

Presenting Concern(s)

Situational Stressors

Mental Status Exam/Observations This section might include any of the following: descriptions of the client’s appearance, grooming, and hygiene (e.g., normal, disheveled, body odor, bad breath) motor activity (e.g., relaxed, restless, pacing, sedate, catatonic, psychomotor retardation, tremors, tics), interpersonal style (e.g., cooperative, resistant, defensive), speech (e.g., normal, pressured, slow), mood (e.g., normal, euphoric, irritable, anxious, elevated, depressed, angry), affect (e.g., restricted, labile, flat, broad, inappropriate), orientation (to person, place, date/time), estimated intelligence (average, above average, below average), attention (normal, distractible, hypervigilant), concentration (e.g., normal, brief), memory (e.g., normal, abnormal), thought processes (e.g., normal, blocking, loose associations, confabulation, flight of ideas, ideas of reference, grandiosity, paranoia, magical thinking, obsessions, perseveration, delusions, depersonalization, suicidal ideation, homicidal ideation).

Client’s Strengths and Assets (Most clients have strengths that will assist them in their treatment process.)


DIAGNOSIS:

AXIS I:

AXIS II:

AXIS III:

AXIS IV:

AXIS V: CURRENT

PAST

DIFFERENTIAL DIAGNOSIS– Discuss the disorders or groups of disorders that you initially considered in the process of determining the selected diagnosis, including your rationale for considering each of these. Explain how you decided to either rule out or to select each of these in your final diagnosis.

THEORY-BASED CASE CONCEPTUALIZATION–Using your selected theory, provide a theoretically grounded case conceptualization for the client (i.e., explain the client’s background and presenting concerns in the context of the required theoretical framework)

TREATMENT PLAN — Include at least two measurable goals for treatment and corresponding objectives and interventions. Be sure these are consistent with the selected theory. Utilize the format below.

PROBLEM
(include problem and specific symptoms or indicators of problem) TREATMENT GOALS
(based on presenting concerns) TREATMENT OBJECTIVES (what will the client do to meet the treatment goals; who does what, how often, with what resources; modality, frequency, duration?) TREATMENT INTERVENTIONS/PLAN (what the counselor will do to assist the client)

Case Vignette: Elliott
Elliott is a 67-year-old man who recently retired as the president of a large company where he had worked for the last 25 years. The Board of Trustees held a testimonial dinner for him during his last week at work. At the dinner, several speakers stood up to praise his wise leadership of the company during difficult economic times. Elliott thanked them all for their kind words and explained that he was looking forward to relaxing and doing nothing for the next several months. One Board member yelled, “Sure Elliott, you’re going to sit home and knit for six months!” The audience laughed, and Elliott smiled. Elliott spent the next couple of days cleaning out his office. He began to feel a little depressed when he noticed that his secretary and staff were already accommodating to his departure. They were polite but seemed somewhat distant and were preparing for the new president. On his last day, Elliott walked around the main office and personally said good-bye to everyone. One administrator commented, “I wish I could retire and play golf all day like you.” Elliott smiled but felt a queasy sensation in the pit of his stomach accompanied by some anxiety. He went home that night feeling mildly depressed and anxious about what he would do for rest of his life.
The next morning he woke up early, had breakfast, and went to his club to play golf with three business colleagues. The group played nine holes of golf, showered, and had lunch. When they finished, Elliott suggested they take a walk. One of the men laughed and said, “You’re a free man, Elliott. We’re still part of the daily grind. I have to go back to the office.” The men left, and Elliott took a short walk around the grounds of the club. He felt restless and irritable. That night he had little appetite for dinner and experienced difficulty falling asleep. He woke up at 4:30 A.M. feeling anxious, worried, and depressed about his future.
Elliott avoided the club and his business friends for several weeks. He sat home and watched television, but he found it difficult to sit still for more than a few minutes. Elliott’s wife observed her husband’s behavior for several weeks. She suggested they take a vacation or visit their children. Elliott was not interested. Finally, one night at dinner, she said, “I think you’re upset about retiring. You need to find something useful to do with your life.” Elliott was irritated at first by her comments and then nodded. “This isn’t what I expected retirement to be like,” he said.

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