PATIENTS NAME: --------------------

DATE: JANUARY 29, 2014

MULTI-AXIAL DIAGNOSIS:
Axis I: V79.01
Axis II: V79.01
Displacement: Multiple Relationship
Axis III: Bleeding Bowel
Axis IV: Problem with Primary Support Group: Father left the Family
Axis V: GAF: 92 (intake)
GAF: 93(current)

Level of Supervision: MEDIUM

Expected Duration of Casework: WEEKS

PROBLEM IDENTIFIED OBJECTIVES PLAN OF ACTION TIME FRAME EVALUATION INDICATORS
Abandonment Issue of Client
towards Parental Figure: Father
The objective of this
activity is to help the
client be able to
realize her feelings of
hostility and sadness
towards her father
Talk Therapy
In this activity the client is
instructed to just share her
thoughts about her father. The
time she spent with him and her
feelings towards his dad
30 50 minutes Client is able to let out
her emotions
The objective of this
activity is to lessen the
hostility towards the
father and help the
client cope with her
issue
Role Play
The client is instructed to act out
how she talks to her dad if given
a chance to talk about the her
issue with him
30 min 1 hour Client shows less hostility
towards the topic about
her father and is able to
have a nice output about
her situation
After this activity the
client is able to let out
her emotions towards
her dad and find a bit
of emotional release.
Empty Chair
In this activity the client will
asked all the question she wants
to ask towards her father and
then she will be the one to
answer those questions
30 min - 1 hour Client is able to express
herself and find
emotional release
Problem in regards to Verbal
Capabilities
To help the client
improve her verbal
capabilities
Tutorial
The tutorial will range from
reading comprehension to
vocabulary
1 hour An increase in verbal
capabilities
After the exercise the
client will show
improve met in
regards to her verbal
capabilities
Verbal Exercise
The client will undergo verbal
exercise such sentence
completion and reading
comprehension
20 30 minutes An increase in verbal
capabilities
Problem in regards to Numerical
Capabilities
To help the client
improve her
numerical capabilities
Tutorial
The tutorial will range from
problem solving to mathematical
reasoning
1 hour An increase in numerical
capabilities
After the exercise the
client will be
improvement in
mathematical
capabilities
Math Notebook
The client is given exercise in
which her mathematical
capabilities are tested
20 30 minutes An increase in numerical
capabilities


Prepared by: