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Case Conceptualization

This document outlines the key parts of a case conceptualization: (1) a one paragraph summary of the client and presenting problem, (2) a one paragraph description of nondynamic factors like family history and medical issues, (3) a paragraph or two conceptualizing the client's substance use disorder and why/how it developed and is maintained, (4) three paragraphs discussing issues/themes and resistance to watch for, therapeutic interventions to use, and risks to relapse and the counselor's prevention plan.

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100% found this document useful (1 vote)
6K views1 page

Case Conceptualization

This document outlines the key parts of a case conceptualization: (1) a one paragraph summary of the client and presenting problem, (2) a one paragraph description of nondynamic factors like family history and medical issues, (3) a paragraph or two conceptualizing the client's substance use disorder and why/how it developed and is maintained, (4) three paragraphs discussing issues/themes and resistance to watch for, therapeutic interventions to use, and risks to relapse and the counselor's prevention plan.

Uploaded by

kiwifire520
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
  • Part II: Description of Nondynamic Factors: Requires description of pertinent factors such as demographics and medical history.
  • Part III: Formulation: Guides the writing of a paragraph predicting the development of problems and maintaining processes.
  • Part IV: Predicting Responses to Therapeutic Situation: Instructs on how to predict client responses to therapeutic recommendations in three paragraphs.
  • Part I: Summarizing Statement: Instructs to summarize the client's identity and presenting problem in one paragraph.

Outline of the Case Conceptualization Part I: Summarizing Statement In one paragraph identify the client and the presenting

problem.

Part II: Description of Nondynamic Factors In one paragraph, describe genetic or biological factors related to the substance use. Include family history, medical sequelae, and psychiatric dx.

Part III: Formulation Write a paragraph or two describing your conceptualization of the patient. With regard to your theory, conceptualize this client and his substance use disorder. Why did he develop his substance use disorder? What supported (maintained) the disorder? Give examples from the session.

Part IV: Predicting Responses to the Therapeutic Situation (Write three paragraphs.) In the first paragraph, describe the issues or themes the counselor will want to watch for, related to the dynamic formulation. Also, describe what forms of resistance the counselor should watch for.

In the second paragraph, describe what sorts of therapeutic interventions the counselor might plan to use in response to the issues/themes and the resistance.

In the third paragraph, describe the threats to his recovery or risks to relapse, and the counselors plan to help the client prevent relapse.

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