Education and Work History/Military

Using cumulative knowledge from the course, students will outline the following considerations in their assessment; provide 3 examples as to why it will be important for you as the clinician to practice emotional and self awareness in working with this client, 2 theories that correspond with the presenting concerns that you would use as a basis of intervention considerations citing 2 references to support your rationale, 2 therapeutic interventions you would consider in working with this client citing 2 references to support your rational and 3 questions you had while completing your assessment.

Students will upload their case scenario, along with the complete biopsychosocial assessment, and 3 questions you had while completing your assessment.   Students will then review 3 of their classmates scenarios, assessments and questions and will provide a sound clinical response with 3 references to support your response.

The following areas must be addressed in the assessment.

1. Demographic Data and Presenting Problem (why this client is in your office)

Date, name, age, sex, race, source of income, marital status, living arrangements, etc.

1. Family History

Brief summary of childhood, born and raised, were parents married, with whom did you live growing up, who did you feel closest to, extended family relationships, are there family members you avoid or aren’t speaking to, significant relationships, how many times married/divorced, number of children and ages.

1.  Education and Work History/Military
2.  Psychiatric and Medical History

Current medications and doses, are you taking as prescribed, history of suicidal/homicidal ideation, describe attempts, history of abuse, current stressors (deaths, divorce, financial, etc.

1.  Chemical Dependence History

First use, current use, last use, history of treatment, history of  DT’s blackouts, seizures, family history of treatment, do you smoke, physical disabilities.

1. General Appearance and Mental Status:
   1. Attention
   2. Memory
   3. Information
   4. Attitude
   5. Perceptual Disturbances
   6. Thought Content
   7. Speech
   8. Affect
   9. Willingness to participate
   10. Ability to participate
   11. Body Weight
   12. Groom/Hygiene
   13. Speech
   14. Mood
   15. Affective State
   16. Signs/Symptoms
   17. Thought Form
   18. Perception
   19. Judgment
   20. Insight
   21. Oriented to
   22. Clinical Impressions (theories with rationale) and Recommendations (interventions with rationale)

Case Scenarios (Note: The “subject” or client should be the child/adolescent in the case study)