âApplication: Cognitive-Behavioral OrientationâCase Conceptualization
Case Conceptualization
Student Name: Case Name / #:
Problem identification & definition: [1–2 paragraphs]
[Primary and contributing concerns for the client]
Contextual considerations: [1–2 paragraphs]
[What ethical, legal, cultural, or other key considerations need to be considered with this client when creating a treatment plan?]
Diagnosis
Axis I: [be sure to provide full title and code]
Axis II:
Axis III:
Axis IV:
AXIS V: GAF =
Diagnostic Comments: [1 paragraph]
[Here, provide a brief—no more than 1 paragraph—comment on the justification for your diagnosis]
Theoretical Conceptualization: [1–2 paragraphs]
[How would your selected theoretical orientation explain the primary issues for this client, and thus which interventions / treatments would be best suited for this client?]
Treatment Plan
Presenting Issue #1:
Strengths:
Barriers:
Goals:
Interventions:
Modality / Duration:
Measure of Progress:
Presenting Issue #2:
Strengths:
Barriers:
Goals:
Interventions:
Modality / Duration:
Measure of Progress:
Presenting Issue #3:
Strengths:
Barriers:
Goals:
Interventions:
Modality / Duration:
Measure of Progress:
References from Empirically Supported Research