CLINICAL MENTAL HEALTH COUNSELING
MARRIAGE, COUPLES, FAMILY COUNSELING
CASE CONCEPTUALIZATION FORM
This Case Conceptualization Form will be used in several ways this quarter to assist you in developing and strengthening your ability to conceptualize cases. For the Discussions, it will be used in parts and will be based on a case study provided. For the Final, it will be completed in full and based on the client you work with in your Skills Demonstration.
FOR THE WEEK 3 DISCUSSION FORUM
1. Review the Case Study of Charlotte provided in the Week 3 Learning Resources.
2. Based on the Case Study, respond fully and in paragraph form to the prompts below.
3. Type your full responses in complete sentences and in the expandable cell within each section. The cell will lengthen as you type.
4. Once you have completed all sections of the form, copy and paste the entire document into the Week 3 Discussion Forum as your Main Post.
PART I
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Counselor name: |
Client age: |
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Client initials: |
Client race or ethnicity: |
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# of sessions with client: unknown |
Self-identified gender: |
Presenting Problem
To understand the presenting problem, describe the client past and present. Be sure to address each of the following elements:
· Demographic information
· Employment history
· Relevant legal problems
· History of counseling
· Reason for seeking counseling, according to the client
· Onset and duration of concern
· Frequency and intensity of symptoms
· What the client wants to improve
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Your discussion of the Presenting Problem should include 2–3 well-formed paragraphs. In response to the prompts above, begin typing here: |
Family Structure
Clients and their concerns are shaped by their family structure and stage of development. Be sure to address each of the following elements and their impact:
· Family of origin and role within
· Family of choice, if different, and role within
· Significant relationships/relationship patterns
· Children, marriages, divorces
· Current living arrangements
· Major losses, traumas
· Family mental health history
· Family substance abuse history
· Family violence or abuse history
· Stage of development impacts
· Developmental challenges
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Your discussion of Family Structure should include 2–3 well-formed paragraphs. In response to the prompts above, begin typing here: |
Multicultural Considerations
Clients and their concerns are shaped by a multitude of multicultural considerations and their intersectionality. Be sure to address each of the following elements that apply and their impact on the person, the problem, and the counseling relationship:
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