Case Conceptualization Form Case Conceptualization Outline The following outline is offered as an aid to conceptualizing a client’s case. Used carefully, the outline can help a mental health clinician organize thoughts about the client as well as presenting issues, and treatment planning. Background information Demographic information, such as age, grade in school, employment status, family unit information, and other history such as (college, military, and/or current or past legal problems) that is relevant to the presenting problem. Presenting problem: What are the presenting issues - from the client's perspective? From your perspective? Was there a precipitating set of circumstances? How long has the problem(s) persisted? If third parties are involved, what are reported observations and concerns? Describe at least one multicultural or diversity consideration you have made while working with this client. Explain how and why you have determined the considerations. Conceptualization of Problem What is your view of the problem? What are the common themes? What are the client's barriers to growth and coping skills? Case Conceptualization Form What are clients’ strengths/assets (protective factors/signs of resilience)? What is the etiology of the client's present psychological capacity or incapacity? What are your counseling goals with the client? Theoretical Orientation: Describe your theoretical orientation. Provide a rationale for the orientation chosen, based upon the client’s problem, clinical presentation, and/or diagnoses. Include literature that demonstrates how the orientation chosen matches the client’s diagnoses or treatment issues. Please complete this section similar to a research paper, citing a minimum of 3 appropriate references and a minimum of two paragraphs. DSM-5 Diagnosis: Describe at least two primary diagnoses, including any secondary diagnoses.