COUN 622 – Diagnosis and Treatment Planning in Counseling
Department of Leadership and Counseling
Eastern Michigan University
Winter 2008
Instructor:
Suzanne M. Dugger, Ed.D.
Office: John W. Porter Building, Suite 304
Phone: (734)-487-7120, ext. 2688
E-Mail: emudugger@yahoo.com
Meeting Time
and Location:
January 7 – April 28, 2008
Mondays 4:40 – 7:20 p.m.
214 Porter – EMU Main Campus
Office Hours:
Mondays 10:00 a.m. – 4:00 p.m. (by appointment only)
Thursdays Noon – 4:00 p.m. (by appointment only)
Catalog Description:
3 semester hours
An opportunity for advanced students to make an intensive study/analysis of selected counseling cases to
enhance assessment competencies in case description, problem appraisal, assessment, diagnostic
classification, intervention strategies as well as case consultation and presentation skills.
Required Prerequisites: COUN 510
Statement of Purpose:
Regardless of the setting in which they work, counselors must have a working knowledge of diagnostic
classification. Additionally, they need competencies in assessment/appraisal, in selecting effective
treatment strategies, and in case presentation. These competencies not only enable students to work
more effectively with clients, but also to work cooperatively with other mental health professionals. This
course will introduce students to these issues.
Course Goals and Objectives:
The goals and objectives of this course are to:
1. Familiarize students with the rationale for using diagnosis and treatment planning in
counseling and to provide an opportunity to explore professional controversies related to this;
2. Acquaint students with the relevant behaviors, symptoms, and etiologies of the major clinical
syndromes and personality disorders;
3. Familiarize students with the use of the DSM-IV in guiding the formation of clinical hypotheses
and the diagnosis of personality, developmental, and mental disorders;
4. Train students to research and select appropriate treatment strategies for use with clients
diagnosed with mental disorders; and
5. Familiarize students with case presentation skills.
1
Required Textbooks:
1)
American Psychiatric Association. (2000). Desk reference to the diagnostic criteria from DSMIV-TR (1st ed.). Washington, DC: American Psychiatric Publishing.
OR
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders
(4th ed.). [Text Revision]. Washington, DC: Author.
2)
Barlow, D.H. (2008). Clinical handbook of psychological disorders: A step-by-step treatment
manual (4th ed.). New York: The Guilford Press. ISBN-10 # 1593855729
Evaluation Criteria:
Course Assignments:*
1.
Attendance
10 points
Your attendance and participation in this course are essential to your ability to learn
diagnosis and treatment planning. As such, absences will be penalized by 2 points per
class session missed. An absence is defined as missing more than 30 minutes of any
given class session. These points will be lost if you are more than 30 minutes tardy,
leave more than 30 minutes early, or miss the entire class session. Missing more than 10
points for attendance will result in failure in this class.
2.
Reading Assignment
10 points
For this assignment, you will be asked to carefully read Chapter 5 in the Barlow text and
to bring notes, a vocabulary list, and specific questions to class on January 14.
DUE 1/14/08
3.
Quizzes :
40 points
To demonstrate your understanding of course concepts and assigned readings, you will
take 4 quizzes. These quizzes will be time-limited and administered via the eCompanion
system.
DUE: 2/11/2008, 3/3/2008, 3/24/2008 and 4/7/2008
4.
Treatment Plans:
50 points
To exhibit the ability to formulate evidence based treatment plans, you will be asked to
develop two treatment plans.
DUE: 2/18/2008, 3/17/2008 and 4/14/2008
5.
Case Studies
30 points
For this assignment, you will be assigned to a team. Your team will receive a case study
and will be responsible for preparing a written case study in which you will make a
multiaxial diagnosis for the client, writing a rationale for each diagnosis, and writing a
treatment plan for the client.
UE: 3/10/2008 and 3/31/2008
6.
Final Examination
40 points
A cumulative final examination will be administered. It will cover all readings and lecture
notes previously assigned.
DUE 4/28/2008
2
Other Requirements:
1.
Academic Honesty
All students are expected to demonstrate academic honesty. According to the Conduct
Code and Judicial Structure for Students and Student Organizations,
Students are not to engage in any form of academic dishonesty including, but not
limited to, plagiarism, alteration of records, substitution of another’s work
representing it as the student’s own, and knowingly assisting another student in
engaging in such activity. For purposes of this section, plagiarism is defined as
the knowing use, without appropriate approval, of published materials,
expressions, or works of another with intent to represent the material(s) as one’s
own (Graduate Catalog, p. 281).
All students at the graduate level are expected to fully understand how to avoid
plagiarism. Any student who plagiarizes, intentionally or unintentionally, or who engages
in other forms of academic dishonesty will fail this course and may also be dismissed
(expelled) from the Counseling Program and the University.
2.
Professional and Ethical Behavior
Students are expected to behave in accordance with the Code of Ethics of the American
Counseling Association. The penalty for unethical or unprofessional behavior will include
failure in this course and may also include dismissal from the Counseling Program and
the University.
Additional University Expectations and Regulations:
1.
Classroom Conduct
Students are expected to abide by the Student Conduct Code and assist in creating an
environment that is conducive to learning and protects the rights of all members of the
University community. Incivility and disruptive behavior will not be tolerated and may
result in a request to leave class and referral to the Office of Student Judicial Services
(SJS) for discipline. Examples of inappropriate classroom conduct include repeatedly
arriving late to class, using a cellular telephone, or talking while others are speaking. You
may access the Code online at www.emich.edu/sjs.
2.
Academic Integrity
Academic dishonesty, including all forms of cheating and/or plagiarism, will not be
tolerated in this class. Penalties for an act of academic dishonesty may range from
receiving a failing grade for a particular assignment to receiving a failing grade for the
entire course. In addition, you may be referred to the Office of Student Judicial Services
for discipline that can result in either a suspension or permanent dismissal. The Student
Conduct Code contains detailed definitions of what constitutes academic dishonesty, but
if you are not sure about whether something you’re doing would be considered academic
dishonesty, consult with the instructor.
3.
Students with Disabilities
If you wish to be accommodated for your disability EMU Board of Regents policy #8.3
requires that you first register with the Access Services Office (ASO) in room 203 King
Hall. You may contact ASO by telephone at (734) 487-2470. Students with disabilities
are encouraged to register with ASO promptly as you will only be accommodated from the
date you register with them forward. No retroactive accommodations are possible.
3
Additional University Expectations and Regulations (continued):
4.
F and J International Students
The Student Exchange Visitor Information System (SEVIS) requires F and J students to
report the following to the Office of International Students, 229 King Hall within ten (10)
days of the event:
 Changes in your name, local address, major field of study, or source of funding.
 Changes in your degree-completion date
 Changes in your degree-level (ex. Bachelors to Masters)
 Intent to transfer to another school
Prior permission from OIS is needed for the following:
 Dropping ALL courses as well as carrying or dropping BELOW minimum credit hours
 Employment on or off-campus
 Registering for more than one ONLINE course per term (F-visa only)
 Endorsing I-20 or DS-2019 for re-entry into the USA
Failure to report may result in the termination of your SEVIS record and even arrest and
deportation. If you have questions or concerns, contact the OIS at 487-3116, not your
instructor.
Grade Calculation:*
Assignment
Point Value
Due Date
1.
Attendance
10 points
Weekly
2.
Reading Assignment
10 points
1/14/2008
3.
Quiz 1
10 points
2/11/2008
4.
Quiz 2
10 points
3/3/2008
5.
Quiz 3
10 points
3/24/2008
6.
Quiz 4
10 points
4/7/2008
7.
Treatment Plan 1
10 points
2/18/2008
8.
Treatment Plan 2
15 points
3/17/2008
9.
Treatment Plan 3
25 points
4/14/2008
10.
Case Study # 1
10 points
3/10/2008
11.
Case Study # 2
20 points
3/31/2008
12.
Final Examination
40 points
4/28/2008
Total
180 points
93%
A
90%
A-
87%
B+
83%
B
80%
B-
77%
C+
*Assumes no loss of points for academic dishonesty, attendance, participation, or professional
and ethical behavior.
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Tentative Course Outline:
Week
Date
Topics
1
1/7
Orientation and Overview
The Changing Role of the Counselor
Rationale and History of Diagnosis
1/14
The Role of Diagnosis in Counseling
Introduction to the DSM-IV
1/21
No class – Martin Luther King, Jr. Day
3
1/28
Diagnosis of Mood Disorders – Part 1
DSM-DR 167-208
DSM 345-428
4
2/4
Diagnosis of Mood Disorders – Part 2
DSM 752-753
5
2/11
Treatment of Mood Disorders
Barlow – Chapters 6-8
Barlow – Chapter 10
6
2/18
Diagnosis of Anxiety Disorders
DSM-DR 209-228
DSM 429-484
2/25
No class – EMU Winter Recess
Barlow – Chapters 1-4
7
3/3
Treatment of Anxiety Disorders
Barlow – Chapters 1-4
Quiz 2
8
3/10
Diagnosis and Treatment of Schizophrenia
and other Psychotic Disorders
DSM-DR 153-166
DSM 297-344
Barlow – Chapter 11
Case Study 1
9
3/17
Diagnosis and Treatment of Eating Disorders
2
Readings*
Assignments
DSM-DR ix-50
DSM xxiii-xxxv
DSM 1-37
Barlow – Chapter 5
Reading
Assignment
Quiz 1
DSM-DR 263-266
DSM 583-596
Treatment Plan 1
Barlow – Chapter 14
10
DSM-DR 285-286
3/24
Diagnosis of Adjustment Disorders
11
3/31
Diagnosis and Treatment of Substance
Related Disorders
DSM-DR 105-152
DSM 191-223
DSM 223-296 (skim)
Barlow – Chapters 12-13
Case Study 2
12
4/7
Diagnosis of Childhood/Adolescent Disorders
DSM-DR 51-82
DSM 39-134
Quiz 4
13
4/14
Diagnosis of Personality Disorders
DSM-DR 287-298
DSM 685-730
Treatment Plan 2
14
4/21
Treatment of Borderline Personality Disorder
Barlow – Chapter 9
15
4/28
Final Examination
DSM 679-684
Quiz 3
Final Exam
* All readings listed below should be completed by the date for which they are assigned. Additional
required readings will be posted to the course website on a weekly basis.
DSM-DR = Desk reference to the diagnostic criteria from DSM-IV-TR
DSM = Diagnostic and statistical manual of mental disorders
Barlow = Clinical handbook of psychological disorders: A step-by-step treatment manual
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Selected References
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Professional School Counseling, 9, 72-77.
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Eating disorder intervention, prevention, and treatment: Recommendations for school counselors.
Professional School Counseling, 8, 168-175.
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therapy: Towards sensitive and evidence-based interventions with foster and adoptive families in
distress. Child and Family Social Work, 10, 257-268.
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Budrionis, R., & Jongsma, Jr., A.E. (2003). The sexual abuse victim and sexual offender treatment
planner. New York: Wiley & Sons Publisher.
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and treatment (2nd ed.). New York: Guilford Press.
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Publisher.
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John Wiley & Sons.
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Evosevich, J.M., & Avriette, M. (1999). The gay and lesbian psychotherapy treatment planner. New York:
Wiley & Sons Publisher.
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treatments for oppositional and defiant behaviors in preadolescents? Journal of Family
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7
Frazer, D.W., & Jongsma, Jr., A.E. (1999). The older adult psychotherapy treatment planner. New York:
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New York: Wiley & Sons Publisher.
Hill, C. L., & Ridley, C. R. (2001). Diagnostic decision making: Do counselors delay final judgments?
Journal of Counseling & Development, 79, 98-104.
Hodges, S. (2003). Borderline personality disorder and posttraumatic stress disorder: Time for
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Holmes, G. E., & Stalling, J. E. (2001). Alternatives to the DSM-IV-TR for multicultural counseling: some
preliminary concerns.
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8
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Klott, J. (2006). The co-occurring disorders treatment planner. New York: Wiley & Sons Publisher.
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9
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10
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