Case Presentation Assessment & Diagnosis

Case Presentation Assessment & Diagnosis

Assignment Instructions

Overview

This is the first part of your Case Presentation Assignment. This is called a formative assignment in that you will get to “practice” the process of assessment and diagnosis. This is an essential first step toward the development of a sound case conceptualization and treatment plan. It is the foundation of the “golden thread” when working with a client. If you miss the mark here, it can lead your treatment plan astray and potentially do harm.

Check tips on how to do your Psychology Assignments. 

Instructions

For this Case Presentation: Assessment & Diagnosis (CP-AD) Assignment, you will complete the Assessment and Diagnosis portion of the case presentation as illustrated in the Case Presentation: Assessment and Diagnosis Template and Case Presentation: Assessment and Diagnosis Example documents.

At the end of this description of instructions, you will see the detailed instructions of the content that CP-AD should have.

You will use the data you collected during the role play (CIR) when you played the role of the counselor during that initial clinical interview.  The client you interviewed during the role play (CIR) will be your client for the entire project of the Case Presentation.  The information you gathered during the role play will be used to complete the Case Conceptualization (CC), the Treatment Plan (TP) and the Final Presentation paper.

As you work on the Case Presentation: Assessment & Diagnosis (CP-AD) Assignment, you may have to “interview” your client to gain access to missing data points. Additionally, as you work through this Case Presentation: Assessment & Diagnosis (CP-AD) Assignment, you may “consult” with your clinical team via Microsoft Teams.

Below you will find step-by-step instructions to complete this Case Presentation: Assessment & Diagnosis (CP-AD) Assignment.

• This assignment is to be 5 to 8 pages in length
  • This page count excludes a cover page and reference section
• Please utilize APA 7^th edition formatting
  • Please be sure to include headings, subheadings and intext citations
• The assignment requires at least 1 citation, e.g., DSM-5-TR (APA, 2022). Do Not use any other version of the DSM, only the DSM-5-TR.
  • Note if other sources are used they are to be scholarly articles published within the last five years unless they are considered seminal works in the field of study.

To complete this Case Presentation: Assessment & Diagnosis (CP-AD) Assignment, do the following:

• Review the Case Presentation: Assessment and Diagnosis Instructions below.
• Review the Case Presentation: Assessment and Diagnosis Example
• Review the Case Presentation: Assessment and Diagnosis Template Follow the APA formatting as provided in the template. It is developed to help you stay aligned with assignment expectations based on the assignment instructions and grading rubric.
• Write the Identifying Information and Reason for Referral/Presenting Problem.
• After collecting all the clinical data, write up the “Summary of Assessment.”
• After writing the summary, develop your DSM-5 TR diagnosis. Most often in clinical work this will include a primary diagnosis, a comorbidity, and Z-codes. You can “consult” with your clinical team as needed in the development of the diagnosis. Please write the diagnosis in the format indicated in the DSM-5 TR and the example provided.
• As you begin to establish a diagnosis, consider the definition of Mental Disorder stated in the DSM-5 TR (pp. 13-14) and consider the 4 D’s of diagnosing: deviance, distress, dysfunction, and danger. Consider onset of symptoms, duration of symptoms, frequency of symptoms, severity of symptoms (mild, moderate, severe), deviance from the norm, descriptive lineaments (good insight, poor insight, absent insight), and impairment in functioning.  Consider differential diagnosis, course of the disorder (partial remission, full remission), and Risk: Suicide, Homicide, and other self-harming behaviors.
• After you solidified your diagnoses, then develop your diagnostic impression. The impression is an integration of DSM-5 TR criteria, specifiers, severity with supporting evidence from the case study.

Note: Your assignment will be checked for originality via the Turnitin plagiarism tool.  Make sure the Turnitin report is less than 30%.

Please see below the detailed information that needs to be included in the CP-AD.  Follow the instructions, template, and example.