MUST BE ORIGINAL WORK AND USE INFORMATION PROVIDED: 

This assignment contains four parts, as identified and described below. Please include four subheadings in your paper that clearly identifies each part. In a 1,500-1,750-word paper, include the following:

Part 1: Intake

1. Read and review the Eliza intake document.
2. Assess how you would use the Level 01 Cross-Cutting Measure (CCM-1), in addition to what specific questions would need to be answered by the end of the biopsychosocial assessment.

Part 2: Biopsychosocial Assessment

1. Review the completed biopsychosocial assessment for Eliza.
2. Provide an assessment related to client symptomology along with a DSM and ICD diagnosis based on client assessment.
3. Provide the initial treatment goals and plan.

Part 3: Treatment Planning

1. Determine what Level 02 Cross-Cutting Measure (CCM-2) you would utilize in future sessions based on the information provided.
2. Identify one additional assessment outside of those provided by the APA that would measure what the future counselor is attempting to assess based on treatment goals/plan.
3. Describe how you would convey the assessment findings to the client and family.
4. Include how you would prioritize the needs and formulate agreed upon outcomes, measures, and strategies.

Part 4: Referral

1. Identify any possible referrals you might make and how you might address them with your client. 
2. How would you know who to make referrals to and how would you follow up with the referral after you make it?

Be sure to include three to five scholarly resources in your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

PCN-610Eliza D Psychosocial Example

Name: Eliza Doolittle Date: ********* DOB: ********

Age: 18 Start Time: 1:15p End Time: 2:00p

Identifying Information:

The client is a Caucasian female with average height and slender build. The client stated that she is currently a freshman in college, majoring in engineering. The client also stated that her family resides in a small town approximately two hours away.

Presenting Problem:

At the onset of the session, the client stated that she had come to counseling as a result of being caught in a campus dorm with alcohol (it is an alcohol-free campus). Concerning the incident, the client stated “the RAs were called because my friends were being too loud in my dorm. When they arrived, they saw us with alcohol, and we got in trouble.” The client stated that her friends in the dorm were intoxicated but she was not, adding, “I was just buzzed” and adding that she was drinking “because they were” and “it’s just something to do.”

Life Stressors:

The client identified school as a life stressor, adding “things came easy to me in high school, I just figured it would be the same in college”. The client went on to state that, in addition to the difficulty in increased study requirements, she had struggles in making friends, stating, “a lot of my friends from high school have either gone to college somewhere else or are doing other things,” although the client denied feeling lonely.

Substance Use: |X| Yes |_| No

The client denied having a drug or alcohol problem, adding that she tried marijuana once in high school but “I didn’t like how it made me feel” and had not taken it since. The client stated that she was introduced to alcohol in HS when “friends asked me to drink it with them.” The client stated that “I sometimes drink on the weekends with friends,” denying drinking in excess or ever suffering symptoms of being hungover.

Addictions (i.e., Gambling, pornography, video gaming)

The client stated that she occasionally plays a Massive Multiplayer Online game. When asked how often the client played, the client stated “one or two times a week” for approximately “three to five hours” at a time. The client denied gambling or pornography issues.

Medical/Mental Health Hx/Hospitalizations:

Any past mental health history or hospitalizations denied.

Abuse/Trauma:

The client denied any current or past abuse, although stating in passing that she did experience some level of teasing in HS, although the client denied discussing specifics.

Social Relationships:

The client stated that she had quality relationships, but added that she felt as though she was, at times, being taken advantage of. When asked for details, the client stated that her friends oftentimes pressure her to complete their homework, as well as often push her to “party in my dorm.” When asked if the client had ever talked with her friends about said issues, the client stated that she had not, adding, “it’s not that big of a deal.”

Family Information:

The client stated that she was the only child in her family, describing her mother as “kind of controlling” and her father as “a good guy.” The client went on to state that her mother required her to call approximately once a week “or else she gets worried,” adding that during HS her mother “was always asking where I was going or what I was doing.” The client stated that her parents seemed to have a strained relationship at times, stating, “when I call, I talk to my mom first, and then she hands the phone off to my dad, and he goes into another room to talk with me.” The client also stated that the two frequently complain to the client about the current status of their marriage. In the conversation, the client also acknowledged sometimes feeling as though she were “the middle man” when living at home.

Spiritual:

The client identified as being an agnostic. The client also stated that her parents are Irish Catholic, even though “they mostly only go to church on Christmas and Easter.”

Suicidal:

Denied.

Homicidal:

Denied.

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