Case Conceptualization

In: Philosophy and Psychology

Submitted By rlcooper1966
Words 795
Pages 4
Case conceptualization as defined by Erford (2010) refers to “How professional counselors understand the nature of clients’ concerns, how and why the problems have developed, and the types of counseling interventions that might be helpful.” Additionally, “A good case conceptualization should effectively link a client’s presenting problem to a treatment plan as well as provide the basis for tailoring treatment to client need and expectations” (Sperry, 2005). Sperry continues by stating that “The purpose of a well-articulated case conceptualization is to better understate and more effectively treat a client or client-system, that is, a couple or family.” Assessment is the preliminary process of case conceptualization, which according to Barlow & Durand (2003) and Nystul (2006) includes “intake interviews, test and inventories, behavioral observations, and relevant information gather from other source.” A thorough assessment is important in collecting sufficient information in order to understand the underlining issue of the client. Erford (2010) argues that “a good treatment plan requires an assessment appropriate to the client’s presenting concerns and a case conceptualization that includes an understanding of what the problem is, how it developed, and how to deal with it”. Who, what, when, where, why, and how should be addressed in the assessment process and are pivotal in formulating a comprehensive case conceptualization. An accurate comprehensive assessment is essential in obtaining a clear conceptualization of each case; thereby, resulting in a treatment plan specifically designed to meet the need of the individual client. Diagnosis “is the identification of a disease, disorder, or syndrome based on some form of systematic assessment” (Erford, 2010) and is essential in developing a treatment plan. “The case conceptualization integrates the…...

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...Visit the TDC Blog for more from Merriam Sanders.
 Visit the TDC Blog for more from Merriam Sanders. Ten
Things
I
Wish
I
Had
Known
About
.
.
.
 Case
Conceptualization
 Conceptualizing
the
primary
contributing
factors
to
a
client’s
case
is
a
sometimes
 overlooked
piece
of
an
MFT
Intern’s
training.
Case
conceptualization
is
important
 for
developing
a
good
treatment
plan
and
enables
you
to
speak
intelligently
about
 your
client
in
supervision,
collaboration,
and
consultation;
plus,
it
helps
immensely
 in
job
interviews
and
passing
the
exam.
So,
what
goes
into
a
good
case
 conceptualization?
 1. MENTAL
STATUS
EXAM

A
mental
status
exam
(MSE)
consists
of
a
short
list
of
 quick
observations
that
contribute
to
your
case
conceptualization.
There
is
no
 need
for
a
formal
checklist;
it
is
something
you
should
always
have
in
the
back
of
 your
mind.
Is
my
client’s
affect
congruent
with
the
situation?
Is
she
dressed
as
I
 would
expect?
Does
she
seem
oriented
to
person,
place
and
time?
Other
factors
 to
note
in
the
MSE
are:
age,
gender,
culture,
marital
status,
appearance,
 mood/affect,
speech,
non‐verbal
cues,
presence
of
hallucinations
or
delusions,
 suicidality,
homicidality,
drugs,
and
ETOH
(alcohol).
It
is
a
quick
snapshot
into
 the
presenting
status
of
the
client.
If
communicating
with
another
professional,
 you
could
mention
how
you
obtained
the
information,
e.g.,
unstructured
clinical
 interview,
structured
clinical
forms,
or
combination
thereof.
 2. PRESENT...

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