Each student will select the following:
1) A DSM-V mental health disorder (specifically focus on a trauma response or trauma related disorder) and client demographics (race/ethnicity, age, gender, sexual
orientation, spirituality, physical ability, other language or family-of-origin variables).
Some examples: 35-year-old African American, female with depression, 17-year-old
White, gay male raised in a strict Catholic family, A 65-year-old Asian American female,
confined to a wheelchair and practices Buddhism.
2) The student will refer to their text, DSM-V and the current literature on diagnosis and
treatment with the type of client/disorder. In order to increase knowledge, skills, and
awareness, it is important to choose a disorder and demographic variables that
differ from your own. Diversity and cultural competence are key. There will be
additional lecture discussions/posts on this to ensure competency. (Four peerreviewed journal articles must be cited and discussed; please see rubric)
3) Next, the student will write a short background of the client and the presenting problem.
This will include symptoms as well as how symptoms impact the client socially,
occupationally, educationally, interpersonally (between others) or intrapersonal (within
individual self and mind).
Section 1 – Background with Demographics will include the following
(Competencies 2.1, 2.2, 9.4):
Redacted identifying information
Presenting problem & history of problem
Behavioral observations/concerns noted
Assess and identify client’s strengths and coping skills
Describe client characteristics that may affect treatment (e.g., substance misuse,
trauma, family, lower functioning, unemployment, etc.) The student will then discuss
symptoms in a way to explore social and historical context.
Employment or Military
Intergenerational and Current Trauma
Prior Mental Health and Substance Abuse Treatment
4) Section 2 – Assessment of the Client (Competencies 2.2, 7.2, 7.3, 8.3):
A Mental Status Exam (Identify each MSE domain)
Assess for Risk, Trauma, Identification and Management.
Discuss Risk and Protective Factors
Client’s Perspective and Strengths.
Cultural Formulation: Cite and discuss at least two peer-reviewed journal
articles addressing the cultural implications specific to your client and diagnosis.
(e.g., Prevalence of PTSD in Imprisoned Men or Characteristics of Korean
Males with Schizophrenia).
DSM-5 Diagnosis (Provide the code, brief rationale and criteria met for the
Differential Diagnosis and rationale.
Briefly discuss diagnostic bias.
5) Section 3 – Theoretical Orientation will propose a trauma-informed, empirically
supported treatment (based on a literature review of the disorder, theory and
cultural considerations) and list the suggested course of treatment by
formulating a treatment plan (Competencies 7.1, 8.4):
Discuss in sufficient detail the proposed treatment theory/intervention for the client. How
does theory inform assessment, intervention and goals for counseling?
Cite/reference the DSM-V, text and at least two peer-reviewed journal articles to support
your treatment intervention. (e.g., CBT for Panic Disorder or Motivational Interviewing for
Substance Use Disorders)
6) Section 4 – Treatment Planning will demonstrate knowledge on formulating
treatment plans, goals and objectives (Competency 6.1):
Assist the client in setting goals. Formulate three treatment goals collaboratively with
List and discusses objectives to achieve each goal and make objectives measurable,
e.g., Call crisis hotline if having suicidal thoughts.
Discuss how protective factors may interrupt the risk to pathology.
7) Section 5 – Recommendation section will include referrals to other
providers/agencies to further support the client (Competency 6.2):
List additional adjunct, community-based treatment recommendations or wrap around
services – either individual or family including referrals to other providers/agencies to
further support the client.
Engage client in all levels of treatment decisions (Client engagement and positive
Additionally, the expected outcome of the treatment (or prognosis) should be discussed.
8) The paper will abide by APA formatting, to include 12-point font, Times New Roman,
double spacing, headings, etc.