Background information: clients’ background such as age, gender, work, health status, cultural background, family mental health history, family and social relationships, drug and alcohol history, life difficulties, goals, coping skills and weaknesses etc.
Description of the presenting issues and real issues: issues and symptoms that the clients presented. Take note on the physical, emotional, sensory symptoms, screening or diagnostic assessment. Identify the real issues to include:
Treatment: make reference to a particular theoretical approach and choose ONE (1) possible treatment approaches from:
Describe roles of psychotherapist and client, how this therapy views the clients’ problem, how it will be used to treat client, how clients would respond and the effectiveness of the approach.
Avoid using case study that can cause sensitivity, disruption, or harm to self or others.
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