Therapy History Prior therapy (when, where, what for?) Date of initial contact for current therapy, frequency and number of sessions, duration of therapy. Assessment, Diagnosis, Conceptualization Formal assessment procedures (e.g., instruments used to assess client state, OQ45, Beck, MMPI, Strong, FMTOM): What did you find, and what did it mean? (For example, on the OQ45, indicate the cutoff score and what the client’s score means. Do not just report scores without giving an interpretation of their meanings.) In the case of less commonly known instruments, give brief information/ psychometrics. Clinical assessment procedures: How did you gather relevant information for diagnosis and conceptualization? What key questions did you ask? (e.g., when screening for depression, you may have questions about sleep, eating, affect, behaviors. Related to salient identities, how did you assess the relevance to the client’s various statuses and identities to the presenting issues?) DSM diagnosis, all Axes. Briefly explain diagnosis, and give a interpretation of salient items in the diagnosis. [Note: some students, because of a humanistic, positive psychology, or feminist/multicultural orientation, are not fond of labels and diagnoses. Indeed, they should be approached critically. However, because the DSM is in common use throughout the mental health field, it is important to be able to use it appropriately and in a way that is congruent with your orientation to therapy. If another rubric is more appropriate, explain in your interpretation.] Conceptualization: In of your theoretical orientation to psychotherapy, how do you make sense of the client’s issues? How do you understand the origins of your client’s distress? How are client problems perpetuated? Client strengths and coping strategies, especially as they affect the prognosis for successful problem resolution. Include resources, support systems, additional resources. Goals How established (client, therapist, collaborative?) What were they (immediate, intermediate, long term)? How have changed over the course of therapy? Description of the Therapeutic Relationship and Processes
Therapy History Prior therapy (when, where, what for?) Date of initial contact for current therapy, frequency and number of sessions, duration of therapy. Assessment, Diagnosis, Conceptualization Formal assessment procedures (e.g., instruments used to assess client state, OQ45, Beck, MMPI, Strong, FMTOM): What did you find, and what did it mean? (For example, on the OQ45, indicate the cutoff score and what the client’s score means. Do not just report scores without giving an interpretation of their meanings.) In the case of less commonly known instruments, give brief information/ psychometrics. Clinical assessment procedures: How did you gather relevant information for diagnosis and conceptualization? What key questions did you ask? (e.g., when screening for depression, you may have questions about sleep, eating, affect, behaviors. Related to salient identities, how did you assess the relevance to the client’s various statuses and identities to the presenting issues?) DSM diagnosis, all Axes. Briefly explain diagnosis, and give a interpretation of salient items in the diagnosis. [Note: some students, because of a humanistic, positive psychology, or feminist/multicultural orientation, are not fond of labels and diagnoses. Indeed, they should be approached critically. However, because the DSM is in common use throughout the mental health field, it is important to be able to use it appropriately and in a way that is congruent with your orientation to therapy. If another rubric is more appropriate, explain in your interpretation.] Conceptualization: In of your theoretical orientation to psychotherapy, how do you make sense of the client’s issues? How do you understand the origins of your client’s distress? How are client problems perpetuated? Client strengths and coping strategies, especially as they affect the prognosis for successful problem resolution. Include resources, support systems, additional resources. Goals How established (client, therapist, collaborative?) What were they (immediate, intermediate, long term)? How have changed over the course of therapy? Description of the Therapeutic Relationship and Processes
2015-policies-procedures2.docx