Assessment in Counseling
   Stephanie   21 year old African-American female   One child   Sophomore at community college   Job / family relate...
   Intake Assessment     Background information     Thinking about withdrawing from college     Depressed about home /...
   Intake Assessment     Initial meeting with client     Background information   Beck Depression Inventory (BDI-II)  ...
   No serious medical issues were reported   Diagnosed with depression last year     Currently on low dosage medication...
   The client reported no history of her family    members having psychiatric issues.   The client did report issues of ...
   Problems begin occurring during high school   Mood Changes / Anger issues aggressed after graduating hs     Felt aba...
   Family of Origin (mom, step-dad, two brothers, and a    son)     Oldest sibling     Distant relationship with mom  ...
   Intake Assessment     Lack of support system at home / career choice     Emotional stress and depression   Beck Dep...
   Intake Assessment     Lack of support system at home / school     Emotional stress and depression from the     strai...
   Axis I – Clinical Disorders     Diagnosed with depression   Axis II – Personality Disorders / MR     No Diagnosis (...
   Treatment Plan     Monitor level of depression     Continue counseling sessions with appointed      counselor     C...
   Beck, A.T. (1996). Beck Depression Inventory II (BDI-II)    American Psychiatric Association. Diagnostic and Statistic...
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The case study of stephanie

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The case study of stephanie

  1. 1. Assessment in Counseling
  2. 2.  Stephanie 21 year old African-American female One child Sophomore at community college Job / family related issues Received counseling with Region III
  3. 3.  Intake Assessment  Background information  Thinking about withdrawing from college  Depressed about home / social life Beck Depression Inventory (BDI-II)  Level of Depression The Substance Abuse Subtle Screening Inventory (SASSI-3)  Alcohol / drug abuse or misuse
  4. 4.  Intake Assessment  Initial meeting with client  Background information Beck Depression Inventory (BDI-II)  Conducted during 2nd session with client  21 item self report instrument  4pt scale ranging from 0-3 for each item The Substance Abuse Subtle Screening Inventory (SASSI-3)  26 Frequency questions, 67 true / false questions, 10 scales: 2 for questionnaire and 8 for true / false
  5. 5.  No serious medical issues were reported Diagnosed with depression last year  Currently on low dosage medication Reports to Region III  Speaks with a counselor concerning her academic, career, and family support system
  6. 6.  The client reported no history of her family members having psychiatric issues. The client did report issues of alcohol and drug use from previous family members.
  7. 7.  Problems begin occurring during high school Mood Changes / Anger issues aggressed after graduating hs  Felt abandoned emotionally by her mom Currently enrolled in junior college  Average student Fear of withdrawing from college  Torn between changing majors and continuing with college education  Desires to have a better life plan for herself and her child  Considered the idea of joining the military
  8. 8.  Family of Origin (mom, step-dad, two brothers, and a son)  Oldest sibling  Distant relationship with mom Academic  Currently attending community college Social life  Dating son’s father  Occasion fights and arguments Employment  Currently working at fast food restaurant
  9. 9.  Intake Assessment  Lack of support system at home / career choice  Emotional stress and depression Beck Depression Inventory (BDI-II)  Minimal 0-13, Mild 14-19, moderate 20-28, and severe 29-63  Test-retest reliability  Increased content validity The Substance Abuse Subtle Screening Inventory (SASSI-3)
  10. 10.  Intake Assessment  Lack of support system at home / school  Emotional stress and depression from the strained relationship with her mom and step-dad Beck Depression Inventory (BDI-II)  Mild level of depression; score of 16 The Substance Abuse Subtle Screening Inventory (SASSI-3)  Low Probability on FVA, FVOD, SYM, OAT, SAT, DEF, SAM, FAM, and COR
  11. 11.  Axis I – Clinical Disorders  Diagnosed with depression Axis II – Personality Disorders / MR  No Diagnosis (V71.09) Axis III – General Medical Conditions  None reported Axis IV – Psychosocial / Environmental Problems  Feels as if her mom sides with her step-dad, no supportive system within her family structure, relationship problems with boyfriend, at a cross road with career / college choice Axis V – Global Assessment of Functioning  61-70
  12. 12.  Treatment Plan  Monitor level of depression  Continue counseling sessions with appointed counselor  Continue medication Recommendations  Encourage the client to continue her education and seek out a career advisor concerning her career choice. Seek counseling with her mom in order to build a support system with her and her step-dad.
  13. 13.  Beck, A.T. (1996). Beck Depression Inventory II (BDI-II) American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Miller, G.A. (1988, 1997). The Substance Abuse Subtle Screening Inventory (SASSI) Manual, Second Edition. Springville, IN: The SASSI Institute. Whiston, S. C. (2009). Principles and Applications of Assessment in Counseling, Third Edition. Cengage Learning.

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