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Diagnostic Impressions

Diagnostic Impressions

Information about the client’s addictive substance(s) and use. What is the course of the client’s use? (When is it better, when is it worse, what are the triggers, and etc.?) Also, are there any other repetitive behaviors? What are the client’s co-occurring disorder(s)? Using the DSM-5, describe the diagnosis, descriptions, and specifiers. Diagnostic rationale is clear and well formulated. Include co-occurring disorders and diagnostic rational.

  1. Treatment Recommendations and Resources to Maintain Sobriety: Suggest at least 3 research-based treatment recommendation that would be the most helpful with the client along with a rational for each recommendation. Include your theoretical approach. Recommendations reflect client motivation and collaborative approach. At least 3 resources supported by evidence-based research.
  2. Counselor’s Role & Inclusion of Client’s Influences in Treatment: What is the counselor’s role and relationship with the client? How will the counselor work and include the client’s family, group/12-step treatment modalities, and community?
  3. Model of Addiction: What type of model of addiction should be used? How is the model of addiction linked to the treatment plan? Order of priority of issues is clearly linked to possible treatment outcomes.
  4. Quality of Treatment Plan (Treatment Plan Worksheet Template located below): Students will need to complete the Treatment Plan Worksheet and include the following:
    a. Problem statement is clear, concise, and relevant to client issues.
    b. Goal statement is worded in terms of what client needs/wants more of or new skills, not in terms of “reducing” or “eliminating”. For example, “The client will….”
    c. Objective is stated in terms of observable client behavior.
    d. Intervention is stated in terms of specific counselor behavior and incorporate the research-based treatment recommendations. For example, “The counselor will….”

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