Final Output: CASE STUDY

Section 1: Personal Profile

1. Personal Profile
Name:
Address:
Birthday:
Age:
Sex:
Status:
Contact Number:

2. Educational Background
Primary Education:
Secondary Education:
Junior High School:
Senior High School:
Tertiary Education:
Graduate Studies:
Post Graduate Studies:

3. Work Background

Company’s Name Company Address Job Position Date of Employment

Section 2: A Case History

This section will have the following structure and content:

1. Background Information
The first section of your paper will present your client's background. Include factors such as
age, gender, work, health status, family mental health history, family and social relationships,
drug and alcohol history, life difficulties, goals, and coping skills and weaknesses.

2. Family History:
(narrate the family history. Include the following information: parents’ and siblings’ names,
family address, parents’ job, birth order, description of the relationship with the parents and
other family members. If the client is married, include the name of the husband and children
if they have one. Describe also their relationship with each other. At least 5-8 paragraphs)

3. Social History:

(narrate the social life of the client in childhood, teenage years and adulthood. Put the
names of the client’s significant other, loved ones, friends, neighbors,
co-employees/workers, employers, teachers and more. Describe their relationship status. At
least 5-8 paragraphs)

4. Medical Health History:

(gather and narrate the information of the following. At least 1-5 paragraphs)
Hospital’s Name:
Address:
Doctor’s Name:
Medical Diagnosis:
Treatment:

5. Mental Health History:

(gather and narrate the information of the following. At least 1-5 paragraphs)
Hospital’s Name:
Address:
Doctor’s Name:
Medical Diagnosis:
Treatment:

6. Alcohol Abuse History:

Name of the Alcohol/s Frequency

7. Drug Abuse History:

Name of the Drug/s Frequency

8. Reason for Referral:
(Narration: give reasons why the client needs counseling. At least 1-2 paragraphs)

9. Description of the Presenting Problem

In the next section of your case study, you will describe the problem or symptoms that the
client presented with. Describe any physical, emotional, or sensory symptoms reported by
the client. Thoughts, feelings, and perceptions related to the symptoms should also be noted.
(At least 2-5 paragraphs)

10. Clinical Diagnosis (sample is the Case Analysis activity)

Provide your diagnosis and give the appropriate Diagnostic and Statistical Manual code.
Explain how you reached your diagnosis, how the client's symptoms fit the diagnostic criteria
for the disorder(s), or any possible difficulties in reaching a diagnosis.

11. Differential Diagnosis

(sample is the Case Analysis activity)

Section 3: The Intervention

Treatment Planning

The second section of your paper will focus on the intervention used to help the client. You
are required to choose from a particular theoretical approach and counseling techniques
that are suitable for your client’s problem. Justify the chosen theoretical approach and
counseling techniques. (2 Paragraphs only)

Other Documents: (Separate Paper)

1. Informed Consent

2. Counseling Interview Form

3. I.Q or Personality Test.

Search on the internet, an I.Q or Personality Test that fits your client’s problem. It
must contain the following info:
A. Definition
B. Purpose
C. Administration
D. Scoring
E. Interpretation
F. Validity
G. Reliability
H. Sample questionnaire (optional. There are tests that do not have sample
questionnaire online)
I. Give your reason why you choose that test for your client/s.

J. Cite your sources using APA format

4. Mental Status Examination:

(follow the Mental Status Examination Table. Base it on the client’s appearance and
character)

Instructions:

1. Choose a movie to watch with the group

2. No groups must have the same movie

3. Make a case study based on the chosen movie

4. Use the main character as your client

5. Client’s information on the case study will be based on the information shown in the
movie

6. Highlighted information (the color red) are optional. If the client does not have any of
those information needed, you may not include it in the case study.

7. Other instructions will be verbalized by the teacher in class

8. Use the same format (format in Case Analysis activity)

Movies

 A Beautiful Mind
 The Black Swan

 Ordinary People

 The Ward

 Reign Over Me

 Good Will Hunting

 Free Fall

 Hope Springs

 Batman Begins

 A Silent Voice (Animated)

 Your Lie in April (Animated)

 Beyond the Memories (Japanese Live Action)

 Orange (Japanese Live Action)

 Black Butler (Japanese Live Action)

DEADLINES:
August 22, 2019

 Informed Consent

 Counseling interview Form

 Mental Status Examination

September 6, 2019

 Section 1

 I.Q. or Personality Test

September 27, 2019

 Section 2 and 3

October 7, 2019

 Submission of the all documents of the case study

 Documents must be put in a short bondpaper