Client History (1–2 pages)
Introduce your client to the reader over several paragraphs: Where can this client be found (television, movie, book, etc.)? What makes this client interesting? What does the client “say” about his/her life? How open do you believe the client will be to counseling? How can rapport be built with the client if he/she is hesitant about counseling? Remember to write in 3rd person.
Presenting Problems (1–2 pages)
This section addresses the following questions: Why is the client seeking counseling? What does the client say his/her problems are? What in the client’s life/background makes counseling a viable option for him/her? Use issues that you are aware of in your client’s life, but you can also fabricate some of the client history if there are not enough details provided in the fictional storyline.
This section must be at least 3 paragraphs and emphasize at least 3 problem areas for the client. For example, a client may have issues in personal functioning (depression, anxiety, insomnia, etc.), relationships (spouse, children, parents, significant other, etc.), occupational functioning (trouble with boss, coworkers, unemployment, etc.) You may also address any problems the client may be experiencing with his or her spiritual health.
NOTE: It is okay if 2 of the 3 paragraphs focus on personal issues (e.g., depression, then anxiety), and the other paragraph is on a different type of problem, or even if all 3 paragraphs focus on 3 personal issues. Just be clear about what is going on with this client. You are not diagnosing the client, rather, you are just describing the problem/symptom the client may be experiencing. So, for example, “depression” describes a problem the client is experiencing but is not the same as a DSM diagnosis of “Major Depressive Disorder.”
Separate each problem area (e.g., Personal, Relationships) into a paragraph, using level 2 headings (flush left and bold).
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