Example Of Case Conceptualization

Counselor met with Pt. to conduct his monthly individual session. Counselor started the session greeting Pt. inquiring how things have been going since the last session and whether the patient has used any drugs or alcohol. Pt. disclosed to counselor that he is doing his best to maintain financially, as well as, to stay clean. Pt. reported that he still using illicit drugs, however, he stopped heroin use. Pt. extensively shared with counselor about how he is trying to stay strong due to his son not living with him and he is under the care of grandparent. Pt. further disclosed that his father-in-law has been refusing to give him his son and he called the cops on him. Pt. informed this writer that he recently got charged with harassment because his father in law reported the Mr. Weedon threatened him over the phone. Pt.

Pt. stated that his current girlfriend and mother of his child supports his legal rights as a father. Pt. verbalized that he is willing to comply with all rules and regulations of the program. Counselor explained to Pt. that part of the guidelines of the program is to find stabled employment. Pt. reported that he found a full-time job at Zogg’s Restaurant in Rehoboth Beach, De with a supportive recovery friend. Counselor praised Pt. for achieve one of his short-term goals and advised to don't let friends down. Pt. asked to meet with this writer counselor for an individual session next month. At the end of the session, Counselor assisted client with understanding that the disease of addiction seems to affect us in the following general ways. Mentally, we become obsessed with thoughts of using. Personally, we develop a compulsion to continue using, regardless of the