Background information (e.g., sociocultural factors, family mental health history, relationships, substance use history, early and current life stressors, goals, and coping skills)

Description of the Presenting Problem Relevant current and past mental health symptoms DSM-5 diagnosis (or diagnoses) with rationale and specifiers if appropriate (discuss which information from the case study was used to formulate your diagnosis). Discussion of differential diagnoses (Was there another diagnosis that you considered? Explained why you did not assign that diagnosis). Recommended interventions (also write how you will carry out or involve the significance others) and rationale (back up by evidence) One example has been uploaded – please follow the format.

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