Create a section in your Crisis Response Portfolio called Sexual Assault and Violence.? Review the Case Conceptualization you created for this weeks Assignment. Review local and na

Create a section in your Crisis Response Portfolio called “Sexual Assault and Violence.”

  • Review the Case Conceptualization you created for this week’s Assignment.
  • Review local and national community resources for sexual assault and interpersonal violence to support and consider for a safety plan.
  • Use the Walden Library to find 3 evidence-based practices for working with trauma

Assignment: Part 4:

In your section called “Sexual Assault and Interpersonal Violence” of your Crisis Response Portfolio, include:

  • A safety plan example using the client in the case conceptualization from this module’s assignment.
    • Please remember that Maria in this case is a parent and you will want to address her as such by including safety of the child, both sexual abuse and domestic violence.
    • If you are working with the child, please include how you will work with Maria for safety planning with the child.
    • Please be sure to address sexual assault and interpersonal violence in your safety plan.
  • A brief summary of local and national community organizations that provide resources for sexual assault and interpersonal violence.
  • Three Evidence-Based Practices (EBP) for working with trauma survivors.



Counselor’s Name: Date:

Case Conceptualization Form

I. Assessment

Discuss background characteristics, presenting complaints, history of the problem, and social and cultural considerations. Describe the differential diagnosis, including any related diagnoses that were considered and ruled out. Explain the legal and ethical considerations that are relevant to the client situation.

II. Case Conceptualization

Use your theoretical orientation to provide a concise summation of the client’s psychological strengths and difficulties. Integrate your client’s history with the theoretical orientation you have selected to support your explanation.

III. Treatment Plan

List two long-term treatment goals for client issues with at least two short-term objectives that are steps in how you plan to meet each goal. The objectives need to be specific and measurable and are driven by your theoretical orientation and the element you are asking the client to change (e.g., thoughts, feelings, actions, etc.)

Problem, Issue, Challenge, Obstacle, Symptom:

Treatment Goal 1:



Problem, Issue, Challenge, Obstacle, Symptom:

Treatment Goal 2:



IV. Interventions

Discuss how you will work toward the treatment plan goals. Base your interventions on the theoretical orientation you discussed in your case conceptualization. Be sure to use evidence-based practices that are supported by your research. Describe any referrals that you believe will be beneficial.



Counselor’s Name: Dr. Friess Date:

I. Assessment

Jaz is a 21-year-old female. She lives with her father. Her parents are divorced, and

both are originally from Mexico. Their primary language is Spanish while Jaz states that

she speaks English better. She is in college majoring in English Literature. Jaz recently

attempted suicide and was in a coma for 3 months. She then received outpatient

treatment. She did not want to continue taking meds for depression because that is

how she attempted suicide. She has been hospitalized two times for attempted suicide.

She has not seen a counselor in the last 6 months. She came into counseling stating that

she needed some support because she was very anxious and depressed. She stated she

hated herself and she couldn’t stand to be around other people because she felt out of

place. She reports feeling distant from her husband and mother after her last suicide

attempt and feels guilty that she is not a good daughter. She hasn’t talked to her mother

since her last attempt because she feels she must choose her mother or husband. She

stated that they blame each other for her suicide attempts. The Beck Depression (BDI)

inventory suggests that her depression is moderate. The Beck Anxiety Inventory (BAI)

indicates her anxiety is also moderate.

Diagnosis: Major Depressive Disorder moderate-severe with anxious distress (F32.1)

Differential diagnosis:

Case Conceptualization Form


R/O Mood disorder due to another medical condition. Client will seek physical to rule

out medical conditions. She does report slow heart rate after coma.

R/O Bi-polar disorders such as Manic episodes with irritable mood or mixed moods.

There has been no history of manic or hypomanic episodes.

R/O Substance/medication induced depressive or bipolar disorder. There is no

indication of substance use or medication

R/O Attention-deficit/hyperactivity disorder disturbance in mood is not irritability but

sadness and loss of interest.

Legal and ethical issues: Informed consent and client rights. Professional disclosure and

exceptions to confidentiality. Continual assessment for suicide potential. Suicide safety

planning. Cultural considerations and anxiety. Client reports his culture does not value

counseling and she has been raised to not share anything with outside of family members.

II. Case Conceptualization

Client was raised in a culture different from her parent’s upbringing. She has been

taught that “girls are taken care of and spoiled” per her words, in her upbringing. She

reports that she was not taught how to problem solve to care for herself. Her anxiety

and depression seem to stem from negative thoughts about herself. She talks about

self-hate and constantly feeling not good enough. These are cognitive distortions that

Cognitive Behavioral therapy (CBT) targets for improvement of her condition. Some

cognitive distortions that she is displaying include “all or nothing thinking”, such as all


good or all bad. Mental filter in that she tends to focus on the negative aspects while

ignoring other positive evidence. She also disqualifies the positives and doesn’t

recognize her strengths. For example, although she is successful in college, she reports

she isn’t as far along as she should be, like her high school classmates. She jumps to

conclusions about herself not being good enough instead of looking at other

interpretations of events.

III. Treatment Plan

Problem, Issue, Challenge, Obstacle, Symptom: Excessive worry and depressed mood that is

difficult to control more days than not for at least 6 months.

Treatment Goal 1: Reduce depression and anxiety scores on the BDI and BAI by from

moderate to mild.

Objective: Client will Identify three strengths related to successes.

Objective: Client will describe situations, thoughts, feelings, and actions associated

with anxiety and depression and the impact on functioning by participating in mood

log daily for one week.

Objective: Cl will consult with medical to r/o health problems that may be related to

depression and anxiety.

Objective: Client will practice relaxation exercises at least 1 x per week and

report the impact on mood/anxiety in the next session.

Problem, Issue, Challenge, Obstacle, Symptom: Feelings of worthlessness and excessive guilt.


Treatment Goal 2: Increase assertiveness, self-efficacy, and self-worth by getting needs met

through healthy communications and improving at least one positive social relationship, per

self-report by 2 points on a scale of 1-10 of getting needs met.

Objective: Client will practice communication with husband at least 1x per week

Objective: Client will practice behavioral/social experiment 1x per week, related

to evidence in jury trails of self-beliefs.

IV. Evidence Based Interventions (Beck, 2011; Jongsma, Peterson, &Bruce, 2014)

Develop level of trust, provide support and emphatic to encourage client to feel safe expressing

depression and anxiety symptoms

Provide behavioral, emotional, and attitudinal information about anxiety and depression

Educate client on mood log so client will be able to identify thoughts, feelings, and actions related to

her moods.

CBT to explore thoughts, feelings, behaviors, related to depression and self-hate.

CBT weekly to assess core beliefs and reframe anxiety provoking thoughts.

Practice jury trials to support or refute beliefs about self and self-talk.

Educate on relaxation skills – progressive muscle relaxation.

Educate thought stopping skills and mindfulness practices.

Educate healthy assertive communication, practice through role play and modeling.


Medical doctor for physical

Potential group support to increase social engagement.



Beck, J. (2011). Cognitive behavior theory basics and beyond. New York, NY: Gilford Press.

Jojgsma, A. E., Peterson, L.M., & Bruce. T.J. (2014). The complete adult psychotherapy treatment

planner. Hoboken, NJ: Wiley.


Maria and Sofia Luna

You are working at an outpatient clinic when a woman, Maria, is referred to you for an intake session. Three days ago, the police were called to the Luna household for domestic violence. Maria has an 8-year-old daughter named Sofia.

Maria is 26 years old and speaks little English. She grew up in Honduras with her mother, grandmother, and nine brothers and sisters. She never knew her father who abandoned the family when she was an infant. Her mother had several other long-term relationships but never married. Her family was “very poor” and she did not finish school past fifth grade. Maria was raped when she was 10. At 13 years of age, she began a life of prostitution to help her mom with feeding the rest of the family. She met her husband, Jamie, when she was 18 and quickly got pregnant. She illegally entered the States and began to work in a home in Texas. After she had the baby, Jamie was able to illegally enter the States and began working odd construction jobs to pay their bills since Maria no longer was working to care for Sofia.

Maria reports that they have not been successful in having any more children, which Jamie blames on Maria’s previous sexual history. He is ashamed since in his culture, “men are supposed to have many children.” Maria reports that she had many difficulties in having Sofia and did not get the proper medical care she needed. Sofia was born premature and has speech and other motor skill delays. Maria admits she used drugs in the past but adamantly denies any current drug use because she knows it would affect their immigration status. The police found drug paraphernalia in the household, but Maria stays in a condo with two other families and reported the material was not hers.

Maria stated that when Jamie gest angry he hits and punch her. Maria says that she will not be kept in a system like the one in which she was raised in Honduras where she is supposed to be subordinate and just take whatever Jamie gives her. She accuses him of having affairs and sleeping around with everyone. She reports that they have arguments at least two to three times a week and have separated several times to get away from each other. Maria says that she is dependent on him since she is not working.

Maria says that on the night of the police incident, she caught him with another woman at the corner store, and when he got home, she asked him who she was. He became very angry that she would question him. He stated that it was none of her business and she was to stay home and take care of the house. He grabbed a knife and threatened to cut her if she questioned him again.

Maria reports having difficulty concentrating. She has flashbacks of a time that Jamie did cut her, and she thought she was going to die. She does not want to talk about that incident. She only states that he cut her, and she thought she was going to die. Now anytime she hears loud voices she feels frightened and wants to cower in the corner. She reports that she feels like walking on eggshells and worries constantly that something bad will happen.

Sofia is 8 years old. She is very shy but speaks English well. She is in the second grade and was held back in kindergarten due to her developmental delays. She is currently at risk of being held back again, and her attendance record is very poor. She reports that she hates to see her mom and dad fight all the time. She gets very scared, has trouble sleeping, and hides in her closet. She does not have many friends because the kids “pick on me for being dirty”. She mentions that one of the other male children living in the condo does come to “comfort her” at night and gives her “lots of hugs and squeezes.” Maria reports that she has caught Sofia “rubbing her private parts” on the couch arm and trying to kiss all the other little boys in the house. She denies that Sofia has been sexually abused and blames it all on Sofia.

After completing the intake, your supervisor tells you that you can decide which person in the family system you want to focus on for individual counseling sessions—Marie, or Sofia—with the understanding that the other family member will work with your colleagues with possible joint sessions in the future. For the assignment, select one member of the family to complete your case conceptualization, understanding that this family member is a part of the overall family system. Plagiarism Free Papers

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