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Posted: April 17th, 2022

Diagnostic Conceptualization Template

Diagnostic Conceptualization Template
Client Name

Case Conceptualization ( Note: Include specific information about client symptoms and presenting concerns

Diagnostic Impressions (Note: Be sure to use the ICD-10 code, name of the disorder, and all of the specifiers)

Rationale for Diagnostic Impressions (Note: Use the DSM-5 to explain how the client’s symptoms are reflected in the diagnostic criteria for each diagnosis that you render. If you do not render a diagnosis, you still must use the DSM-5 to explain why you chose not to render a diagnosis.)

Cultural and Ethical Considerations (Note: Include information that may be pertinent to the diagnosis).

Student Name and credentials (e.g., Frida Kahlo, B.A.)

Date

——–

Client Name Diagnostic Conceptualization Template

Case Conceptualization (Remember to include specific information about the client’s symptoms and presenting concerns.)

Impressions of Diagnosis (Note: Be sure to use the ICD-10 code, name of the disorder, and all of the specifiers)

Diagnostic Impressions: Why Do They Exist? (Note: Use the DSM-5 to explain how the client’s symptoms are reflected in the diagnostic criteria for each diagnosis you make.) If you do not make a diagnosis, you must still use the DSM-5 to justify your decision.)
Considerations for Cultural and Ethical Considerations (Note: Include information that may be pertinent to the diagnosis).

Name and credentials of the student (e.g., Frida Kahlo, B.A.)

Date

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