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What do you see going on diagnostically? Is there any further assessment you feel is needed before making a diagnosis? If so, what (be specific and include psychometrics if using an assessment tool).

1. Conceptualization: Provide a conceptualization of this client and his presenting issues. Be sure to add in a career conceptualization using the brief info at the end of the write up. So, two separate paragraphs, counseling conceptualization and career conceptualization.

2. Diagnosis: What do you see going on diagnostically? Is there any further assessment you feel is needed before making a diagnosis? If so, what (be specific and include psychometrics if using an assessment tool).

3. Treatment Direction: From your perspective, what direction would you take in treatment? Include at least one reference to support your direction.

4. Resistance: This client is pretty stuck and is struggling to move forward. From your perspective, what lies at the core of his resistance and how would you work with that?

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