Case Conceptualization and Treatment Planning Flashcards
6 cards from real LPC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Case Conceptualization and Treatment Planning flashcards as text
The diathesis-stress model of psychopathology proposes that mental disorders develop when:
Answer: A biological or psychological vulnerability (diathesis) interacts with sufficient environmental stress
The diathesis-stress model proposes that disorders emerge from the interaction of a pre-existing vulnerability (diathesis) and environmental stressors — neither alone is typically sufficient.
In psychodynamic case conceptualization, which concept refers to the process by which a client repeats past relational patterns in the therapeutic relationship?
Answer: Transference
Transference is the client's unconscious redirection of feelings, expectations, and relational patterns from past significant relationships onto the counselor.
A counselor is conceptualizing a client with chronic depression and identifies that the client's tendency to avoid social interactions perpetuates their loneliness and low mood. This represents which component of a case conceptualization?
Answer: Perpetuating factor
Perpetuating factors are the maintaining mechanisms — such as avoidance — that keep the presenting problem active even after the original precipitating stressor has passed.
Cultural formulation in the DSM-5 includes an assessment of the client's 'explanatory model,' which refers to:
Answer: The client's own understanding and cultural meaning-making of their illness, its causes, and expected treatment
The client's explanatory model (Kleinman) captures how the client understands their illness — its name, causes, course, consequences, and preferred treatments — within their own cultural framework.
When a counselor writes progress notes using the SOAP format, the 'A' section documents:
Answer: The counselor's assessment of the client's progress toward treatment goals
In SOAP notes, A (Assessment) contains the counselor's clinical assessment — including progress toward goals, response to interventions, and risk assessment — based on the session's data.
When risk factors and protective factors are both identified in a suicide risk assessment, the counselor's clinical decision-making must:
Answer: Weigh both risk and protective factors in formulating a comprehensive risk level and safety plan
Comprehensive suicide risk assessment requires weighing both risk factors (that increase probability) and protective factors (that buffer against suicidal behavior) to formulate an overall clinical risk level.