person’s past. Some items will not be able to be included, for example, current physical examination results would not be possible, however, a brief over view of the person’s medical issues and background would be more appropriate. Be sure to include a description and examples of the person’s current level of functioning. If a person is no longer alive, describe the over riding problem and level of dysfunction over their lifetime.
1.Give the person a DSM-IV-TR or DSM 5 diagnosis and the rationale for your assertions.
2. List and discuss treatment options for this person and why those would be your treatment(s) of choice.
3. Give a prognosis, including both potential obstacles to treatment, as well as what about the patient or her life situation that could serve as strengths in the treatment process.