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The client presents with major depressive disorder, single episode, moderate with anxious distress, alongside hopelessness, fatigue, sleep and appetite changes, and conflict with her mother affecting parenting support. The record includes mental status observations, family history and custody concerns, work history as a night nurse, and counseling ethics questions focused on establishing therapeutic alliance, identifying strengths, and discussing limits of confidentiality.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/ncmhce-sample-case-study-part-one-intake/328614/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/ncmhce-sample-case-study-part-one-intake/328614.png","ImageObject",300,407,{"name":92,"@type":93},"Oliver Hayes","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-05","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What diagnosis and presenting issues are described for the client during intake?","Question",{"text":112,"@type":113},"The client is provisionally diagnosed with major depressive disorder, single episode, moderate, with anxious distress, and reports hopelessness, sadness, emptiness, anxiety, fatigue, and guilt related to parenting conflict and fear of harm.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What mental status observations are recorded in the intake?",{"text":117,"@type":113},"The client is alert and oriented, with fair eye contact, congruent affect, frequent tear wiping, slow motor movements and gait, linear cogent thought processes, harsh self-judgement, and no delusions, hallucinations, or suicidal/homicidal ideation.",{"name":119,"@type":110,"acceptedAnswer":120},"Which counseling domains and questions are included at the end of the intake?",{"text":121,"@type":113},"The study lists items under Domain 5.E for establishing therapeutic alliance, Domain 4.D for identifying strengths that improve goal attainment, and Domain 1.F for discussing limits of confidentiality.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},328614,1790567492,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},687207020761,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","CENTER FOR  \nCREDENTIALING & EDUCATION™  \nNCMHCE Sample Case Study  \nPart One  \nIntake  \nClient  \nAge: 35  \nSex Assigned at Birth: Female  \nGender Identity: Cisgender Female  \nPronouns: She/her  \nSexual Orientation: Heterosexual Race/Ethnicity: White Relationship Status: Divorced  \nSetting: Community agency  \nPayment: Sliding scale  \nType of Counseling: Individual  \nProvisional Diagnosis: Major depressive disorder, single episode, moderate, with anxious distress, mild: F32.1  \nPresenting Problem:  \nYou are a licensed mental health counselor working in a community agency. Your client self-referred for services because “my mother won’t stop bugging me for staying in bed all day. I can’t help it. I am in a rut and cannot find a way out.” Your client reported the feelings of hopelessness began 3 months ago. She stated,“My divorce was finalized at that time. Even though my ex and I had grown apart, I felt so sad that I had no energy to go to work.” After calling in sick for 2 weeks with no doctor’s note, she was fired. Due to resultant financial difficulties, the client stated, “I had no choice but to uproot my children and move in with my mother. I just feel like I’ve failed at everything.” The client shared that she feels sad, empty, and anxious most days, disclosing, “I wake up feeling sad. I can’t remember the last time I enjoyed something. Then I think I should be doing more for my children, and I get anxious.” The client reported that she also feels “tense every day” because she and her mother “do not see eye to eye” on raising the client’s children.“My kids are often in trouble at school, and my mother thinks it’s because I don’t spend enough time with them. I just don’t feel like getting out of bed much. And when I am with them, I tend to zone out and I can’t relax. Then I feel guilty. I worry that something awful may happen—like a natural disaster—and I will have wasted the time that I could have spent with them.”  \nYour client reported that she used to create jewelry for fun and to supplement her income. However, she stopped making craft jewelry and closed her online shop 2 months ago because of fatigue.“After dealing  \n©2023 National Board for Certified Counselors, Inc. All rights reserved. 1 Updated March 2023  \nwith the kids, I just want to eat and go to bed.” She has asked her mother to watch her children 3–4 nightsa week because she is so fatigued. “I would like to go back to being who I used to be—social, energetic, accomplished—but I don’t know how to get there. I feel like a different person now.” This is your client’s first attempt at counseling.  \nRelevant Mental Status Observation:  \nYour client presented dressed in a gray sweatshirt and pants and exhibited a slight body odor. She was alert and oriented to person, place, time, and situation. Her eye contact was fair. The client reported feeling “sad”, and her affect was congruent. She wiped tears away frequently with her sleeve. The client’s motor movements and gait were slow. The client’s thoughts were cogent and linear. The client’s thought content was focused primarily on harsh self-judgement, with an emphasis on perceived failings. No delusions or hallucinations were noted. She denied suicidal and homicidal ideation. Your client has not experienced a manic or hypomanic episode. She denied using alcohol and other substances. Your client reported that her appetite has increased; she snacks throughout the day and has gained 10 pounds in the past 3 months. In addition, your client reported that for the past 2 months she has been sleeping “a couple of hours more than usual.” She was seen by a physician 2 weeks ago and deemed to be in good health.  \nFamily History:  \nCurrently, your client and her ex-husband have joint legal custody of their children, aged 10 and 12. Your client is concerned that the children may be complaining about her “moods” to their father and that this may result in a change in the custody arrangement.  \nYour client’s father is deceased. Yo","cbCaiaDKGsRaPzPi","https://ap.wps.com/l/cbCaiaDKGsRaPzPi","pdf",171092,"English","# Intake\n## Client Profile\n## Presenting Problem and Diagnosis\n## Relevant Mental Status Observation\n## Family History and Work History\n## Counseling Skills and Interventions","[{\"question\":\"What diagnosis and presenting issues are described for the client during intake?\",\"answer\":\"The client is provisionally diagnosed with major depressive disorder, single episode, moderate, with anxious distress, and reports hopelessness, sadness, emptiness, anxiety, fatigue, and guilt related to parenting conflict and fear of harm.\"},{\"question\":\"What mental status observations are recorded in the intake?\",\"answer\":\"The client is alert and oriented, with fair eye contact, congruent affect, frequent tear wiping, slow motor movements and gait, linear cogent thought processes, harsh self-judgement, and no delusions, hallucinations, or suicidal/homicidal ideation.\"},{\"question\":\"Which counseling domains and questions are included at the end of the intake?\",\"answer\":\"The study lists items under Domain 5.E for establishing therapeutic alliance, Domain 4.D for identifying strengths that improve goal attainment, and Domain 1.F for discussing limits of confidentiality.\"}]","NCMHCE Sample Case Study - Part One - Intake | PDF",1789980420,15]