Morrison
provides a list of questions to consider when developing the treatment plan,
and they are: “Is the treatment likely to reverse the course of this disorder;
How certain is the diagnosis; How urgent is treatment; How costly is treatment;
Does the therapy you are considering have relative contradictions; Have you
considered all feasible treatment modalities” (p. 225-7).
The questions above will help the
counselor to determine, think about, the client’s diagnosis and differential
diagnosis, because this needs to be accurate. The patient’s treatment will be
based on the diagnosis. The prognosis of the patient will based on the
scientific method, information known about the general diagnosis criteria will
predict the outcome for the patient (p.228). There will be many things that
will decrease or increase the prognosis – outcomes. Morrison suggest these
factors: “principal diagnosis, availability of treatment, duration and course
of illness, previous response to treatment, compliance with treatment, available
social supports, premorbid personality, highest recent level of functioning,
and other factors” (p.229-230).
If the therapist feels that further
investigation is needed, then this should be stated in the diagnostic summary.
It is important for the therapist to make referrals for the client if they are
unable to provide treatment or if other aspects of the patient’s life require
treatment, services, to help them deal with other problems in their life.
References
Morrison, J.,
(2008). The First Interview. (3rd
Ed.). New York, NY: Guilford Press.
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