Case Study InstructionsEachCase Study assignment is designed to help you make application of course content to a counseling situation. You are to read the assignedcase study, determine the key issues presented, provide diagnostic impressions based upon the DSM-5, and develop treatment recommendations. You will need to follow the Case Study Template for eachassignment.Under diagnostic impressions, be sure to consider other disorders in addition to the main disorder. Provide a rationale for your diagnostic impressions using criteria from the DSM-5, also including reasons for ruling out certain disorders. You may want to consider here theories of normal and abnormal personality development. Also, consider systemic and environmental factors that affect human development, functioning, and behavior. The goal is to present, in writing, the basis for your diagnostic impressions.Under treatment recommendations, be sure to consider the biopsychosociospiritual aspects of the case. Make sure your recommendations are relevant to the case, able to be implemented by the client, and have some basis of support from 2–3 references from professional literature. Also, consider essential interviewing, counseling, and case conceptualization skills.In addition, ensure that you have included evidence-based counseling strategies and techniques for prevention and intervention for this client.CEFS 546
CASE STUDY 3
Mr. Boyle is a 55-year-old high school principal who has come in for an assessment. He reports
that this is due to his wife’s concern after he had a heated interaction with the school board
recently. This interaction has put his job as a principal in jeopardy. Mr. Boyle reports that his
wife states that their marriage is unbearable due to Mr. Boyle’s difficulty in getting along with
others, and that if it does not improve, she will have to leave him. During the interview, Mr.
Boyle states that although he has always been a suspicious person, this has lately increased.
Despite this admission, he goes on to explain that he believes members of the school board are
conspiring with some of the faculty at his school and bitter parents of former students to have
him removed from his position as principal. He reports that 1 of the school board administrators
recently shared with Mr. Boyle that since his appointment as principal 2 years ago, he has been
driving everyone “nuts” because he is too structured. Mr. Boyle reports that he has been doing
the best job he can and that he believes this statement stems from jealousy, as the board
member’s friend also wanted the principal position. When questioned in more detail, Mr. Boyle
shares that he may be overreacting and that he may be at fault for some of these issues. However,
he reports that he spends a significant amount of time thinking about how he is being mistreated
by the school board. He admits that this is causing him not to perform as well as he could at
In addition, Mr. Boyle reports that he recently has started drinking some wine in the evenings to
deal with this. He often decides that he will only have one glass of wine, but 2 or 3 times a week
will realize that he has had as much as 3. In addition, he reports that he has tried to cut down or
even cut out his alcohol use, but has not been successful at this yet. He reports that he does not
think that this is a problem, but just thinks it is something he should work on. The client reports
the use of no other substances.
When Mr. Boyle’s wife is questioned separately, she reports that Mr. Boyle has always had a
difficult time making friends and trusting in others. She reports that recently he has become more
irritable and argumentative with her, his friends, and the faculty at his school. She shares that the
recent fight with the school board was over Mr. Boyle’s insistence that he had been passed over
for an adequate yearly raise. Although the school board explained to Mr. Boyle that all of the
principals’ yearly raises had been reduced this year due to budget cuts, he insisted on presenting
his case to the school board. She reports that after he was still refused the raise, he has been
sullen, has told her he feels helpless and hopeless, and has lost interest in most of the things that
previously interested him. She reports that this began the same week he was refused the raise.
Mr. Boyle’s 2 children are also interviewed—a boy, 15 years old, and a girl, 17 years old. They
both report that Mr. Boyle is very strict and runs the household like a drill sergeant. He monitors
every expense, where they go, and who they are with. Mr. Boyle’s daughter even reports that he
will check her gas gauge in her car to see if the gas used matches the distance she told him she
went. She believes he is just a “penny-pincher.”
When asked to describe himself, Mr. Boyle says he is very proud of the fact that he is a person
who cannot be taken advantage of, as he can spot a con from a mile away. He reports that he
came from a very poor family and worked his way to where he is today. He reports that although
he has had to endure a lot of adverse situations and jealous people, he has made his way to the
top on his own abilities.
Submit Case Study 3 by 11:59 p.m. (ET) on Friday of Module/Week 8.
CASE STUDY TEMPLATE
Follow the example below as you complete your Case Study assignment. You will have 3 major
areas to your case study response: (1) key issues, (2) diagnostic impressions, and (3) treatment
recommendations. This assignment needs a current APA-formatted title page, and you are
required to cite the sources for the treatment recommendations and include a reference page. It
must be 3–4 pages for content. The Case Study assignment is an opportunity for you to think
through a clinical case, identify and prioritize key issues involved, consider and clarify relevant
diagnostic issues, and formulate treatment recommendations that are most likely to be helpful to
A. List in order of importance the key issues you believe are involved in the case study,
as if you were the client’s counselor. Provide a rationale for the order in which you
prioritized issues. What are the most important features to you, and why?
B. Link your rationale to what you believe outcomes of treatment should be for this
client. How will your order of priority contribute to a successful outcome for the
A. Based on the information provided in the case study, use the current version of the
DSM to accurately diagnose the type(s) of disorder(s) involved. Refer to specific
diagnostic criteria when presenting your impressions. What category could this be in?
What disorder in that category does this appear to be and why? Provide rationale for
diagnosis, giving consideration to differential diagnostic considerations. In other
words, what disorders in this category or other closely related categories were
considered? Why could this not be any of those disorders? You may want to consider
here theories of normal and abnormal personality development. Also, consider
systemic and environmental factors that affect human development, functioning, and
B. Be sure to consider other disorders in addition to the main disorder. Is there more than
one diagnosis? Provide rationale for diagnosing any additional disorders.
III. Treatment Recommendations (cite sources in this section)
A. List your recommendations (e.g., 1., 2., 3., etc.) so that you can clearly delineate what
you believe will be of most help to your client. Consider recommendations that will
be motivating to your client and reflective of a collaborative approach. Also, consider
essential interviewing, counseling, and case conceptualization skills.
B. Be sure to consider the biopsychosociospiritual aspects of the case. Make sure your
recommendations are relevant to the case, able to be implemented by the client, and
have some basis of support from professional literature—include your 2–3 academic
sources here. Ensure that you have included evidence-based counseling strategies and
techniques for prevention and intervention for this client.
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