Benchmark Case Presentation: Final (CP-F) Assignment
Liberty University
COUC 667: Clinical Diagnosis and Treatment Planning
Part 1 - Assessment and Diagnosis
Identifying Data
Date of initial assessment:
PSEUDO Name: Henry
Reason for Referral/Presenting Problem
Henry was referred by staff of the Center for Spiritual Enlightenment. Henry was brought to the
center due to his brother noticing Henry being “in a daze” and experiencing insomnia. The
precipitating event was physical and mental torture by police after appearing on Who Wants to
Be a Millionaire?.
Source of Information The information provided was collected during the initial
biopsychosocialspiritual assessment from the client. Additionally, the client completed the Life
Events Checklist (LEC-5), the PTSD Checklist for DSM-5 (PCL-5), and Beck’s Depression
Inventory.
Summary
Henry is an Indian male, age 17, who is currently living in the Juhu neighborhood of
urban Mumbai with his older brother, Salim. He identified that he has been having trouble
focusing and has not been able to sleep or is calling out during his nightmares. He also reports
that he is very fearful of even walking near a police station and states that he would change
, directions to avoid walking near police. Henry reports that these symptoms have been occurring
since his appearance on Who Wants to Be a Millionaire? which was approximately 3 weeks prior
to assessment.
Henry was orphaned as a child after his mother was murdered and his father abandoned
him and his brother shortly after Henry’s birth. Henry and his brother do not have any further
family support. Henry and his brother grew up in poverty, and until Henry was 7 years old, the
two moved between government facilities. Because of these shared experiences, Henry and
Salim are very close. Henry’s mother was murdered during an anti-Muslim rampage within the
family’s Mumbai neighborhood. Henry reports that he does not remember his mother or father,
since he was parentless shortly after birth. Henry also has a close relationship with Latika, his
former girlfriend and sexual partner. who has recently become involved in the Mumbai gangs.
To contact Latika, he participates on Who Wants to Be a Millionaire? There were no significant
concerns regarding Henry’s sexual relationship with Latika.
Henry attended school when he was living between government facilities and group
homes, but he has not attended in recent years due to the need to provide for himself and his
brother. Since Henry was 7, he has worked in sweat shops, prostituted himself, and engaged in
robbery in order to earn money to survive in Mumbai with his brother. Henry appears satisfied
with his work-ethic and seems uninterested in returning to school to complete his education
despite earning above average scores prior to dropping out in the first grade. He appears to be
able to seek out employment but has minimal ability to maintain consistent employment.
Henry has no significant history of mental health treatment. He has attended two
counseling sessions through the Center for Enlightenment. This began after his brother began
noticing significant changes in Jamal’s mood and affect. Henry has been experiencing insomnia