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CASE CONCEPTUALIZATION
WORKSHEET
"B A S I C - I D E" FRAMEWORK FOR CASE CONCEPTUALIZATION

Behaviors
- excesses/deficits
- defensive or aggressive
- passive/active
- antecedent(s)

Affect
- feelings/emotions
- ability to: accept, label, express appropriately
- appropriateness to situation
- moods (esp. dominant or frequency of change)
- fears
- joys
- anxieties

Sensation/Physical
- body language
- headaches, stomach aches, gastrointestinal problems
- ability to relax
- response to stimuli

Imagery
- mental pictures (of self, others)
- dreams
- fantasies
Case Conceptualization Worksheet -Page 2

Cognition
- beliefs (review RET)
- expectations (of self, others)
- goals
- mental picture of themselves ("scripting"- biological, genealogical, sociological)
[prep, hood, failure, worthless, "black sheep," nerd, parent...]
- mental picture of the world
[ok, unresponsive, unsafe, "out to get me," neutral]
- locus of control
[internal, external]
Interpersonal
- ability to attach
- communication patterns (how, when who)
- moving toward (who, when)
- moving against (who, when)
- moving away (who, when)
- gender differences
- depth of relationships
- intensity of relationships
- ecomap

Drugs/Biological
- possible biological predispositions (remember to check family history)
- AD/HD
- fetal alcohol syndrome
- alcohol/ drugs (self and/or role in family)
- level of involvement (experiment, occasional, dependent)
- physiological basis for emotional problems
- diabetic

Environmental
- friends
- family
- Maslow's hierarchy
- stressors
- supports

adapted from Arnold A Lazarus. The Practice of Multi-Modal Therapy. New York:
McGraw-Hill, 1981
Case Conceptualization Worksheet -Page 3

Other considerations:

Spiritual
- knowledge
- experience
- meaning
- application

Intelligence
- ability to process information
- ability to achieve academically
- communication/learning style (visual, auditory, kinesthetic)
- learning disabilities

Developmental levels (note differences)


- physical
- emotional
- social

Neglect history
- emotional
- physical
- educational
- spiritual

Abuse history [victim and/or perpetrator] (who? when? severity? duration?)


- emotional
- physical
- sexual (careful to distinguish: explore, play, sexual, power/aggression)

Control issues
- level of need to be in control

Coping style (how deal with stress, confrontation, etc.)


- prominent defense mechanisms

Impairment
- primarily character/personality disordered or Behavior disordered

Legal history
- CHINS
- status
- delinquent (true delinquent behaviors or "environmental" i.e. primarily due to
Case Conceptualization Worksheet -Page 4

lack of appropriate adult involvement)

Social Skills
- assets:

- deficits:

Specific strengths:

Specific weaknesses:

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