COUC 667
Case Presentation: Assessment & Diagnosis (C-PAD) Assignment
Liberty University
COUC 667: Clinical Diagnosis and Treatment Planning
Part 1 - Assessment and Diagnosis
Identifying Data
Date of initial assessment: 03/31/2021 PSEUDO Name: Jamal
Reason for Referral/Presenting Problem
Jamal was referred by staff of the Center for Spiritual Enlightenment. Jamal was brought to the
center due to his brother noticing Jamal 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
Jamal 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 experiencing
difficulty 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.
, Jamal was orphaned as a child after his mother was murdered and his father abandoned
him and his brother shortly after Jamal’s birth. Jamal and his brother do not have any further
family support. Jamal and his brother grew up in poverty, and until Jamal was 7 years old, the
two moved between government facilities. Because of these shared experiences, Jamal and Salim
are very close. Jamal’s mother was murdered during an anti-Muslim rampage within the family’s
Mumbai neighborhood. Jamal reports that he does not remember his mother or father, due to the
fact that he was parentless shortly after birth. Jamal also has a close relationship with Latika, his
former girlfriend and sexual partner. who has recently become involved in the Mumbai gangs. In
an attempt to contact Latika, he participates on Who Wants to Be a Millionaire? There were no
significant concerns regarding Jamal’s sexual relationship with Latika.
Jamal 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 Jamal 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. Jamal 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.
Jamal 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. Jamal has been experiencing insomnia
and dissociative symptoms, stating that he feels as though the city around him “just isn’t really
real… it’s just moving along around me.” He has also been isolating himself from everyone
except his brother and his girlfriend. During completion of the LEC-5, Jamal reported
experiencing physical assault, assault with a weapon, witnessing homicide and sexual assault,
and severe emotional trauma. Jamal has a total symptom severity score of 59 on the PCL-5. His
Case Presentation: Assessment & Diagnosis (C-PAD) Assignment
Liberty University
COUC 667: Clinical Diagnosis and Treatment Planning
Part 1 - Assessment and Diagnosis
Identifying Data
Date of initial assessment: 03/31/2021 PSEUDO Name: Jamal
Reason for Referral/Presenting Problem
Jamal was referred by staff of the Center for Spiritual Enlightenment. Jamal was brought to the
center due to his brother noticing Jamal 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
Jamal 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 experiencing
difficulty 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.
, Jamal was orphaned as a child after his mother was murdered and his father abandoned
him and his brother shortly after Jamal’s birth. Jamal and his brother do not have any further
family support. Jamal and his brother grew up in poverty, and until Jamal was 7 years old, the
two moved between government facilities. Because of these shared experiences, Jamal and Salim
are very close. Jamal’s mother was murdered during an anti-Muslim rampage within the family’s
Mumbai neighborhood. Jamal reports that he does not remember his mother or father, due to the
fact that he was parentless shortly after birth. Jamal also has a close relationship with Latika, his
former girlfriend and sexual partner. who has recently become involved in the Mumbai gangs. In
an attempt to contact Latika, he participates on Who Wants to Be a Millionaire? There were no
significant concerns regarding Jamal’s sexual relationship with Latika.
Jamal 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 Jamal 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. Jamal 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.
Jamal 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. Jamal has been experiencing insomnia
and dissociative symptoms, stating that he feels as though the city around him “just isn’t really
real… it’s just moving along around me.” He has also been isolating himself from everyone
except his brother and his girlfriend. During completion of the LEC-5, Jamal reported
experiencing physical assault, assault with a weapon, witnessing homicide and sexual assault,
and severe emotional trauma. Jamal has a total symptom severity score of 59 on the PCL-5. His
