Case Study Presentation Template

Use the format provided for your case study presentation.  Be sure to support the facts with examples.  This is a quick guide to the format of presenting a patient case study.  Therapists practicing in a community mental health setting or group practice hold case conferences to discuss their patients.
 
Patient Case Study

Patient Name:________________________________________________ 

Age:____ Sex:____  Race:________ 

Primary Complaint: 
 
 
 

How patient was referred to therapy: 
 
 

Hospitalization/drugs: 
 
 

Other significant history: 
 
 

Diagnosis:___________________________________________________ 

Diagnostic Criteria #1:__________________________________________ 
Evidence: 
 

Diagnostic Criteria #2:__________________________________________ 
Evidence: 
 

Diagnostic Criteria #3:__________________________________________ 
Evidence: 
 

Diagnostic Criteria #4:__________________________________________ 
Evidence: 
 

Diagnostic Criteria #5:__________________________________________ 
Evidence: 
 

Other possible diagnosis: 
Evidence: 
 
 

Case Conference Questions/Notes: 
 
 
 

 

See the course schedule for due dates.  Late presentations are not permitted whatever the reason.
 



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