1. CPT, Case Conceptualization, and Treatment Planning
ECPY 621 – Class 2
CPT, Case Conceptualization, and Treatment Planning

2. Overview Pass out CD’s Review last week CPT coding Activity – Video
Case Conceptualization
Measurable Goals
Activity

3. CPT coding
90801
90802
90845 – 90847
90857
90882
90885
90887
Testing – 96117

4. CPT coding cont’ Forms – Appendix E RUV’s – Appendix F
HIPPA – Appendix H

5. Activity
Review --What Dx from lyrics?
What additional from video?

7. Do a Client Map - Seligman
Diagnosis
Objectives of Tx
Assessments
Clinician characteristics
Location of Tx
Interventions to be used*
Emphasis of Tx*

8. Do a Client Map Number Timing Mediations needed Adjunct services
Prognosis

9. Interventions – Elements of
Maintaining positive therapeutic alliance
Providing support
Providing information/education
Reducing painful feelings
Decreasing specific maladaptive behaviors
Modifying specific misperceptions
Helping put concerns in context

10. Emphasis Insight vs. action Directive vs. vocative
Systemic vs. client centered
Group vs. individual
Short vs. long term
Planned vs. spontaneous
With vs. without homework

11. Psychotherapeutic Approaches
Psychoanalysis
Psychodynamic
Behavior Therapy
Cognitive Therapy
No Treatment

12. Jongsma
Steps – choose problem, choose LT goal, choose short term goals
Quantitative Treatment Plan (p 13)
Areas of concern
Customize
Use as guide
Dx first
MAKE MEASUREABLE

13. Case Conceptualization
1. Identifying data: age, sex, race, marital/family status, school and/or job status, living situation, etc.
2. Presenting problem: client's words and from counselor's point of view; prioritize problems
3. History of presenting problem: duration of presenting problem; precipitating events for seeking counseling, (sudden or insidious), previous problem solving and resources used

14. Case Conceptualization
4. Previous counseling or help seeking: attitudes about that, results
5. Medical concerns: illnesses/ problems; medications
6. Alcohol and drug use
7. Social history physical, social, emotional, spiritual; support systems
8. Family history: past and present relationship with family, problems an strengths of family

15. Case Conceptualization
9. Mental status:
affect: appropriate, blunted, constricted
judgment: intact, impaired
oriented or disoriented
thought process: intact, flight of ideas
mood: anxious, depressed
memory: intact, impaired
speech‑ normal, loud, soft, pressured
suicidal or homicidal ideation
attitude: cooperative, angry

16. Case Conceptualization
10. Symptomatology: frequency, duration, intensity of symptoms:
Depression as evidenced by _________________
Anxiety as evidenced by ___________________
Stress as evidenced by _____________________
11. a) Impairment in functioning: school, social relations, family, job
b) Current functioning as compared to past year

17. Case Conceptualization
12. Strengths, assets:
13. Counseling goals: Long and Short Term (Measurable)
14. Counseling techniques, strategies, interventions

18. ?’s determining ‘Measurable’
Measurable Long term and Short Term Goals
Who will measure?
What is the goal?
Where is the behavior now?
When will we measure?
How will we measure?

19. Activity
TWISTED SISTER