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Essay Instructions: The paper should be 3 pages APA STYLE.conduct a clinical interview with a fictitious client providing information to be utilized to write a comprehensive assessment report. The report should include relevant sections with titles (e.g. Reason for Referral, Background information). The report should be written in APA format, i.e., typed, single spaced, 1-inch margins on all sides, 12-point, Times New Roman Font (or similar font), and left aligned text.

.. THE CLIENT'S PERSPECTIVE REPORT
1) Provide demographic information, characteristics, and/or symptoms of the client portrayed in the role play.
2) Describe the feelings, thoughts, and reactions associated with being in the client's ?seat.?
3) Discuss the therapeutic experience reactions to the therapist, and the rapport.
4) explain the needs and expectations that were met and those left unmet in the therapy session.

Fictitious CLIENT

THE WRITTEN REPORT


1. *Client name: Celina Smith
2. *She is from Atlanta, GA
3. Age: 27
4. Gender: Female
5. Race: African American
6. Education: High School Graduated
7. Siblings?: One Brother Name Mark
8. Parents: died in a car crash
9. Diagnoses: She suffers from Anxiety & Manic Depression
10. EVERY THING ELSE CAN BE CREATED/MADE UP


1. Assessment
Client?s Identifying Information and History: Describe your client?s sex, age, socio-economic status, race/ethnicity, religious or spiritual affiliation, relational status, occupation, education, current living situation including description of family constellation at the time of the session. Please disguise (or vaguely identify) the individual and/or institutional setting presented in the transcript and report. The intent at all times is to protect the confidentiality of the client.
History: Include an assessment of developmental issues and concerns, family history (including a genogram if appropriate), academic/vocational history (achievements, problems, aspirations, relationships with authority figures), peer relationships, sexual history, where appropriate, medical history, and legal history.
Presenting Problem: Describe symptoms, anxieties, moods, difficulties in personal, relational, educational, and/or occupational situations and activities at the time of the initial assessment; overt reason(s) for seeking help at the time; referral route to the counselor.
Relevant Behavioral Observations: Include salient aspects of physical appearance and mannerisms, as well as observations of significant interactions with you during the course of the interview. Relevant observations include the client?s apparent state of health, estimate of intellectual and cognitive functioning, physical coordination, affect, indications of distress, and any oddities or peculiarities in the client?s behavior, and physical make-up. This section should also include the data found from the mental status examination and a description of the client?s strengths/resources and weaknesses/limitations.



2. Theoretical Formulation
The case development will vary depending upon the theory of psychotherapy you are applying to this case. Your approach to therapy will greatly influence the case formulation process. An awareness of the impact of the client?s cultural background and present experience on the therapeutic process is an exceptionally important part of this formulation. In this section you will provide a hypothesis about the causes, precipitants, and maintaining influences of the client?s psychological, interpersonal, and behavioral (career, etc.) problems. As a hypothesis, your case formulation may include inferences about predisposing vulnerabilities based on early childhood traumas, a pathogenic learning history, biological or genetic inferences, sociocultural influences, and beliefs about the self and others.

3. Diagnostic Formulation
In consideration of all of the information gathered, provide an appropriate diagnosis of the ?client? utilizing the DSM-IV-TR diagnosis. Your diagnosis must be specific, detailed, and accurate as possible, across all 5 axes. This section must also include a detailed rationale for the diagnoses given, criteria that were met, as well as diagnostic rule-outs and rationale.

4. Treatment Plan
The nature of the treatment plan and its interventions should follow logically from your case formulation and diagnosis/assessment of the client. These should be as comprehensive, specific, accurate, and detailed as possible. You must describe immediate, short term, and long term treatment goals.

5. Self Evaluation
Your analysis should include:
1) The beginning of the hour -Discuss prominent indicators of quality of rapport, your feelings at the outset of the interview, and your sense of the client?s feelings at the outset of the interview. Is there something unusual going on? Is the client slow to ?warm up? or is the client able to engage immediately? Are your feelings at the start of this interview typical or atypical for you? Include any other salient observations you have about the interview.

2) Helpful/Problematic interactions ? Define and clearly state what was helpful and therapeutic about the exchange as concretely as possible. Define and clearly state your best understanding as to why it was helpful. Give concrete examples of what contributed to the value of the exchange. Discuss the understanding that you had that led to your responses or exchanges. Discuss, as concretely as possible, any interactions that seemed problematic, or did not go as well as you would have desired. Define and clearly state your best understanding as to why it did not go well. Give concrete examples that contributed to the problems in the exchange. Discuss any personal issues, counter transference issues, or other problems that may have contributed to the interaction being less than successful. The paper will end with an overall critique of the entire interview and a discussion regarding cultural/ethnic/gender/spiritual/sexual orientation/age variables that may have impacted the interview process.

Essay Instructions: We will pay $140.00 for the completion of this order.

This paper is a SINGLE SUBJECT RESEARCH STUDY paper that will be 9 pages.
*** 5 to 7 references need to be provided*** This paper will subtitled.*** THE SUBTITLES ARE BELOW IN BOLD WITH THE INFORMATION THAT NEEDS TO BE INCLUDED WITHIN EACH.
Below there is Client Identifying Information AND Presenting Problem that will be used in order to write this 9 page paper.
Client Identifying Information:
Client is a 30 year old White female who has recently divorced her husband and is responsible for the care of two minor children ages 10, and 8. She works as a teacher’s assistant for a local public school, even though she has not earned a Bachelor’s degree yet. Consequently, she earns a low salary. Client is also responsible for the support of her mother who lives with her and is not employed. Client enjoys good physical health and is part of a small social support system.
Presenting Problem:
Client has been diagnosed as suffering from clinical depression. She has little motivation and concentration, she has little or no desire to participate in pleasurable activities, sleeps 10 to 12 hours per night but feels tired most of the day. She has lost most of her appetite and consequently she has lost approximately 15 pounds during the last month. She feels helpless and hopeless. Her current condition seriously hinders her ability to adequately care for her children.
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Based on the information provided above, you are expected to:
1. Specify the particular aspect of the client’s situation you will target with your intervention.
2. Select an appropriate intervention following a review of the literature. You should describe the selected intervention and justify your selection of it. Your selected intervention should be supported by the literature and consistent with a theory.
3. Formulate a hypothesis or research question.
4. Identify the variable to be measured (dependent variable) and state the objective of your intervention.
5. Identify the instrument and strategy you would utilize to measure the dependent variable. You must discuss the issues of validity and reliability if you choose to use a standardized test.
6. State what your research design will be.
7. State what your research design will be.
7. (A) Create Data
8. Create at least one graphic using the SINGWIN program.
9. Conduct at least one statistical test using the SINGWIN program.
10. As part of the interpretation of your findings, indicate whether your hypothesis is accepted or rejected or what is the answer to your research question. You should discuss the study’s statistical, theoretical and practical significance.
11. As part of your conclusions you should discuss the study limitations, your clinical impressions and the perceived overall worth of your single subject intervention and research study.
IMPORTANT:
**HERE ARE THE SUBTITLES THAT YOU WILL USE FOR THE PAPER (THEY ARE IN BOLD LETTERING). Do not use numbers; use subtitles only and you need to write below each one. Start off with the “DESCRIPTION of Client Selected”. Every number below has clear notes on what exactly to do. Every number below matches with numbers from above. Under subtitles there are notes to help with each one.*****
1. DESCRIPTION OF CLIENT SELECTED-
Client is a 30 year old White female who has recently divorced her husband and is responsible for the care of two minor children ages 10, and 8. She works as a teacher’s assistant for a local public school even though she has not earned a Bachelor’s degree yet. Consequently, she earns a low salary. Client is also responsible for the support of her mother who lives with her and is not employed. Client enjoys good physical health and is part of a small social support system
*NOTE: ALL YOU HAVE TO DO IS WRITE THE SAME INFORMATION IN YOUR OWN WORDS, EVERYTHING NEEDS TO BE INCLUDED.

2. TARGETED PROBLEM OR SITUATION
Presenting Problem:
Client has been diagnosed as suffering from clinical depression. She has little motivation and concentration, she has little or no desire to participate in pleasurable activities, sleeps 10 to 12 hours per night but feels tired most of the day. She has lost most of her appetite and consequently she has lost approximately 15 pounds during the last month. She feels helpless and hopeless. Her current condition seriously hinders her ability to adequately care for her children.
*NOTE: There are numerous problems identified per the case scenario. DO NOT WRITE THIS PART WORD FOR WORD. You need to specify or target on one of the problems mentioned. FOR EXAMPLE, IF IT’S ON DEPRESSION FOCUS ON ONE BEHAVIOR LIKE SLEEP PATTERNS OR LOSS OF APPETITIE.
YOU HAVE TO SELECT A BEHAVIOR THAT YOU BELIEVE YOU CAN CHANGE.
**EXAMPLE: I WANT TO FOCUS ON LACK OF DESIRE TO ENGAGE ON ACTIVITES ( A WAY OF HOW IT CAN BE WRITTEN ON THE PAPER)
***What is the Behavior/situation?
***You can mention the behaviors from the presenting problem; HOWEVER, YOU WANT TO ONLY FOCUS ON ONE.
***YOU CAN WRITE THIS ON THE PAPER IF YOU WANT, FOR EXAMPLE : HERE ARE THE PRESENTING PROBLEMS, HOWEVER I WANT TO FOCUS ON THIS_________ BEHAVIOR….

3. JUSTIFICATION FOR AND DESCRIPTION OF SELECTED INTERVENTION.
*NOTE: YOU WILL NEED TO FIND AN INTERVENTION ON THE PROBLEM THAT YOU CHOSE.
*WHAT WILL BE A GOOD INTERVENTION THAT WILL HELP SOMEONE, FOR EXAMPLE, “SLEEP”. ANOTHER EXAMPLE: PROBLEM, THE CLIENT IS UNABLE TO SLEEP, THE INTERVENTION COULD BE EXERCISE; AND INCLUDE WHY YOU FEEL EXERCISE WOULD BE THE FOCUS OF INTERVENTION.
**YOU NEED TO HAVE JUSTIFICATION-JUSTIFY THE INTERVENTION.
***PLEASE INCLUDE REFERENCES FROM LITERATURE TO JUSTIFY YOUR ACTIONS, OVERALL INCLUDE 5-7 REFERENCES.
FOR EXAMPLE: THIS IS THE INTERVENTION I SELECTED, …..THIS IS THE DESCRIPTION,……AND THIS IS WHY I SELECTED IT,….., I have selected this intervention because according to this study this intervention has worked…, or justify with a theory, for example, according to this theory, this intervention should work.
(THE WRITER IS TO INCLUDE IN THIS FORMAT, AND THE REASON FOR THE SELECTION NEEDS TO BE JUSTIFIED AND HAVE BACKUP FROM LITERATURE FROM RESEARCH FINDINGS OR THEORIES, ETC. …
**** SINCE WE ARE DOING AN ABA DESIGN YOU ONLY NEED ONE INTERVENTION….
4. HYPOTHESIS OR RESEARCH QUESTION
*NOTES: WRITE THE HYPOTHESES OR WRITE THE RESEARCH QUESTION, IN THIS PART YOU WOULD SAY FOR EXAMPLE: THE NUMBER OF HOURS CLIENT WILL SLEEP AT NIGHT WILL INCREASE WITH MY INTERVENTION. OR YOU CAN POSE IT AS A QUESTION? FOR EXAMPLE: WILL THE NUMBERS OF HOURS SLEPT INCREASE WITH MY INTERVENTION?
***1) INTERVENTION IS THE “X” VARIABLE CAUSE (INDEPNDANT) AND 2) THE BEHAVIOR /TARGETED FOR CHANGE IS THE” Y” VARIABLE EFFECT (DEPENDANT).
5. VARIABLE TO BE MEASURED AND OBJECTIVE(S) OF THE INTERVENTION.
*NOTES:**HERE THE WRITER NEEDS TO INCLUDE THE VARIABLES, FOR EXAMPLE, NUMBER OF HOURS PER NIGHT CLIENT SLEEPS
*** THE VARIABLE NEEDS TO BE MEASURED, YOU ONLY NEED TO INCLUDE THE DEPENDANT VARIABLE/ THE EFFECT AND OBJECTIVES OF THE INTERVENTION., THIS IS IN PART BECAUSE YOU DON’T ALWAYS WANT SOMETHING TO INCREASE, SOMETIMES YOU WANT THE BEHAVIOR TO DECREASE OR STAY THE SAME****
****THE VARIABLE NEEDS TO BE MEASURED, DO NOT GIVE A VAGUE CONCEPT FOR EXAMPLE: LIKE CLINICAL DEPRESSION, IT NEEDS TO BE SPECIFIC AND MEASURED. FOR EXAMPLE: YOU CAN WRITE SOMETHING LIKE “NUMBER OF HOURS PERSON SLEEPS PER NIGHT.
*****YOU NEED TO INCLUDE WHAT IS THE BEHAVIOR THAT IS GOING TO CHANGE AFTER THE INTERVENTION.

6. INSTRUMENT AND STRATEGY FOR MEASURING THE DEPENDANT VARIABLE.
*NOTE: You need to use references here. THE ONLY TIME YOU DO NOT USE REFERENCES , IS FOR A LOG.*
** Find a measurable instrument or make up a small log of your intervention or a scale of hoe you measured your intervention. Also, you can use a strategy of how you did this. For example, how you collected your data, KEPT a log from Monday-SUNDAY and kept track of it.
EXAMPLE: A VALIDATED PSYCHOLOGICAL TEST OR BY KEEPING A SIMPLE LOG OF THE MEASUREMENTS.**I would think that you can write something here and the other half probably use a questionnaire, or a log, or a psychological test (whatever suits best for the paper).
***WHAT NEEDS TO BE INCLUDED IS HOW I AM GOING TO MEASURE IT. EXAMPLE: PERSON SUFFERS FROM PHOBIA OR ANXIETY. MAKE OBSERVATIONS ON THIS PERSON AND FIND OUT. DOES THIS PERSON HAVE COLD SWEATS? ***INSTRUMENT CAN BE A QUESTIONNARE OR A LOG TO MONITOR THE FREQUENCY OF BEHAVIOR.
IF IT IS A PSYCHOLOGICAL TEST, JUSTIFY THAT IT IS A VALIDATED TEST AND STATE WHY. YOU GET FROM THE TEST WHY IT THAT IT’S VALIDATED IS. *BUT IF IT IS A LOG IT DOSEN’T HAVE TO BE JUSTIFIED!!!!

7. SELECTED RESEARCH DESIGN
*NOTE: HERE YOU TALK ABOUT YOUR DESIGN. FOR EXAMPLE, IT IS A SIX WEEK INTERVENTION…CLIENT DID BETTER EACH WEEK…Monday through Sunday the person exercised 30 minutes a day…(YOU CAN MEASURE FREQUENCY, MAGNITUDE, SEVERITY.)
HERE WE WANT TO USE THE ABA DESIGN. YOU CAN START OFF THE PARAGRAPH BY WRITING: MY DESIGN IS GOING TO BE AN ABA DESIGN…………
(For your [the writers] info only on ABA below)
A=BASELINE -this is the observation you make before the intervention (a baseline is a point of reference to know where the problem is/got started).
B= INTERVENTION –the actual intervention being done.
A= BASELINE – the observation after the intervention. This is what happened after the intervention. The client improves or does not improve. In this paper the client will improve. (a baseline is a point of reference to know where it started, to see if it got better or worse).
8. GRAPH-
NOTE: YOU CAN DO A SIMPLE LINE CHART OR A BAR GRAPH. THIS IS WHERE U WILL SHOW YOUR OBSERVATIONS, FOR EXAMPLE, DID YOU MEASURE IN DAYS , WEEKS, OR NUMBER OF TIMES OBSERVED AND WHAT WAS OBSERVED. EX: IS TO REDUCE # OF CIGARETTES SMOKED PER DAY, INTERVENTION WOULD BE WHATEVER YOU DO TO HELP CLIENT, LIKE COUNSELING, NICOTENE PATCH, ETC. HERE ARE RANDOM EXAMPLES:
Results




9. STATISITCAL TEST- THIS IS WHERE YOU INTERPERET THE FINDING AND TELLS WHAT IT MEANS. If we are doing a ABA design, we can’t do a T-Test.** HERE ARE EXAMPLES:
Means Chi-Square Test


10. INTERPRETATION OF FINDINGS- Findings must match the graph and statistical test. As part of the interpretation of your findings, indicate whether your hypothesis is accepted or rejected or what is the answer to your research question (vocabulary to be used is: if the probability P=.05 or less you will accept your research hypothesis. (Note: you will probably accept it because your intervention is going to help the client significantly). If it is .06 or above you reject it. You should discuss the study’s statistical, theoretical and practical significance. WAS THERE RELIABILITY OR VALIDITY ON YOUR FINDINGS?
11. CONCLUSIONS- As part of the conclusions you should discuss the study of limitations, your clinical impressions and the perceived overall worth of your single subject intervention and research study.
12. THE REFERENCES

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Essay Instructions: Please read the following vignette and write a treatment plan assessment.
The treatment plan should address the following:

1. Client information
2. one paragraph - description of client
3. one paragraph - providing history of problems
4. The client Mental Status Including:
* cognition
* Affect
* Mood
* Behaviors
* Physiological Functioning
* Suicidal and Homicidal Assessment
* Social History
* School History
* Client Strength
5. The Client presented problems
6. Identify the legal and ethical issues in the case?
7. Demonstrated critical thinking in discussion of the important legal and ethical issues?
8. Write a 2 paragraphs or more case conceptualization. This means discuss which problems client is experiencing, and why?, from a consistant theoratical prespective which is Cognitive Behavioral Therapy (CBT) she is having these problems.
9. Write a logical and rational of what do you think is going on with the client?
10. write the 5 Multi-axial diagnosis and provide a rational for AXIS I and AXIS II, one paragraph each. This sectikon should be as the following:

AXIS I:
Rational (paragraph) why you choose this diagnosis?
AXIS II:
Rational (Paragraph) Why you choose this diagnosis?
AXIS III:
AXIS IV:
AXIS V:
11. Write goals and objectives using Cognitive Behavioral Therapy (CBT)
* 5 short term Goals
* 5 Long term Goals
12. Write one paragraph explaining why you used Cognitive Behavioral Therapy?
13. write interventions that goes along with the goals, this includes:
* 5 initial Stage
* 5 progressive stage
14. Write the outcomes of the counseling progress.

Please be sure to answer each question 1-14 after reading the vignette. Be sure to provide a header for each question. The case conceptualization should be based on Cognitive Behavioral Therapy Prespective. APA format.

Vignette

Alexandria Wright is a 37-year-old female who came to Dr. Hidlan for therapy. She mentioned that she had counseling a year ago. Alexandria is experiencing Flashes of sadness. A few months ago she started having recurring dreams of her father?s death who passed away a year ago. She feels sad. Her siblings hide their feelings. After a year she feels back to what is going on. The client was made as the executer of her father?s estate. She is working on the estate but is annoyed with people. She has 3 sisters. She is the 2nd oldest of 4 girls. Her father?s well stated to split the estate 4 ways. All personal property is being given a value. She thinks back to her parent?s death. Her parent?s were cheated out of their estate by some of their siblings and she didn?t want that to happen with them. The client stated that her and her sisters agreed not to involve their husbands in the estate business, but her youngest sister?s husband, Bruce tries to stick his nose into their business and the client doesn?t like it. Her oldest sister is Isabella 39 and they are all 2 years apart, she is not married, Victoria the sister below her is married, and her youngest sister Elizabeth is married to Bruce who keeps trying to get in her and her sister?s estate business. Bruce doesn?t like it because she told her sister Elizabeth to tell him to get out of their business. Bruce took the accounting test 4 times and couldn?t pass it. He works for Managed Care CEO., but he failed the accounting test. The client passed it on the first try. She got her BA and her Masters Degree and she is also a CPA. The client states that it is insulting to have Bruce inquire about her and her sibling?s estate because it is none of his business. The Psychologist informed her that he knows Bruce and that Bruce is a friend of his. The client asked the counselor to talk to Bruce but he declined and stated ?than that becomes a legal matter on my part? ?I cannot have dual-relationships in therapy?. The client states she specifically priced each of the items in the estate to be as accurate as possible. She is putting a lot of work into making sure every dollar is accounted for before disbursement and she gets annoyed and upset when Bruce starts asking questions about pricing values of estate items. Her relationship with her siblings is somewhat shaky. Elizabeth is the client?s youngest sister. She states Elizabeth is spoiled and always got her way. She had no rules or guidelines from their parents compared to her and she resented it. The clients states that Elizabeth is spontaneous and has inappropriate behavior. Victoria her next to the youngest sister get along well. Her oldest sister Isabella is a peace of work. The clients states that Isabella is very sloppy, totally the opposite of her. The client likes neatness and is very disorganized. Isabella was so sloppy when they were growing up that the clients separated the room they lived in together to separate the sloppy side and create a boundary. The client is the closest to Victoria. She states that Victoria is an accountant too. The client has 2 boys. Victoria has 2 girls. They have a good relationship with each other and their parents. Their parent?s had rules and expectations. The client stated that she is very responsible and organized. She organizes everything. Closets with clothes by dress, skirt, color, seasons, etc., and has coded them on the computer to use when she wants to pick an outfit. The clients states her immediate family has breakfast, lunch, and dinner at the same time every day. Tuesdays are always laundry day. Their life is very structures. She states that structure is important and cleaning is the same way it makes things less complicated. Order is very important to the client. All 4 of her closets are in order. The clients is and orderly, organized, hard worker. She states she gets complaints from her sisters, they think she is obsessive with organization. When her and her sisters go on vacation she organizes everything. Her sister?s think she over organizes. She organizes, where they will stay, the grocery list, the trip itself, menu, everything. While they are on vacation the client doesn?t want to be disturbed. She will bring something to organize. She feels unappreciated about the trip organization. She just tries to make life easier for unexpected things in life. The client does not like unexpected things, so she keeps a back up plan. She always has sub category files to monthly expenses and people they do business with. She states that she enjoys organizing, it relaxes her. When they are on vacation she rents a place where she can reorganize the kitchen or other rooms in the rental. She likes to organize whether it is in work or play. The client states that it is a solitary task. She states that her husband is an Engineer. She spends most of the time with the children. They are 5 and 7 years old. She has taught the children to organize their closet, lay out the clothes they will wear, and put everything away when they are finished. She states that the 7 year old has been doing that for 2 years. The client states that when she is frustrated she goes and starts organizing to help relax her. Organizing invades her thoughts when doing other tasks but she lets the other tasks go but it?s hard. She says she does not obsess. Her rituals of organization are the same way. She goes to make sure the car is locked every night. She states when others talk to her it does not give her thoughts. She does not hear voices, and has no thoughts of death or hurting others or herself. The client states her major milestones accomplishments are she graduated Valedictorian in high school, got her BA Degree, Magna Cumlada and her MS Degree Magna Cumlada. She has been working had on their parent?s estate to make sure all prices average out. The client states that her brother-in-law Bruce keeps objecting to prices and that bothers her. She states that she does not let others help her. No one could do it as well. She is thinking of taking her children out of school to home school them because of social influences, drugs, pregnancies, the culture and so on don?t meet up with her standards, morals, or ethics. She states that she manages the money and she and her husband have several saving accounts including for their children?s education. She manages their funds with an explicit budget and tracts all of the expenses. She states they live their life by a budget and save about 20% or so of their money in retirement, a nest egg, and their son?s education. Her sister?s call her a perfectionists. The client does not think she is a perfectionist. Her sisters do not interfere and let her finish her tasks. Her sisters and others think she is stubborn but she does not think so. She states that she has operated in the same way all of her life. She stated she is tired of Bruce challenging her on prices. She remembers witnessing what happened to her parents when her grandparents died and what they went through. After some of the kids took the money they were ostracized by their siblings. She doesn?t want that. She states that even though her sisters and she have their differences, family is still very important. They made a pack to leave the spouses out. Elizabeth is dealing with the situation and trying to get Bruce in like but she is having marital problems due to this. The client?s states again the Elizabeth is crying now about the whole situation. She states her sister is a spoiled baby and her other siblings are mad at Bruce. The client?s most important issue is that her family stays intact. That is very important to the client.

Essay Instructions: The purpose of this project is to help you to develop the skills of a practitioner-researcher and to be able to evaluate the effectiveness of your own clinical work. For your course project, you will select a single case (individual client) at your clinical internship. During the course of your internship, you will develop a proposal to conduct an evaluation of the interventions used for a present or future case or group. You must format the proposal as an empirical research proposal, including introduction, literature review, methodology, and appendices. This is a proposal, not a project you must actually implement. The client is fictional and should have anxiety and substance abuse issues.
I have attached the first part of the project that should help you in completing the second half. The client can be completely fictional. Please contact me assap with any questions. Thank you so much.
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