• Walden University

• COUN 6723 Multicultural Counseling

Diagnostic Conceptualization Template
Client Name
Devon
Case Conceptualization ( Note: Include specific information about client symptoms and presenting concerns
Devon is a 24-year-old biracial, gay male who was a self - referal due to concerns related to his relationship. Devon stated that
he recently went through a break up with his boyfriend of 3 years after his boyfriend cheated on him. Devon is reporting
saddness, feeling anxious, and generallly unhappy even though he initiated the breakup. Devon stated he is having dificulty
sleeping, focusing on his work, and having a general sense of hopelessness about his future.
During this initial session Devon confided that he sought out counseling about 2 years ago relating to an eating issues he was
having. Devon stated his eating was out of control, that he was eating his feelings. Devon shared his experience of his eating
habits 2 years ago (binge constantly, and purge by getting rid of all the calories). Upon further questoining Devon reports that
his unhealthy eating habits have returned since the break up. Devon shared that he has had 3 episodes per week of eating large
amounts of food. Devon identified that during one of these episodes he age "3 boxes of cookies, 2 bags of chips, a box of
doughnots, and 2 cheese burgers within a 2 hour period." Devon revealed that he felt out of control during these episodes like
he was not in his body, "but rather watching from the outside." Devon continued stating that after every episode he induced
vomiting to rid himself of the calories and "get rid of the horrible feelings of shame and disgust with myself." Devon stated
that he has experences this routine with food off and on for about 8 years. Devon reflected that he has noticed that the
excessive eating and vomiting pattern tends to get worse during periods of stress and depression. Devon shared that he is
embarrassed and ashamed by this behavior and does everything he can to hide it from his closest friends and family.
Diagnostic Impressions (Note: Be sure to use the ICD-10 code, name of the disorder, and all of the specifiers)
F43.23 Adjustment Disorder with Mixed Anxiety and Depressive Moods
F50.2 Bulimia Nervosa-Mild