Client Case Conceptualization

Client is 16 years old, female Mexican American who is straight sexually active, and lives with her boyfriend’s family house at sharing the same room. Client is currently a student at Village Academy- Pomona High School in grade 11 Client was referred by DCFS social worker after presenting with the following symptoms: withdrawn, sad affect, anxiety related to family history/separation/conflict, difficulties with accommodation adjustment, and feeling of loss due to losing her fetus.
Client becomes angry (does not talk or respond to others when they talk to her) about 7 times a week (triggers: when boyfriend's sister criticize her or even when she remembers her step father treating her boyfriend or when he kicked her out of the family house) that last 30 minutes to 1 hour since 2 months ago when she moved
Client is good at swimming, playing piano, guitar, and drums.
Client reported that she is wearing glasses; denied any Psychiatric Hospitalizations, Inpatient or Outpatient Treatment, Suicidal/Homicidal Thoughts/Attempts, Self harm, and any serious or chronic illness and medication. Client denied any substance use, drugs, or alcohol. Client denied any legal issues according to her legal history.
Client reported that her developmental milestones within the normal average throughout her all age phases. Client reported that she did not see her father and he was unknown since she was born not only for her but also for most of the family members.
Client’s symptoms did not meet the criteria of schizoaffective disorder, schizophrenia disorder, delusional disorder, dysthymia, or due to any medication and the influences of any drug or alcohol use.
The client’s symptoms meet the criteria of Major Depressive disorder, Mild, Recurrent Episode. Depressed mood all the day Markedly diminished interest or pleasure in all activities most of the