Lesson Plan
Toolkit Roadmap
Provide instructors with a structured 80-minute session plan guiding undergrad counseling students through DSM-5 intake tools via demonstration, collaborative stations, and a proficiency quiz.
A clear roadmap ensures seamless delivery, maximizes hands-on practice, and cements students’ diagnostic formulation skills.
Audience
Undergraduate Counseling Students
Time
80 minutes
Approach
Demonstration → Stations → Quiz
Materials
Tool-by-Tool Demonstration, Kit Assembly Station Materials, Intake Form Templates (Worksheet), and Tool Mastery Check
Prep
Review & Setup
15 minutes
- Preview Tool-by-Tool Demonstration slide deck for flow and examples
- Print and organize station materials: intake forms, rating scales, criteria checklists, conceptualization templates
- Distribute Intake Form Templates worksheets at each station
- Queue up the Tool Mastery Check quiz in your LMS or printed handouts
Step 1
Introduction & Overview
10 minutes
- Welcome students and review session objectives and agenda
- Quick icebreaker: share one challenge you’ve faced in clinical intake
- Emphasize importance of structured DSM-5 tools for accurate diagnostic formulation
Step 2
Tool-by-Tool Demonstration
20 minutes
- Present each intake and assessment tool via Tool-by-Tool Demonstration
- Highlight key DSM-5 criteria mapping, usage tips, and sample cases
- Allow brief Q&A after major tool sections
Step 3
Kit Assembly Station Rotations
40 minutes
- Divide class into four stations; assign groups and rotate every 10 minutes
- Station 1: Intake Forms (client history, presenting problem)
- Station 2: Symptom Rating Scales (severity measurements)
- Station 3: Diagnostic Criteria Checklists (DSM-5 alignment)
- Station 4: Case Conceptualization Templates (formulation sketching)
- Students complete parts of their personal toolkit on Intake Form Templates
- Instructor circulates to answer questions and prompt deeper discussion
Step 4
Tool Mastery Check & Wrap-Up
10 minutes
- Administer the Tool Mastery Check quiz (digital or paper)
- Review answers as a group; clarify misunderstandings
- Assign a brief reflection: which tool will you integrate first in field practice?
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Slide Deck
Tool-by-Tool Demonstration
An overview of the key DSM-5–focused intake tools we’ll explore:
• Intake History Form
• Presenting Problem Statement
• Symptom Rating Scales
• Diagnostic Criteria Checklists
• Case Conceptualization Templates
Let’s learn how each tool supports accurate diagnostic formulation.
Welcome everyone to our deep dive into essential DSM-5 intake and assessment tools. Explain that today’s focus is to understand each tool’s purpose, structure, and practical application.
Learning Objectives
- Identify the purpose and structure of five core intake tools.
- Map each tool’s elements to DSM-5 diagnostic criteria.
- Apply tools through brief case examples.
Emphasize that by the end of this section, students should be able to name each tool, describe its components, and explain how it informs diagnosis.
Intake History Form: Overview
• Captures client demographics, presenting problem, developmental history, family background, medical/comorbid information.
• Serves as a comprehensive reference for formulation.
• Typically administered during initial session or via pre-session questionnaire.
Introduce the Intake History Form as the foundational data collection instrument.
Intake History Form: Key Components
- Identifying Information (age, gender, contact)
- Chief Complaint/Presenting Problem
- Psychiatric & Medical History
- Family & Social History
- Substance Use & Risk Assessment
Point out key sections and explain why each is clinically relevant.
Intake History Form: Example
Case: Sarah, 24-year-old graduate student.
• Presenting Problem: Persistent sadness, low energy.
• Medical History: IBS, allergies.
• Family History: Mother treated for depression.
→ Flags risk factors & differential considerations.
Show a filled sample form and walk through how responses inform diagnostic hypotheses.
Presenting Problem Statement
• A clear, client-centered description of why they’re seeking help now.
• Should include symptom summary, duration, and impact on functioning.
• Guides selection of further assessments.
Define the concise Presenting Problem statement and its role in focusing assessment.
Presenting Problem: Example
“I’ve been feeling anxious most days for the past six months. It’s gotten in the way of my work and relationships—I can’t sleep and worry nonstop about being judged.”
Demonstrate crafting a strong presenting problem from intake answers.
Symptom Rating Scales: Overview
• Standardized questionnaires measuring symptom frequency/severity.
• Provide reliable benchmarks and monitor change over time.
• Common examples: PHQ-9, GAD-7, Beck Depression Inventory.
Transition: rating scales quantify symptom severity to track progress and support diagnosis.
PHQ-9 Depression Scale
• 9 items corresponding to DSM-5 MDD criteria.
• Each item scored 0–3; total 0–27.
• Cut-offs: 5 (mild), 10 (moderate), 15 (moderately severe), 20 (severe).
Explain the PHQ-9’s nine criteria for major depression, scoring, and cutoff thresholds.
PHQ-9: Administration Tips
• Administer verbally or via self-report.
• Clarify item meaning if clients ask.
• Use scores to track treatment response and adjust interventions.
Discuss how to introduce and interpret the PHQ-9 with clients.
GAD-7 Anxiety Scale
• 7 items reflecting DSM-5 GAD symptoms.
• Scoring 0–3 per item; total 0–21.
• Cut-offs: 5 (mild), 10 (moderate), 15 (severe).
Similarly, introduce the GAD-7 for anxiety screening.
GAD-7: Usage Considerations
• Integrate into intake or follow-up visits.
• Review high-scoring items to explore specific symptom triggers.
• Combine with clinical interview for diagnosis.
Highlight best practices for using GAD-7 in session.
Diagnostic Criteria Checklists
• Itemized lists of diagnostic criteria per DSM-5 disorder.
• Ensures comprehensive coverage and diagnostic accuracy.
• Indicates which criteria are met, suspected, or not met.
Introduce checklists that directly map DSM-5 criterion sets.
Major Depressive Disorder Checklist
Criteria (need ≥5 in 2-week period, one must be depressed mood or anhedonia):
- Depressed mood
- Loss of interest
- Appetite/weight change
- Sleep disturbance
- Psychomotor changes
- Fatigue
- Guilt/worthlessness
- Concentration impairment
- Suicidal ideation
Walk through using the MDD checklist to confirm diagnosis.
MDD Checklist: Example
Client endorses items 1, 2, 4, 6, 8 → meets threshold for MDD. Use this to support diagnostic decision and treatment plan.
Demonstrate marking a completed checklist for a sample client.
Anxiety Disorder Checklists
• e.g., Panic Disorder, Social Anxiety, GAD.
• Follow DSM-5 criteria sets.
• Clarify duration, frequency, and impairment requirements.
Introduce anxiety disorder checklists similarly.
Case Conceptualization Templates
• Organize hypotheses about etiology and maintenance.
• Common models: CBT, biopsychosocial, developmental.
• Bridges assessment and treatment planning.
Explain the role of conceptualization templates in synthesizing data.
CBT Conceptualization Template
- Core Beliefs
- Automatic Thoughts
- Emotions & Physical Sensations
- Behavioral Responses
- Links between elements
Show the CBT conceptualization template structure.
Biopsychosocial Template
- Biological Factors
- Psychological Factors
- Social/Environmental Factors
- Protective & Risk Factors
Show the biopsychosocial template structure.
Integrating the Toolkit
• Intake History & Presenting Problem → Context & focus
• Rating Scales & Checklists → Symptom quantification & diagnosis
• Conceptualization Templates → Treatment hypotheses
Next: apply each tool hands-on at station rotations.
Summarize how all tools fit together; set up transition to station activities.
Activity
Kit Assembly Stations
Total Time: 40 minutes (4 stations × 10 minutes each)
Divide the class into four groups. Each group spends 10 minutes at a station, completes the tasks, and records key observations on their personal toolkit binder. Instructor circulates to prompt deeper thinking and answer questions.
Station 1: Intake Forms
Materials: Intake Form Templates worksheet; sample client vignette
Tasks:
- Complete the Identifying Information and Chief Complaint sections based on the vignette.
- Draft a concise Presenting Problem Statement (include symptom summary, duration, impact).
- Highlight any missing data you would follow up on in a live intake.
Reflection Questions:
- What information did you prioritize in your presenting problem?
- Which section of the intake form revealed a key diagnostic clue?
Station 2: Symptom Rating Scales
Materials: PHQ-9 and GAD-7 forms; sample client responses
Tasks:
- Score the PHQ-9 and determine the depression severity category.
- Score the GAD-7 and determine the anxiety severity category.
- Note any items that warrant follow-up questioning.
Reflection Questions:
- What cutoff scores did you use and why?
- How might you integrate these scores into your diagnostic formulation?
Station 3: Diagnostic Criteria Checklists
Materials: DSM-5 Major Depressive Disorder checklist; DSM-5 Generalized Anxiety Disorder checklist; sample symptom endorsements
Tasks:
- Mark which criteria are met, suspected, or not met for each disorder.
- Determine whether the threshold for diagnosis is reached and note any rule-outs.
- Draft a one-sentence diagnostic impression (e.g., “Meets criteria for MDD, moderate”).
Reflection Questions:
- Which criterion was most critical in confirming or ruling out the diagnosis?
- How will you communicate these findings to a supervising clinician?
Station 4: Case Conceptualization Templates
Materials: CBT Conceptualization Template; Biopsychosocial Template; consolidated client data from Stations 1–3
Tasks:
- Choose one template (CBT or Biopsychosocial) and populate each section with client information.
- Identify at least two hypothesized maintenance factors and two protective factors.
- Propose one initial intervention strategy based on your conceptualization.
Reflection Questions:
- Which maintenance factor seems most amenable to intervention, and why?
- How does your chosen template help guide treatment planning?
Rotation & Debrief
- After 10 minutes, rotate clockwise to the next station.
- Throughout rotations, compile each completed tool into your personal toolkit binder.
- Group Debrief (10 minutes): Each station group shares one key insight or challenge they encountered. Discuss how these hands-on experiences will inform your future clinical intakes.
Next up: Tool Mastery Check quiz and wrap-up discussion.
Worksheet
Intake Form Templates
Section 1: Identifying Information
Name: ________________________________
Age: ______
Gender: ______
Contact Information: ________________________________
Date of Intake: //________
Section 2: Chief Complaint / Presenting Problem
(In the client’s own words, describe why they are seeking help today)
Section 3: Psychiatric & Medical History
(List any past or current psychiatric diagnoses, treatments, medical conditions, medications)
Section 4: Family & Social History
(Summarize relevant family mental health history, social supports, relationships, cultural factors)
Section 5: Substance Use & Risk Assessment
(Note any substance use patterns, risk behaviors, safety concerns)
Primary Presenting Problem Statement
Craft a concise statement including symptom summary, duration, and functional impact