Description
Case Description Introduce the client using a pseudonym or initials. Provide demographic information such as age, appearance and dress, physical description (e.g., height, weight, hair and eye color), racial identity, gender identity, gender assigned at birth, sexual orientation, pronouns, marital/relationship status, mood, affect, speech, orientation (to person, place, and date), hallucinations, delusions, suicidal/homicidal ideation, insight, judgment, and substance intoxication/withdrawal symptoms.