CLIENT: DOB: DIAGNOSTIC ASSESSMENT PRESENTING PROBLEM(S): FAMILY/DEVELOPMENTAL HISTORY: DATE OF ASSESSMENT: REFERRAL SOURCE: EDUCATIONAL HISTORY: MENTAL HEALTH HISTORY/HISTORY OF MENTAL HEALTH TREATMENT: PHYSICAL HEALTH CONCERNS: SUICIDAL IDEATIONS/ATTEMPTS: TRAUMA HISTORY: (State type of trauma and age/dates if possible) FAMILY MENTAL/PSYCHIATRIC HEALTH HISTORY: SUBSTANCE ABUSE HISTORY: Substances Used CLINICAL IMPRESSION: CLINICAL FORMULATION: Age at First Use Date of Last Use Specify Amount Used TREATMENT RECOMMENDATION(S): REFERRALS: Vignette #5. The client was seen initially in the school social workers office following an explosive loss of temper in the halls at school involving threats of violence and death threats to the people around him. The school resource officer was able to de-escalate the situation only after threatening to pepper spray the youth. Witnesses report that the precipitant was his being confronted by several rowdy members of a sport's team who were teasing him about his style of dress. He is an 18 y/o junior of somewhat slight build who favors dark baggy clothing and wears his hair long and loose. He calms somewhat in the social work office but continues to pace muttering under his breath half heard threats about the boys involved. The client is normally quiet and somewhat withdrawn from social circles. He has come to staff attention over recent weeks due to the violent themes of death incorporated into his writing and art projects. When the SRO searched him after the incident, he was found to be carrying a large sheath knife that he angrily stated was for his own protection. "If you take that, you might as well kill me, because I'm dead meat without it; they'll kill me for sure now." When asked to explain himself, the boy refused to talk further. He also refused to answer questions about any suicidal or violent ideation. His parents report that he has been increasingly withdrawn over recent weeks and has isolated himself in his room on the computer. They indicated that he barely talks to them and is often heard up and pacing late into the night and seems to be talking to himself at these times.