During the initial session, counselors should be sure to assess clients for each of the following problems except for:

In the context of initial counseling sessions, it's essential to focus on the most prevalent and severe issues that can significantly affect a client's well-being and functioning. Depression, substance abuse, and anxiety are commonly recognized as critical areas of concern and are often assessed during the first meeting. These conditions can have profound implications for the client's mental health and their ability to engage in therapy effectively.

Irritability, while it can be a symptom of various mental health issues, is typically not assessed as a standalone problem in the same manner as the others listed. It is often seen as a possible symptom or manifestation of underlying conditions like anxiety or depression rather than a separate issue. Therefore, counselors might prioritize assessing for more significant and identifiable problems that could require immediate attention or intervention.

By focusing on the more substantial issues initially, counselors can establish a foundation for therapy that effectively addresses the most pressing concerns, setting the stage for further exploration of symptoms like irritability in subsequent sessions if they become relevant.