This chapter demonstrates the eight-step full-scale case conceptualization strategy using two case vignettes. The chapter summarizes the following eight-step strategy: Step 1: Specify presenting problem and precipitants; Step 2: Identify maladaptive pattern; Step 3: Identify predisposing factors and perpetuants; Step 4: Specify a cultural formulation; Step 5: Specify the client’s relevant protective factors and strengths; Step 6: Specify treatment goals; Step 7: Specify treatment interventions; and Step 8: Specify obstacles, challenges, and facilitators. The readers will formulate the cases through the full-scale case conceptualization worksheet and then will write a full-scale case conceptualization narrative for each case. Exemplar responses for each of the two case vignettes are provided.