Student Case Name / #

Student Case Name / #

Case Conceptualization

Student Case Name / #:

  1. Problem identification &amp definition:

Alexhas personal challenges that are largely self-inflicted. According toher, Alex is unable to maintain a relationship with a male partner.Her indulgence with misbehaviors such as drugs use and unsafe sexpractices could be the major contributors to the break-ups. Havingundergone therapy with five therapists in a span of three years isworrying as she is unable to change her misbehaviors. On his part,Sam suffers from irregular heartbeats that have affected himemotionally. The matter is made worse by the fact that his businessis not doing well hence Sam is worried about the financial flow andhis family’s well-being. Sam’s challenges are complicated sincehe has not reported any drugs’ use but he has not been taking anymedication.

Mary’sstate of loneliness is making her use most of her time alone. Itappears that Mary has adopted an anti-social behavior that makes herspend her free time in the house. Her concentration level at work islow hence poor productivity. As such, Mary appears emotional as sheis likely to lose her job. Having divorced few months ago, Mary isfaced with emotional stress as she has nobody at home to share hereventualities. Lack of appetite and sleep are largely contributed bythe poor state of mind.

  1. Contextual considerations:

Caringfor a patient involves attending to the physical, social, emotionaland spiritual needs of the patient. In creating the treatment planfor Alex, it is appropriate to consider the psychological challengesthat are making her engage in misbehaviors. Sam would require anexamination of the ethical aspects that are making him refrain fromtaking medications. Mary requires counseling on the need to improveher social behavior. The considerations need to be based on the needto enhance the social and emotional aspects of the clients (La Roche&amp Christopher, 2008), (Herbert &amp Gaudiano, 2005).

  1. Diagnosis

AxisI: GAF = 72 (Alex)

AxisII: GAF = 45 (Sam)

AxisIII: GAF = 75 (Mary)

DiagnosticComments:

BothAlex and Mary have mild psychological and emotional challenges thatbe effectively addressed through appropriate counseling. Alex’smisbehaviors and Mary’s anti-social behavior can be addressedthrough counseling therapy. On his part, Sam will need to undergoinpatient therapy to examine his consistent heart problem (AmericanPsychiatric Association, 2000).

  1. Theoretical Conceptualization:

Themode of treatment is largely guided by examining the behavior of thepatients. Ideally, the emotional and psychological well-being causesthe body to develop physical reactions that ultimately affects theother functionalities in the body. It is thus important that thetreatment plans consider the social aspects that make the clients tobehave as highlighted in the case studies. The crucial matter inpsychotherapy is the possibility to diagnose an individual as well asthe conditions present (Sticker, 1997).

  1. Treatment Plan

PresentingIssue #1: Alex – Counseling therapy

Strengths:

Betterunderstanding on the clients’ needs

Barriers:

Difficultto assess or measure the progress

Poorresponse by the client

Goals:

Thetreatment plan aims at providing the client with the necessaryinformation on how to attend to their emotional and psychologicalchallenges.

Interventions:

Individualcounseling with appropriate follow-up

Modality/ Duration:

6months

Measureof Progress:

Changeof behavior

PresentingIssue #2: Sam – Clinical therapy

Strengths:

Theapproach offers a clinical treatment plan to the client

Abilityto examine the physical factors contributing to the healthcomplication

Barriers:

Ethicalconsiderations

Pooradaptation to the treatment plan

Goals:

Theapproach aims at identifying the cause of the health problem as wellas provides the appropriate medication to the client

Interventions:

In-patientinterventions and administration of medicine

Modality/ Duration:

6months

Measureof Progress:

Responseto the medication

Changesin the body functioning

PresentingIssue #3: Mary – Psychodynamictherapy

Strengths:

Theapproach examines the changes in the behavioral practices

Barriers:

Anti-socialbehavior by the client

Divorce

Goals:

Interventions:

Counseling

Modality/ Duration:

6months

Measureof Progress:

Changein the anti-social behavior, increased productivity at the workplaceand more participation in outdoor activities (Jongsma, Peterson, &ampBruce, 2014).

References

AmericanPsychiatric Association (2000). Diagnosticand statistical manual of mental disorders(4thed., text revision). Washington, DC: Author.

Herbert,J. D., &amp Gaudiano, B. A. (2005). Moving from empiricallysupported treatment lists to practice guidelines in psychotherapy:The role of the placebo concept. Journalof Clinical Psychology,61(7), 893-908.

Jongsma,Jr., A. E, Peterson, L. M., &amp Bruce, T. J. (2014). Thecomplete adult psychotherapy treatment planner(5thed.). Hoboken, NJ: John Wiley &amp Sons, Inc.

LaRoche, M., &amp Christopher, M. S. (2008). Culture and empiricallysupported treatments: On the road to a collision? Culture&amp Psychology,14(3), 333-356.

Sticker,G. (1997). Are science and practice commensurable? AmericanPsychologist.52(4), 442-448.