Time-Limited Dynamic Psychotherapy-Case Conceptualization Case study

Time-Limited Dynamic Psychotherapy-Case Conceptualization Case study

Time-Limited Dynamic Psychotherapy-Case Conceptualization

Case study

Samdrinking excessively due to family matters and his career hasresulted to low-self esteem. Sam has divorced twice due to thosechallenges and psychologically they have affected him. The familymembers do not support Sam so that he can clear the mess. Life ischallenging to Sam and thus requires support and counseling so thathe can solve the problems.

Problemidentification and definition

Inthe case study the primary contributing concern is mental disorderthat is generated by stress based on the fact that he has divorcedtwice and the current working environment is not favorable to him.Personal problems have made Sam to drinking excessive which mayprovoke Sam to attempt suicide.

Conceptual considerations

Thetreatment method should consider the ethical practices where privacyshould be emphasized. Doctors are supposed to follow ethicalpractices by keeping confidentiality of clients. In this case Sampersonal life should be confidential. Second the legal part of itallows the client not to be abused or frustrated by the care giverand thus Sam should not be offended in any manner (Eells, 2007).Third Sam needs counseling and treatment but should not go againsthis cultural values (Levenson, 2010). It is important to reducealcohol consumption gradually rather than banning it totally. LastlySam should be advised that excessive consumption is not solution tothe personal problems.


Counselingto increase the low-self esteem.

Axis1: Client to interact with therapist and introduce SCL-90-R to getthe solution for TLDP (Safran and Segal 1990). Sam needed a therapistwho could guide him on his profession and his drinking habit.

AxisII: Being supportive to Sam

AxisIII: Marriage and family therapy needed

Diagnostic comment

Basedon the fact that Sam has anxiety in his life and his profession seemsnot working well his emotions are negatively affected. He isdesperate and no family member is willing to help him.

Theoretical conceptualization

Psychologicalchallenges have resulted to low self-esteem due to family problemsand career. Sam needs support so that his life can change (Mander,2007). Family relations should be strengthened and thus alcoholconsumption should be eliminated.


Presentingissue #1


Strengths:Sam should be positively focused in his future life.

Barriers:Personal life and his profession is a challenge to Sam

Goals:High self-esteem should be encouraged (Schacht, 1991).

Interventions:Therapy should be conducted.

Modality/duration: Three weeks treatment.

Measureof progress: Self-assessment

Presentingissue #2:

Alcoholconsumption should be eliminated

Strength:less consumption of alcohol will not make Sam condition severe.

Barrier:substance abuse is a major problem.

Goals:stop substance abuse

Interventions:Therapy should be conducted (Goldfried, 1980).

Modality/duration: three week counseling

Measureof progress: alcohol test should be conducted.

Presentingissue #3:

Goodrelationship in the family

Strengths:Due to therapy personal life is improved

Barriers:The family does not provide necessary support.

Goals:Good relationship concerning the family is paramount (Gill, 1993).

Interventions:Family counseling should be conducted.

Modality/duration:Four weeks

Measureof progress: Communication with the family should be done often.


Eells, T. (2007). Handbook of psychotherapy case formulation.New York: Guilford Press.

Gill, M. M. (1993). Interaction and interpretation. PsychoanalyticDialogues, 3, 111–122.

Goldfried, M. R. (1980). Toward the delineation of therapeutic changeprinciples. American

Psychologist, 35, 991–999.

Levenson, H. (2010). Brief dynamic therapy. Washington, DC:American Psychological Association.

Mander, G. (2007). Diversity, discipline, and devotion inpsychoanalytic psychotherapy clinical and training perspectives.London: Karnac.

Safran, J. D., &amp Segal, Z. V. (1990). Interpersonal process incognitive therapy. New York:

Basic Books.

Schacht, T. E. (1991). Can psychotherapy education advancepsychotherapy integration? A

view from the cognitive psychology of expertise. Journal ofPsychotherapy Integration, 1,