Counseling Therapies: Case Conceptualization
Case One: CBT
What Are the Specific Areas of Concern?
Suicide and Stress
Stress has been found to play a major role in suicide risk, mental disorders, and mood swings. Stress is one term most people use synonymously with negative experiences they get in life. Negative events in life which confer depression risks, suicide thoughts and behavior, involve interpersonal, traumatic childhood and occupational events. Trauma, mostly childhood trauma, has important short-term and long-term effects on suicidal behavior risks. Particularly, child abuse (physical, emotional and sexual), parental mental illness, parental death, and witnessing home violence in childhood have all been connected to acute suicidal behavior for long intervals. Interpersonal events in life are also known to increase suicidal behavior risks. The death of a spouse or parent, serious disagreement with a staff, and social exit events (e.g. a child running away from home) have been connected to some suicide attempts by adults, while separation between one's parents and break-ups in relationships have been associated with suicide among young adults and adolescents. The interpersonal events considered to be most essential to suicidal behavior seem to be those that involve conflict or loss in current interpersonal relationships, instead of mere simple social isolation (Cornette & Busch, 2016).
What Are the Specific Symptoms?
Symptoms of Stress / Depression
Feelings of hopelessness and helplessness. A break viewpoint- things can never be better than they are now and there is nothing you or anyone can do to change your condition/situation.
Losing interest in everyday activities. Lack of interest in past hobbies, social activities, pastimes or sex. Losing your ability to feel pleasure and joy.
Changes in appetite or weight. Significant weight gains or weight loss- a change of up to 5% of body weight per month.
Changes in sleep patterns. Either insomnia, especially being awake in the early hours every morning, or sleeping too much (equally called hypersomnia).
Irritability or Anger. Feeling restless, agitated, or even violent. Low tolerance level, short temper, and everyone and everything tend to get on your nerves.
Energy loss. Feeling sluggish, fatigued, and drained physically. Your entire body may start feeling heavy, and small tasks may become exhausting and even take longer time to be completed.
Self-hate. Strong feelings of guilt and worthlessness. You criticize yourself harshly for any perceived mistakes or faults.
Recklessness. You take part in some escapist behaviors like compulsive gambling, substance abuse, reckless driving, or dangerous sports.
Lack of concentration. Difficulty staying focused, making important decisions, or remembering important details.
Unexplained pains and aches. Rising physical complaints such as back pain, headache, stomach pain and aching muscles.
Suicide:
Increased alcohol or drug use
Searching for ways to kill themselves, such as searching for materials or means online.
Withdrawing from activities
Acting recklessly
Staying away from friends and family
Sleeping too little or too much
Calling or visiting people to say goodbye
Giving priced possessions away
Aggression (American Foundation for Suicide Prevention, 2016).
How Has the Client Arrived at This Mental State?
The foundation of CBT model for suicide thoughts and behaviors were formed by A.T. Beck's cognitive triad. In A.T. Beck's opinion, suicidal patients suffering from depression see themselves as being inadequate, defective, diseased, or deprived and therefore undesirable and worthless; they see other people as being unsupportive and rejecting by demanding too much; and they see their future as a hopeless one since they lack the beliefs that they do not have the external or internal resources to get their problems solved. Their defective sense contributes to the inactive approach to providing solutions to problems that distress them; and they stop trying to solve their problems, hoping for an automatic solution. Since they think no one cares about them, and because it seems their problems are overwhelming, they give up trying to solve their own problems. Without the support of others and personal skills, they come to the conclusion that there can never be any future (Matthews, 2013).
Therapeutic Goals/Expected Outcomes
Suggested NOC Labels
Depression Control
Cognitive Ability
Impulse Control
Distorted Thought Control
Suicide Self-Restraint
Self-Mutilation Restraint
Will to Live
Client Outcomes
Does not harm self
Expresses reduced nervousness and control of hallucinations
Talks about thoughts; appropriate expression of anger
Gets no access to harmful objects
Yields access to harmful objects
Specific Interventions
Suggested NIC Labels
Anxiety Decline
Coping Enhancement
Crisis Intervention
Suicide Prevention
Surveillance
Nursing Interventions and Rationales
1. Create a therapeutic association with client
This study showed the significance of this association in the discovery and prevention of suicide
2. Observe, file, and report the potentials of client for suicide.
Habits...
Abstract This case conceptualization covers a weekly outpatient relationships group consisting of fifteen members, ages 25-50. All group members have been formally diagnosed with Generalized Anxiety Disorder and/or Depression, and some with more than one clinical disorder. Additionally, all members have attended this group for at least six months, most of whom attend regularly on a weekly basis. The case conceptualization includes background information on the clients, behavioral observations, clinical interpretations,
Those discussions eventually allowed the client to realize that, for her part, she would not necessarily have worried very much about marital status had the same situation occurred after she had lost her parents, or in the alternative, if her parents had never expressed such acute concern about it. During that discussion, the therapist was careful to steer the client away from the conclusion that she caused Carlos to start
Integrative Approach to Counseling The theories that the author will compare and contrast within this document include gestalt theory, choice theory and its practical application, reality therapy, and psychoanalytic therapy. There are definite points of similarity and variance between these theories. The natural starting point for comparison and contrasting lies with an analysis of gestalt theory and choice theory/reality therapy. Gestalt theory was largely founded by Frederick Perls (Wagner-Moore, 2004,
She did not have the benefit of a bedroom door for the last two years of high school. Without the bedroom door, the client changed her clothes in the bathroom and was often unable to sleep at night because of her father's snoring. The first time her mother confronted her for being wide awake (and reading) in her room in the middle of the night, the client admitted that her
One example of this is Lyle's conception of family life. His father punished him. This punishment was based upon a decontextualized biblical passage, and claimed to be the result of fatherly love. Hence Lloyd's conception of fatherly love was skewed from a very early age. For Lyle, the "truth" behind punishment is love. His anger and pain, as suppressed elements, fuel this conception, and Lyle is unable to break
Ethics, Social Justice & Advocacy Dimensions Cultural diversity case study: Biko Biko has overcome tremendous obstacles to attain his current level of educational and social achievement. However, this inevitably has caused him a great deal of personal stress. He is currently feeling socially marginalized in a largely all-white environment even though he is academically competent. His feelings of guilt regarding his parents' desire for him to attend a historically black college
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now