Description
Hello, Below is the information for the assignment. This builds off a paper that I have already done and that I have attached
The Final Case Study Project should be a 10–12-page analysis of a psychotherapy case study from start to finish. The Theoretical Conceptualization Report from courseroom Unit 4 should be further developed and integrated into this final case study.
1. Solution Driven Therapy and Group Therapy is what I used.
2. Make sure you use the attached scoring guide. All those areas must be addressed.
3. Attached is my previous paper that we are building off of.
Project Components
In your Final Case Study Project, you will integrate the written conceptualization of the imaginary client you created in Unit 4 into this project by completing the following (each one under its own level 2 heading):
- Provide introductory information about the client.
- Provide a biopsychosocial history.
- Assess barriers to establishing a connection with the client on the basis of personality factors, diagnostic issues, or life issues.
- Assess relevant ethical and cultural issues with this particular client. Explain your theoretical approach in this case.
- Detail the expected stages of therapy in this case.
- Demonstrate how your clinical interventions could be effective in working with this particular client toward the goals you and the client have developed together.
Writing Requirements
- Written communication: Written communication is free of errors that detract from the overall message.
- Length of paper: 10–12 typed, double-spaced pages.
- Number of sources: Minimum of 10 scholarly sources, with at least six being peer-reviewed journal articles. (Remember that you will carry over the sources used for the first half of the assignment you completed in Unit 4).
- APA formatting: Use APA style in your report, and include a title page, page headers and numbers, proper spacing, proper headings, and proper margins. Refer to the Additional APA Resources page on iGuide (linked in the Resources) for additional support.
- Font and font size: Times New Roman, 12-point.
- Additional requirement: Each project component is correctly labeled using level 2 headings. The introduction and conclusion will use a level 1 heading.
Final Case Study Project Scoring Guide
Due Date: End of Unit 8
Percentage of Course Grade: 30%.
CRITERIA
NONPERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
Describe and apply
Egan and Reese’s
three-stage helping
model through a case
study.
25%
Correctly
applies the three
stages of Egan
and Reese’s
helping model
through a case
study by clearly
discussing each
stage and clearly
distinguishing
among stages;
analyzes critical
points between
stages.
Describe a clear and
coherent
biopsychosocial
history of a client.
25%
Describes a
clear and
coherent
biopsychosocial
history of a
client that is
relevant and
accurately
captures the
client’s
character in
words.
Explain how goals
emerge from a
comprehensive
understanding of a
client’s challenges
and lead to workable
Explains how
goals emerge
from a
comprehensive
understanding
of a client’s
challenges
within a
CRITERIA
NONPERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
solutions.
25%
multicultural
context, leading
to nuanced and
workable
solutions.
Demonstrate clear
writing and proper
application of writing
conventions.
25%
Demonstrates
exceptional
command over
writing and
superior
application of
writing
conventions;
writing is
concise, wellorganized, and
reflects the
quality and
expertise
expected for
academic work.
Running head: CASE CONCEPTUALIZATION
Case Conceptualization:
Cynthia A. Jones
Drs. Jung and Baumberger
Residency – PSY-R6313
11/14/2018
1
CASE CONCEPTUALIZATION
2
Introduction
Based on the principles underlying the exploration of what might have happened in the
imaginary client’s life, Solution-focused brief therapy has extensively made use of the language
and the symbols of strengths in the treatment. This suggests that any long-lasting solution can
occur in a short period by paying attention to the process of building-solution instead of the
problem focusing process.
This model has been embraced in the clinical psychology with different client population.
In my client’s case, I have provided a summary of what has happen and what may happen in the
future provide a positive outcome. I focus our attention on mastering the techniques needed to
bring resolution without having to embrace the underlying assumptions and believes, (Castillo,
2007).
Client’s Presenting Problem and History
A Biopsychosocial assessment was done with Robin in the beginning of our first session. During
this assessment I found that Robin is a Black 41-year-old female who is seeking counseling to
find ways to deal with the current stressors in her life which has caused her to have little to no
sex drive. She wants to be intimate with her partner of six years but doesn’t have the drive.
There is no history of cheating however the client has been stressed with the potential of being
laid off. Her company has been doing massive layoffs for the last 6 months and she believes her
time is coming. She is also unhappy with her company’s decision to make her physically return
to work and eliminating her options of working from home. This has increased her commute to
1hr and 35mins one way on a good day. She has been with this company for 20 years. She does
have a college degree but is uncertain of what her next career path should be. This is affecting
CASE CONCEPTUALIZATION
3
her sex drive which is causing major issues within relationship. She mentions that her partner is
very supportive and provides encouragement on a regular basis. Prior to these events happening
she was extremely sexual, wanting to have sex at least 3 times a week. Very experimental in the
bedroom and free loving with her partner. She has also mention that the last several months her
will to attend social events has decreased drastically. Normally she is very social and is apart of a
motorcycle club. She has a strong support and sisterhood within her club but has the lack of
energy to want to do any social activities.
Robin has been on the same high blood pressure medication for over 10 years. She has
never sought counseling before. There is no family history of mental health or sexual
dysfunction problems. She has proven problem solving ability. She was a teenage mom who was
able to raise twin boys on her own at the age of 15. She managed to graduate college and receive
her bachelor’s degree in psychology. She takes care of her special needs child on her own and
has dealt with the many different issues that arise with his care while still excelling her in her
career, which proves she is able to face difficult task and overcome them by using her problemsolving abilities.
Case Conceptualization
I need to carefully construct a treatment plan by working with the client hence providing
higher chances of success in the treatment plan. In our case, the problem the client is already going
through is provided which calls for a treatment contract that summarizes the treatment of the
problem. The early experiences and perceptions through which this client views his life have
negatively affected her personal life and her interpersonal relationships, (Constantine, & Ladany,
2000).
CASE CONCEPTUALIZATION
4
Clinical Impression and Prognosis
Diagnosis Mild Depressive Disorders, (DSM-V, 296.21(F32.0) and Female Sexual
Interest/Arousal Disorder, (DSM-V, 301.72 (F52.22).
In this case, we are presented with a client who is depressed, a sign that something is not
adding up in her life. Diagnosis, in this case, seems crucial as it helps in communicating with the
mental health professionals. As the client already presented her problems, this helps to integrate
the categorical and dimensional approaches as it helps the counselor with a full understanding of
the client’s issues. In this phase of case conceptualization, it calls me to put all the diverse threads
of information gathered from the client as she faces a lot of challenges in her personal life.
The client has managed to take care of her special need’s child on her own which means
that she needs a counselor who will work from this family systems perspective. This will foster a
positive change in her life while at the same time advocating for a positive change soon. The client
has managed to graduate college and receive her bachelor’s degree in psychology which means
that she is goal driven and she is actively changing her life. This is a motivation towards change
on her part despite the challenges she is passing through, (Moscovitch, 2009).
As we have seen, the client working conditions are forcing her out by making her return to
the office which has increased her commute to 1hr and 35mins one way on a good day which in
turn influences her interpersonal relationships and are in turn impacted by the client. This
environment plays an important role, and her various surrounding environmental conditions hence
have impacts on the stages of development of the client. The counseling relationship is also a
special and a very influential part of the client’s surrounding environment. In our case, the client
CASE CONCEPTUALIZATION
5
needs sexual drive wanting to be intimate with her partner which plays out here. This relationship
itself is a powerful means of gaining insight and understanding. The past and current challenges
and experience should impact her in readiness for change
Plan
Group therapy is the process of groups benefiting its members by supporting each
emotionally in shared experiences. Using group therapy, the appropriate application for the client
to use is the psychotherapy.in this case, the client can address her concerns hence making a positive
change in her life. I believe this method of therapy will be helpful for Robin because:
•
The client is assured that she is not alone, and that other people somewhere are
sharing the same challenges and struggles.
•
It offers the opportunity as she receives the support from others which is part of
the bonding that occurs in groups which help one to grow and learn new things.
•
Helps client to develop use her obtained socialization and communication skills and
allows her/him to learn how to express their issues in a manner that they can be
clearly understood.
•
The client will be able to network and gather ideas for what she would like to do
career wise and plane her next move pertaining to it.
Individual therapy is the process by which an individual work face to face with a trained
therapist to explore their behaviors and feelings. For this case, I would recommend Robin and I
have weekly sessions. In these sessions we will build rapport and work together with creating
solutions to help her overcome her presenting issues.
CASE CONCEPTUALIZATION
6
We will focus on assisting the client in creating a plan of action to begin to think about
what she wants to do career wise. I will also encourage her to focus more on the activities that
have in the pass help her relieve her stress and where she found herself happy. Robin is a goaloriented person and setting goals and supporting her while she accomplishes them will be the best
plan of action to get her back to her normal place. Social support can be incredibly helpful during
times of stress and self-care should be made a priority during difficult transitions to help an
individual build self-confidence, focus on the positive and can increase sexual drive. I will provide
homework assignments:
Homework/Plan
1. Robin will use her support system (her partner and her sisters in her motorcycle club) to reach
out to when she is feeling alone and stress.
2. Plan a date night activity with them her partner to help bring back a form of intimacy and
togetherness.
3. She will write down hobbies, leisure activities, or career pursuits that she has interest in, so we
can explore different opportunities in these areas for her to pursue.
4. Update her resume to start the process of looking for a new career.
A meaningful experience and making choices that agree with their values and beliefs.
The imaginary client seems to be facing an existential crisis which to me means that she is at that
stage in life, where she no longer enjoys her sex life. Which is due to the stress of the unknown
with her current job situation.
Cultural responsiveness in evaluation of the client situation entails asking rightful
questions, being open minded, selecting the most suitable assessment instruments, and choosing
the right and effective modalities and treatment provider for the client. By so doing that, it
CASE CONCEPTUALIZATION
7
improves the client recovery process. When doing the biopsychosocial assessment, I also
incorporated the Cultural Formulation Interview (CFI) to gain information on Robin’s cultural
background and beliefs. The Compliance ethics requires the therapist to come up with the
treatment plan and then try to make the therapy acceptable to the patient hence achieving the
compliance. Interventions should also be tested to change the behavior of the client. To avoid such
issues, the client is advised to reduce stress by focusing on issues she can control and make plans
to solve them. She should also change her expectations and focus more on her priorities. During
this assessment had group influence on my treatment plan for Robin. She has a strong religious
background and takes her faith very seriously. Because of her strong religious ties, she mentions
be active in her church organization. This is one of the reasons I suggested group therapy, but I
insured I included her with a group of individuals with the same faith base. No knowing her values
and morale’s could have been detrimental if I had provided her group therapy with others that are
of a different religion.
Conclusion
In conclusion, I took into consideration the behavior, feelings, and thoughts of the client in
the present by focusing on the clarification and correcting whatever may get into the client’s way
soon. I ensured that her plan included her cultural and religious background and built off her strong
problem-solving skills she had previously displayed. Also knowing that she thrives and gains
energy from support, I will ensure that I provide the necessary support needed to keep her engaged
and ensure that therapy is a success.
CASE CONCEPTUALIZATION
8
References
Constantine, M. G., & Ladany, N. (2000). Self-report multicultural counseling competence scales:
Their relation to social desirability attitudes and multicultural case conceptualization
ability. Journal of Counseling Psychology, 47(2), 155.
Castillo, R. J., Carlat, D. J., Millon, T., Millon, C. M., Meagher, S., Grossman, S., … & American
Psychiatric Association. (2007). Diagnostic and statistical manual of mental disorders.
Washington, DC: American Psychiatric Association Press.
Moscovitch, D. A. (2009). What is the core fear in social phobia? A new model to facilitate
individualized case conceptualization and
Practice, 16(2), 123-134.
treatment. Cognitive
and Behavioral
Purchase answer to see full
attachment
Due Date: End of Unit 8
Percentage of Course Grade: 30%.
CRITERIA
NONPERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
Describe and apply
Egan and Reese’s
three-stage helping
model through a case
study.
25%
Correctly
applies the three
stages of Egan
and Reese’s
helping model
through a case
study by clearly
discussing each
stage and clearly
distinguishing
among stages;
analyzes critical
points between
stages.
Describe a clear and
coherent
biopsychosocial
history of a client.
25%
Describes a
clear and
coherent
biopsychosocial
history of a
client that is
relevant and
accurately
captures the
client’s
character in
words.
Explain how goals
emerge from a
comprehensive
understanding of a
client’s challenges
and lead to workable
Explains how
goals emerge
from a
comprehensive
understanding
of a client’s
challenges
within a
CRITERIA
NONPERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
solutions.
25%
multicultural
context, leading
to nuanced and
workable
solutions.
Demonstrate clear
writing and proper
application of writing
conventions.
25%
Demonstrates
exceptional
command over
writing and
superior
application of
writing
conventions;
writing is
concise, wellorganized, and
reflects the
quality and
expertise
expected for
academic work.
Running head: CASE CONCEPTUALIZATION
Case Conceptualization:
Cynthia A. Jones
Drs. Jung and Baumberger
Residency – PSY-R6313
11/14/2018
1
CASE CONCEPTUALIZATION
2
Introduction
Based on the principles underlying the exploration of what might have happened in the
imaginary client’s life, Solution-focused brief therapy has extensively made use of the language
and the symbols of strengths in the treatment. This suggests that any long-lasting solution can
occur in a short period by paying attention to the process of building-solution instead of the
problem focusing process.
This model has been embraced in the clinical psychology with different client population.
In my client’s case, I have provided a summary of what has happen and what may happen in the
future provide a positive outcome. I focus our attention on mastering the techniques needed to
bring resolution without having to embrace the underlying assumptions and believes, (Castillo,
2007).
Client’s Presenting Problem and History
A Biopsychosocial assessment was done with Robin in the beginning of our first session. During
this assessment I found that Robin is a Black 41-year-old female who is seeking counseling to
find ways to deal with the current stressors in her life which has caused her to have little to no
sex drive. She wants to be intimate with her partner of six years but doesn’t have the drive.
There is no history of cheating however the client has been stressed with the potential of being
laid off. Her company has been doing massive layoffs for the last 6 months and she believes her
time is coming. She is also unhappy with her company’s decision to make her physically return
to work and eliminating her options of working from home. This has increased her commute to
1hr and 35mins one way on a good day. She has been with this company for 20 years. She does
have a college degree but is uncertain of what her next career path should be. This is affecting
CASE CONCEPTUALIZATION
3
her sex drive which is causing major issues within relationship. She mentions that her partner is
very supportive and provides encouragement on a regular basis. Prior to these events happening
she was extremely sexual, wanting to have sex at least 3 times a week. Very experimental in the
bedroom and free loving with her partner. She has also mention that the last several months her
will to attend social events has decreased drastically. Normally she is very social and is apart of a
motorcycle club. She has a strong support and sisterhood within her club but has the lack of
energy to want to do any social activities.
Robin has been on the same high blood pressure medication for over 10 years. She has
never sought counseling before. There is no family history of mental health or sexual
dysfunction problems. She has proven problem solving ability. She was a teenage mom who was
able to raise twin boys on her own at the age of 15. She managed to graduate college and receive
her bachelor’s degree in psychology. She takes care of her special needs child on her own and
has dealt with the many different issues that arise with his care while still excelling her in her
career, which proves she is able to face difficult task and overcome them by using her problemsolving abilities.
Case Conceptualization
I need to carefully construct a treatment plan by working with the client hence providing
higher chances of success in the treatment plan. In our case, the problem the client is already going
through is provided which calls for a treatment contract that summarizes the treatment of the
problem. The early experiences and perceptions through which this client views his life have
negatively affected her personal life and her interpersonal relationships, (Constantine, & Ladany,
2000).
CASE CONCEPTUALIZATION
4
Clinical Impression and Prognosis
Diagnosis Mild Depressive Disorders, (DSM-V, 296.21(F32.0) and Female Sexual
Interest/Arousal Disorder, (DSM-V, 301.72 (F52.22).
In this case, we are presented with a client who is depressed, a sign that something is not
adding up in her life. Diagnosis, in this case, seems crucial as it helps in communicating with the
mental health professionals. As the client already presented her problems, this helps to integrate
the categorical and dimensional approaches as it helps the counselor with a full understanding of
the client’s issues. In this phase of case conceptualization, it calls me to put all the diverse threads
of information gathered from the client as she faces a lot of challenges in her personal life.
The client has managed to take care of her special need’s child on her own which means
that she needs a counselor who will work from this family systems perspective. This will foster a
positive change in her life while at the same time advocating for a positive change soon. The client
has managed to graduate college and receive her bachelor’s degree in psychology which means
that she is goal driven and she is actively changing her life. This is a motivation towards change
on her part despite the challenges she is passing through, (Moscovitch, 2009).
As we have seen, the client working conditions are forcing her out by making her return to
the office which has increased her commute to 1hr and 35mins one way on a good day which in
turn influences her interpersonal relationships and are in turn impacted by the client. This
environment plays an important role, and her various surrounding environmental conditions hence
have impacts on the stages of development of the client. The counseling relationship is also a
special and a very influential part of the client’s surrounding environment. In our case, the client
CASE CONCEPTUALIZATION
5
needs sexual drive wanting to be intimate with her partner which plays out here. This relationship
itself is a powerful means of gaining insight and understanding. The past and current challenges
and experience should impact her in readiness for change
Plan
Group therapy is the process of groups benefiting its members by supporting each
emotionally in shared experiences. Using group therapy, the appropriate application for the client
to use is the psychotherapy.in this case, the client can address her concerns hence making a positive
change in her life. I believe this method of therapy will be helpful for Robin because:
•
The client is assured that she is not alone, and that other people somewhere are
sharing the same challenges and struggles.
•
It offers the opportunity as she receives the support from others which is part of
the bonding that occurs in groups which help one to grow and learn new things.
•
Helps client to develop use her obtained socialization and communication skills and
allows her/him to learn how to express their issues in a manner that they can be
clearly understood.
•
The client will be able to network and gather ideas for what she would like to do
career wise and plane her next move pertaining to it.
Individual therapy is the process by which an individual work face to face with a trained
therapist to explore their behaviors and feelings. For this case, I would recommend Robin and I
have weekly sessions. In these sessions we will build rapport and work together with creating
solutions to help her overcome her presenting issues.
CASE CONCEPTUALIZATION
6
We will focus on assisting the client in creating a plan of action to begin to think about
what she wants to do career wise. I will also encourage her to focus more on the activities that
have in the pass help her relieve her stress and where she found herself happy. Robin is a goaloriented person and setting goals and supporting her while she accomplishes them will be the best
plan of action to get her back to her normal place. Social support can be incredibly helpful during
times of stress and self-care should be made a priority during difficult transitions to help an
individual build self-confidence, focus on the positive and can increase sexual drive. I will provide
homework assignments:
Homework/Plan
1. Robin will use her support system (her partner and her sisters in her motorcycle club) to reach
out to when she is feeling alone and stress.
2. Plan a date night activity with them her partner to help bring back a form of intimacy and
togetherness.
3. She will write down hobbies, leisure activities, or career pursuits that she has interest in, so we
can explore different opportunities in these areas for her to pursue.
4. Update her resume to start the process of looking for a new career.
A meaningful experience and making choices that agree with their values and beliefs.
The imaginary client seems to be facing an existential crisis which to me means that she is at that
stage in life, where she no longer enjoys her sex life. Which is due to the stress of the unknown
with her current job situation.
Cultural responsiveness in evaluation of the client situation entails asking rightful
questions, being open minded, selecting the most suitable assessment instruments, and choosing
the right and effective modalities and treatment provider for the client. By so doing that, it
CASE CONCEPTUALIZATION
7
improves the client recovery process. When doing the biopsychosocial assessment, I also
incorporated the Cultural Formulation Interview (CFI) to gain information on Robin’s cultural
background and beliefs. The Compliance ethics requires the therapist to come up with the
treatment plan and then try to make the therapy acceptable to the patient hence achieving the
compliance. Interventions should also be tested to change the behavior of the client. To avoid such
issues, the client is advised to reduce stress by focusing on issues she can control and make plans
to solve them. She should also change her expectations and focus more on her priorities. During
this assessment had group influence on my treatment plan for Robin. She has a strong religious
background and takes her faith very seriously. Because of her strong religious ties, she mentions
be active in her church organization. This is one of the reasons I suggested group therapy, but I
insured I included her with a group of individuals with the same faith base. No knowing her values
and morale’s could have been detrimental if I had provided her group therapy with others that are
of a different religion.
Conclusion
In conclusion, I took into consideration the behavior, feelings, and thoughts of the client in
the present by focusing on the clarification and correcting whatever may get into the client’s way
soon. I ensured that her plan included her cultural and religious background and built off her strong
problem-solving skills she had previously displayed. Also knowing that she thrives and gains
energy from support, I will ensure that I provide the necessary support needed to keep her engaged
and ensure that therapy is a success.
CASE CONCEPTUALIZATION
8
References
Constantine, M. G., & Ladany, N. (2000). Self-report multicultural counseling competence scales:
Their relation to social desirability attitudes and multicultural case conceptualization
ability. Journal of Counseling Psychology, 47(2), 155.
Castillo, R. J., Carlat, D. J., Millon, T., Millon, C. M., Meagher, S., Grossman, S., … & American
Psychiatric Association. (2007). Diagnostic and statistical manual of mental disorders.
Washington, DC: American Psychiatric Association Press.
Moscovitch, D. A. (2009). What is the core fear in social phobia? A new model to facilitate
individualized case conceptualization and
Practice, 16(2), 123-134.
treatment. Cognitive
and Behavioral
Purchase answer to see full
attachment
Categories: