WassonB_Case Presentation Case Conceptualization (CP-CC)

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Dec 6, 2023

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CP-CC 1 Case Presentation Case Conceptualization (CP-CC) Brittany Wasson School of Behavioral Sciences, Liberty University Author Note I have no known conflict of interest to disclose. Correspondence concerning this article should be addressed to Brittany Wasson Email: bnwasson@liberty.edu
CP-CC 2 Case Conceptualization Step 1: Identify and List Client Concerns And Any Other Problem Areas No care for the future Voltaility Sleep difficulty Trust issues Feelings of guilt Anger Emotionally distant Alienated Hopelessness Fatigue Job Stress Bitter Witnessed wife being murdered Intrusive dreams and thoughts Remorse Torture victim Loss of relationship with daughter Seclusion from others Irritable Imminent burnout Step 2: Organize Concerns Into Logical Thematic Groupings Clinical Targets Approach Used A. Cognitions: Lack of trust towards others- Jack has learned that it is wise to neither to trust nore get close to others. Feeling of being alienated. B. Affect: Feeling of guilt and remorse, anger, bitter, hopelessness C.Behavior: Irritable, impatient, little eye contact, spontaneous information, brief responses, expletive language toward examiner,volatility D. Physiology: Fatigue, difficulty sleeping- Jack stated “I just need to rest.” Step 3: Theoretical Inferences: Attach thematic groupings to Inferred Areas of Difficulty Cognitive Behavioral Therapy Maladaptive Thoughts: Jack sometimes does not care what the future holds, He has feelings of guilt and remorse over the death of his wife and colleagues, he feels that it is wise neither to trust nor get close to others, questions ever having a “normal” relationship with his daughter and grandson, believes exhaustion, physical and emotional stress are just a routine part of his job Maladaptive Behaviors Volatility, anger outbursts, deep commitment to work, secudes himself at work, avoids difficult conversations related to his torture and capture Step 4: Narrowed Inferences
CP-CC 3 and Deeper Difficulties Jack states that “sometimes I just don’t care what the future holds. Who cares about tomorrow when yesterday and today are sometimes so bad?” Graphic and disruptive dreams where he failed to protect loved ones from harm Intrusive themed images while awake Case Conceptualization Narrative Jack has been suffering from symptoms that can be similar to those who are suffering from Post Traumatic Stress disorder. The deep issue that Jack is facing that can not bee seen on the surface is being stuck in the idea that he was nothing to keep him motivated aside from his work. He has had so many difficulties in life that he has no care for the future because of the difficulties he has faced or is currently facing. Psychological difficulties like Jack is facing can be te result of his traumatic experiences that he has been dealt with in his life. Cognitive Behavioral Therapy is known to be one of the most effective treatments for trauma related disorders such as PTSD. Those like Jack have difficulty overcoming traumatic life events and it hinders their every day life and indviduals may experience depression and anxiety. Jack is not positive about the feature and is nt sure how to keep going if his past and current day is bad, who says that the future wont be just as bad. This thought process can be results of the dreams/flashbacks he is experiencing causing problems with his mood stability, sleep difficulties and isolation that he is displaying daily (Yildiz et al., 2018). CBT will help focus on Jack’s core beliefs, he has no hope for the future, he feels he has been alienated and cannot trust anyone, and he is living with guilt and remorse from the death
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CP-CC 4 of his wife and colleagues. Jack is living in a nightmare that he can not save the ones he loves due to his vivid and intrusive dreams and visuals. Jack has adapted and adopted these views in his every day life and is now hindering the way he thinks and lives. CBT will help understand jacks presenting problems and distress and provide mutual understanding of his difficulties that he is facing through a problem-oriented focus. This therapy process provide a fully-structured setting to make the most out of Jack’s treatment. The overall focus is to transform jack’s negative beliefes to positive thinking and reduce his daily symptoms. Due to jacks unwillingness to want to be in therapy, CBT is time-limited option which is effective but also provides a long-term outcome (Fenn, 2018).
CP-CC 5 References Fenn K, Byrne M. The key principles of cognitive behavioural therapy. InnovAiT. 2018;6(9):579-585. doi:10.1177/1755738012471029 Schwitzer, A. M., & Rubin, L. C. (2014). Diagnosis and Treatment Planning Skills: A Popular Culture Casebook Approach (DSM-5 Update) (2nd ed.). SAGE Publications, Inc. (US). https://mbsdirect.vitalsource.com/books/9781483318370 Yildiz, E., Cakir, E., Calim, F. H., & Uzun, N. (2018, October). Effectiveness of CBT on PTSD . ResearchGate. https://www.researchgate.net/publication/331166916_Effectiveness_of_CBT_on_PTSD