Perform relaxing activities in the hour before bedtime. He liked to play cricket and football with his father on Sunday. The client obtained the raw score of 90 which t score was 55 and percentile was 73. (six months), He gets very angry as compared before. Slightly above average (four months), The informant reported that following symptoms were present in client, Most of the rimes he remains sad. The client was angry that why this accident was happened to him. It was not crowded and the client was made to sit in a comfortable chair with a desk in front of it, placed on one side of the room. Open the case study with a ‘pen portrait’ of the client – e.g. New York: SP Medical and Scientific Books; 1984. pp. As his father reported that he was a very bright student in his class he always got good grades in all subjects. His mother cooked his favorite food for him when he came home from school. He had also very good relationship with his cousins, uncle and aunt. CASE STUDY PRESENTED BY GEORGE WILSON CONFIDENTIAL : RETURN TO PRESENTER THE PASTOR AND PREMARITAL COUNSELING LEVEL I: Paragraph #1 FOCUS: The event described in this case occurred at the parsonage of the Conneley Springs United Methodist Church which I serve as the student pastor. In school setting, the AAPR provides an efficient and economic screening, instrument for adolescents who demonstrate anger pattern that are potentially harmful to themselves or others (Deanna,2000). Br J Psychiatry. The raw score of self-esteem was 87 demonstrated that the self-esteem of client was very low and it was matter of concern. Make sure your sleeping environment is as comfortable as possible, paying attention to temperature, noise, and light. (adsbygoogle = window.adsbygoogle || []).push({}); However, not all are so blessed, and many find themselves transiently or permanently in state of isolation. At first, this approach is used to focus on physical sensations (like breathing), but later it is used to focus on feelings and thoughts. 1: What is capital of Pakistan? No neurotic traits were reported. He can talk to her about his problems he had in his life and in school. He kept his hands and legs in a comfortable posture throughout the sitting. Rose, mother to five year old daughter, appears to be well spoken and articulate. So, when she would speak to her father, she would keep the information she shared with him of a factual and intellectual nature. easier. The high score of self-esteem scale reflect significant difference between “what I am”, “what I like to be” and thus is indicative of low self-esteem. It will enhance the memory, attention, concentration, problem solving skills and executive functions of the client. that her needs, achievements, worries or happiness were a priority. Ans: Allama Iqbal Subjective He reported that he is in fine mood was comfortable in sitting. She starts going out with a boy from her year and feels very happy. The difficult items or their responses were repeated again for his convenience when he asked for, so that he could comprehend the test easily. He kept his hands and legs in a comfortable posture throughout the sitting. Cognitive Therapy Techniques. Single and widowed individuals suffer more psychological distress and difficulty in adapting to amputation than do those who are married and have a family. 1984;144:493–7.Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2526369/, Frierson RL, Lippmann SB. The most common is poor circulation because of damage or narrowing of the arteries, called peripheral arterial disease. Formal assessment was done with the help of standardized tests and inventories which are described as follows: The Child Depression Inventory (CDI) is a symptom-oriented instrument for assessing depression in children between the ages of seven and 17 years. Formal assessment was done with the help of standardized tests and inventories which are described as follows: Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2526369/, Frank RG, Kashani JH, Kashani SR, et al. 57 Much of Freud's work and theories were developed through the use of individual case studies. Which dress he had worn yesterday. The client had an accident eight months before a bike hit him as he was crossing the road. Reason for Counselling: Couple came into counselling because of husband’s excessive use of pornography, a reduced sexual life and overall lower intimacy in the relationship. I asked her why she could not forgive him, and It was developed because depression in young children is often difficult to diagnose, and also because depression was regarded as an adult disorder until the 1970 (kuvacs,1992). The wonderful thing about working with Janine was she was very open to my questioning her directly about such statements, this showed we had a strong trusting relationship. Cognitive behavioral therapy (CBT) is the most widely-used therapy for anxiety disorders. Cognitive behavioral therapy (CBT) is the most widely-used therapy for anxiety disorders. Firstly, outlining confidentiality of the session, stating I would only break confidentiality if I believed any serious harm may come to my client or anyone else, with a warm smile she said “I’m happy with that”. Depression Patient Psychological Assessment Case Session Report, The Self Image Profiles for Children (SIP-C) and Adolescents (SIP-A), Supportive psychotherapy is the attempt by a therapist by any practical means whatever to help patients deal with their emotional distress and problems in living. All rights reserved. The goal of treatment, therefore, is to work with depressed individuals to gradually decrease their avoidance and isolation and increase their engagement in activities that have been shown to improve mood. The client felt humiliated when his school fellows made fun of his amputee hand. This is an active approach for helping clients evaluate the helpfulness and efficacy of elements of their belief systems. Many times, this includes activities that they enjoyed before becoming depressed, activities related to their values or even everyday items that get pushed aside such as: Exercising, going out to dinner, improving relationships with their family members, working toward specific work-related goals, learning new skills and activities, Showering regularly and completing household chores etc. He was having an excellent auditory perception. 56-60 It is sometimes helpful to place paper and pen by the bedside. Parents are the major source for children and adolescent amputees but peer acceptance beyond the family is critical in the successful adaptation of all amputees and especially children and adolescents (Racy, 2015). The client’s receptive speech seemed to be good. He also memorized the incidents concerning to his past life. His parents and teachers paid full attention on him and helped him in studies. Limitations He also quarreled with them during playing. Once the client learn to recognize what stage of anger they are in, they can utilize coping strategies learned in anger management programs to stop the progression of their emotions before they reach red. Other causes for amputation may include: severe injury (from a vehicle accident or serious burn, for example), cancerous tumor in the bone or muscle of the limb and serious infection that does not get better with antibiotics or other treatment etc (McNaughty, 2015). The CDI was able to screen out slightly above average depression in the client. The client completed the CDI in ten minutes and obtained the raw score of 05 which means that his t-score was 56 which suggests slightly above average depression. The main purpose of psycho education is to educate the client about his condition and also its management to help the client to deal with the problem by himself. Low self-esteem is often linked to depression or anxiety. Vocabulary The scores on adolescent anger scale showed that client had average level of anger. Cansever A, Uzun O, Yildiz C, et al. The client seemed to be having good general fund of knowledge. Psychologists then help patients relax. After taking his consent to complete the tests relevant to his problem they were filled by him as the tests were too long so client was able to complete them in two settings. According to client his father was very religious and also takes him to mosque at the time of prayers. Sp (as a spot), PL (as a play), Th (as a thing) Symptoms Ratings Her husband is in remittance stage two MS. Jane came to me for counselling because of the recent death of her elderly mother. The client obtained the raw score of 90 which t score was 55 and percentile was 73. Management Plan Retrieved from https://www.psychologytoday.com/blog/fighting-fear/201306/supportive-psychotherapy, Ponton, L. (2013). Shula and colleagues (1982) and Frierson and Lippmann (1987) note that as many as 50% of all amputees require some sort of psychological intervention, and Shula and colleagues (1982) reported that depression is the most common psychological reaction among amputees. He took 20 minutes to complete the test. The CDI was able to screen out depression in the client. Family Therapy This technique will be used to change the behavior of client during studies to motivate him to work hard. The high score of self-esteem scale reflect significant difference between “what I am”, “what I like to be” and thus is indicative of low self-esteem. All the developmental milestones were reported to be achieved at appropriate age. I asked her why she thought that was, and she stated she didn’t want to hurt her mother. His eye contact was frequent He was not comfortable at first but when confidentiality was assured he easily explained all issues. Single and widowed individuals suffer more psychological distress and difficulty in adapting to amputation than do those who are married and have a family. The activity schedule provides clients a sense of direction and control (Leahey, 2003). Endings with Janine were smooth apart from the one instance I mentioned above. 350–71. There should be a proper room for carrying out the psychological assessment and intervention of the client. This “inner peace” does not mean that you are unaware of your weaknesses; it merely means that you accept who you are and genuinely like the person you have become. childhood was difficult. Cognitive Behavioral Therapy I then confirmed with Janine the amount of time They always cared him and taught him good manners. The theory is, with better knowledge the client has of her illness, the better the client can live with her condition. One example of this was when she mentioned she doesn’t share her achievements with her family as their days are more important. This technique will be used to change the behavior of client during studies to motivate him to work hard. He said that he has been living a purposeless life. It includes comforting, advising, encouraging, reassuring, and mostly listening, attentively and sympathetically. I kept a firm eye on the time and ensured I found an appropriate way to end each session sensitively and timely with a brief summery. He knew the persons around well, also was well aware of the place he was living in. 53 Under this kind of therapy, mistaken beliefs result in feelings of inferiority or superiority and the focus is to reduce these beliefs. He took her 10 minutes to complete the test. The SIP taps the individual’s theory of self. She was okay and didn’t require a referral at this stage and she felt we had covered a lot of ground. Psycho education This score may indicate that how much the subject does not like what already he is Self-Image Profile was able to screen out positive self-image toward oneself, negative feeling toward one’s own self and self-esteem of one’s self. The Self Image Profiles for Children (SIP-C) and Adolescents (SIP-A) Building your self-esteem and creating a positive self-awareness comes from taking an inventory of your own strengths and abilities as a human being. Hudak, R. & Dougherty, D. (2011). The theory is, with better knowledge the client has of her illness, the better the client can live with her condition. Challenges and Variability in Treatment Response. Counselling Case Study: Managing Anxiety. This transference made it harder to get to the raw emotional memories and required more direct questioning and challenging on my part. Tina is a 17-year-old high school junior who resides with her parents and 14-year-old brother.  Table 1. Mindfulness based cognitive therapy (MBCT)              The Clients attention and concentration seemed to be above average. Activity Schedule New York: SP Medical and Scientific Books; 1984. pp. Relaxation Exercise Home — Essay Samples — Psychology — Family Therapy — Family Counseling Case Study: Structural Family Therapy This essay has been submitted by a student. Summary of Therapeutic Interventions Kohl (1984) added that the individuals affected by the traumatic loss of a limb are required to face a redefined body and self as well as a new reality. What is Counselling, & Counselling Theories Explained. The informal assessment included mental state examination and formal assessment included Child Depression Inventory (CDI), The Self Image Profile (SIP-C) and The Adolescent Anger Rating Scale (AARS). She was happily married for twenty (20) years. The client had a very good relationship with his father as he discussed everything with him without hesitation. The basic CDI consists of 27 items, but a 10-item short form is also available for use as a screener. Secondly, I discussed clinical supervision, I explained this is where a counselor discusses their process and the use of counselling skills with a more experienced counsellor who can help to develop their effectiveness. Psychological Adaptation to Amputation. Counselling Student How To Write a Case Study Tips and Guidelines, The psychological assessment was carried out at two different level. giving their age, gender and presenting issue. We spend a lot of time discussing her childhood, I hoped by reopening her to her experiences and feeling from the past that we could find the answers to her current presenting issues. I need some sample cases, with the diagnosis of the problem, assessment of the client, formulation of counselling goals, interventions, and assignment gaven. Br J Psychiatry. Client’s answers showed that he has inadequate thought content. Rational Emotive Behavior Therapy (REBT) is both a psycho therapeutic system of theory and practices and a school of thought established by Albert Ellis. She said around the family dinner table everyone else shares how their day was, but Janine said she doesn’t as she believes it’s not important. After about eight sessions, patients are typically able to relax on their own (Stearns & Stearns, 1989). The results of the tests indicated that client had slightly above average depression, had low level of positive self image and high negative self image and average level of anger. The Adolescent Anger Rating Scale (AARS) I think there was some transference with how she answered my questions so factually with very little emotional insights as she did with her father and she confirmed that was possible. The basic CDI consists of 27 items, but a 10-item short form is also available for use as a screener. The adolescent anger rating scale (APS) was designed to help clinician’s asses several aspect of anger, total anger, specific type of anger (i.e., instrumental anger and reactive anger) and anger control in adolescent ages 11 to 19. Other causes for amputation may include: severe injury (from a vehicle accident or serious burn, for example), cancerous tumor in the bone or muscle of the limb and serious infection that does not get better with antibiotics or other treatment etc (McNaughty, 2015). Yellow symbolizes the build-up of angry emotion that typically occurs when the client first encounters a stressor. He could understand the conversation indicating well auditory perception. Psychiatric consultation for acute amputees. Interpretation Using a Traffic Light for Anger Management. Particularly helpful in adjustment of the adult amputee is the presence of a supportive partner who assumes a flexible approach, takes over functions when needed, cuts back when the amputee is able to manage, but at all times maintains the amputee’s self-esteem. These factual, encouraging phrases are consistent with social reality and client can be encouraged to repeat them consistently to reinforce the ideas for her. All self-descriptions are words or short statements generated by children and adolescents (Butler, 2001). If you are not sleepy, either don’t go to bed or arise from bed. Jane is in her 40’s and happily married mother of twin’s aged 4. The most common is poor circulation because of damage or narrowing of the arteries, called peripheral arterial disease. The raw score of negative self-image was 52 which were equal to the cut off scores and it depicted that the client had high negative self-image. He could easily differentiate between the sounds of people around. She recalls her parents didn’t get home until very late so she would be responsible for her younger brother after school. The results of the test applied on the client placed him among the category of slightly above average depressed children individuals. As a treatment for depression and other mood disorders, behavioral activation is based on the theory that, as individuals become depressed, they tend to engage in increasing avoidance and isolation, which serves to maintain or worsen their symptoms. It involves loss of function, loss of sensation and loss of self-image so it is very important to deal with it. Looking straight at me and she announced “I’m happy to be here and I’m looking forward to exploring with you. we had was 20 minutes, and the amount of session on offer was six (6) in total, I began our first session covering the counselling contract and counselling boundaries. As we reached the end, I felt satisfied that her internal locus of evaluation on her parenting style was stronger, this was achieved by her acknowledging her past experiences and how she really felt as a child. As he tell the correct meaning of Urdu word. Supportive work reasons she said, as she had told the “cover story” for such a long time, that They are particularly sensitive to peer acceptance and rejection. It is also advisable to ask if my client has had He responded to questions correctly. Table 1.The client’s total raw score, range and remark on CDI. desperately to win her back for months after sending flowers and calling around The client’s family also needs to be educated to support him when he needed. The client had very calm personality before this accident now he became angry on small things and started fighting with his family members. High Negative self-image But after that incident he mostly missed his classes because he felt humiliated when his class fellows made fun of his hand and that’s why his academic performance decreases with time. Rational Emotive Behavior Therapy (REBT) is both a psycho therapeutic system of theory and practices and a school of thought established by Albert Ellis. The difficult items or their responses were repeated again for his convenience when he asked for, so that he could comprehend the test easily. Mood and Affect His shoes was neat and clean. She went to a very expensive all girls school. He played with them in his free time. Challenges and Variability in Treatment Response. Motor Assessment Total Anger Insight and Judgment He can easily read and understand the things. Test Administration The results of the test showed that client had average level of anger. While growing up, he has been required to go to the hospital every other month. No follow up session was done to see the effect of techniques that client learned in session. Depression                                          7                                              8                                                    7.5 For example: Sarah appeared defeated by her symptoms of lethargy and sadness. Activity schedule is a written plan of a client’s daily activities. The client was very upset that he was not able to do his work by himself. Holidays Themes, Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to share on Tumblr (Opens in new window), Click to share on WhatsApp (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on Reddit (Opens in new window). His father A.M was 35 years old and driving an Auto Rakshaw. The client was provided with a copy of the Beck Depression Inventory, so that she could follow along and was asked to report his feelings for the past two weeks, including today. How would you describes this situation? The test was orally administered to the client. She explained she was already feeling unsure the relationship was compatible and had a future before the infidelity happened, that he didn’t have clear goals and was in her words was “floating” around. Analysis of Individual Creative Thinking and Problem Solving... Understanding Types of Creative Thinking Skills with Case... Warren Buffet and Hershey Foods Case Study Analysis, Tesco Strategic Marketing Case Study Analysis, Southwest Airline Strategic Formulation Case Study Analysis, Applying Erickson’s Psychology Development Stages, Analysis of Individual Creative Thinking and Problem Solving Skills in Workplace, Understanding Types of Creative Thinking Skills with Case Study. As some questions were asked by him Green represents calm and relaxation, or the state before anger begins to develop. Some of the therapies that can be used for the client who is suffering from depression, problems of anger and negative self-image are as follows These case examples may be useful for classroom discussion, for role playing in class, or to put the concepts from this chapter in a real-world context. sixth (6th) session. In this technique therapist supplement the therapy content with bibliographic / psycho educational assignment to further reinforce the work the client doing in session. He can easily read all the formal tests provided him. He 5 minutes to complete the test.                         The client’s visual perception seemed to be adequate. He could understand the conversation indicating well auditory perception. Go to sleep at about the same time each night, and awaken at the same time each morning. Janine recalled that had worried her a lot, so when he cheated, it offered her the opportunity to end the relationship without disclosing her true feelings. 56 Neuman, F. (2013). Already the client was under the treatment of psychiatrist and a physician and referred to counselor for psychological assessment and management. This meditation teaches people to focus on the very present moment, just noticing whatever they are experiencing, be it pleasant or unpleasant, without trying to change it. this technique will be used for client to decrease his depression level by involving him in different activities (Leahey, 2003). Biblotherapy / Psycho educational Assignment The adolescent anger rating scale (AARS) was administered on the client on Thursday, May 5, 2015, in a well lit and ventilated room of the hospital. This case example explains how Jill's therapist used a cognitive intervention with a written worksheet as a starting point for engaging in Socratic dialogue. He now only has to go about once or twice a year. The client was feeling depress on his condition because he had lost his body part and he was not able to perform his tasks easily by himself. Powered by WordPress Quality He was sad and after sometime he became anxious. Designed by His results are consistent with the symptoms he was experiencing. USE THIS CASE STUDY TEMPLATE . Seligman, M. E. P., Walker, E. F., & Rosenhan, D. L. (2001). The client completed the CDI in ten minutes and obtained the raw score of 05 which means that his t-score was 56 which suggests slightly above average depression. He was able to recognize information well. The therapist provides an emotional outlet, the chance for patients to express themselves and be themselves. Retrieved from http://www.experts.com/Articles/Amputation-Evaluating-Psychological-Injuries-Children-Adults-By-Dr-Jane-McNaught I maintained boundaries successfully with Janine, there was only one instance when she asked me for some extra time at the end of session four (4) as she wanted to continue to unpack some things, I had to decline and reminded her we only had 20 minutes today and we will continue where we left of the next week. Speech and Thought His results are consistent with the symptoms he was experiencing. Client’s answers showed that he has inadequate thought content. Cognitive behavioral therapy addresses negative patterns and distortions in the way we look at the world and ourselves. It can be helpful to do some reality testing about other aspects of their life (Ellis & Maclaren, 1998). Psychological response to amputation as a function of age and time since amputation. He could report the time exactly. Krueger DW, editor. Janine stated she felt as though she was the Cut off Contingency Contracting is a type of intervention that is used to increase desirable behaviors or decrease undesirable ones. The following information has been changed to protect my client’s identity. liked and I didn’t want to leave my client feeling rejected. His father tries his best to keep their family happy. During her four years in the Army, Leah experienced high levels of stress and anxiety which she coped with by drinking heavily. Case Example of Anoxeria: ‘Cathy’ ‘Cathy’ is a teenager at school studying for her GCSEs. Building Self Esteem. about her ex-boyfriend, she told me her had cheated on her and that is what The client continued his school after 3 and half months of his injury as he was recovered now but his hand was amputee which was the cause of distress for him. The therapist provides an emotional outlet, the chance for patients to express themselves and be themselves. Quantitative analysis He was frequently speak Urdu. She has always been somewhat of a perfectionist and likes to do well, and studies hard to get good results. One of the greatest advantages of a cas… Psychologists and patients practice this sequence over and over again. However, as she began to tell her story what emerged was someone stuck in a deadlock with no spontaneous way forward. 52 3: When do we celebrate Independence Day? Once the client is familiar with the ABCs of REBT, disputing will allow her to identify debate and ultimately replace her thinking and beliefs which are generally getting her into trouble and are the cause of her compulsive acts or maladaptive behavior patterns (Ellis & Maclaren, 1998). Identification of Problem Also Study: Depression Patient Psychological Assessment Case Session Report. Amputation is the surgical removal of all or part of a limb or extremity such as an arm, leg, foot, hand, toe, or finger. CASE SCENARIO . He also quarreled with them during playing. She had almost forgotten about those deeper In counseling, I have learned new attitudes and language to help improve my marriage and family relationships. The CDI was first published by Maria Kovacs in 1992. The client started his studies the age of 5 years. Psycho education refers to the education offered to people who live with a psychological disturbance. The room was peaceful and noise free and there was no distraction. Shula GD, Sahu SC, Tripathi RP, et al. He combed his hair well. Cognitive Assessment The client seemed to be having good general fund of knowledge. Green represents calm and relaxation, or the state before anger begins to develop. Anger is a complicated and overwhelming emotion, but using a traffic light for anger management allows client to visualize their anger and the steps necessary for controlling their reaction to angry emotions (Ketcham, 2015). Often the client will have been too focused on the identified problem that he has lost perspective on the other areas of his life. The may be encouraging statements such as “I can accomplish this task” or “I don’t have to get upset in these situations” (Dryden, 1994; Ellis, 1957, 1988; Yankura & Dryden, 1990 as cited in Ellis & Maclaren, 1998). The color red represents stopping, and is useful when client begin to lose control of their emotions. The client’s short term memory was good. The AARP is appropriate for use in clinical settings as both a screening measure for social maladjustment behaviors and as a measure of treatment affects. Cause of concern He can easily read and understand the things. 2: Who is the poet of Pakistan? UK: Cambridge University press The client obtained a raw score of positive self-image 33 which was lower than the cut off score which indicated that the client low positive self-image and it was a matter of concern. Person Centred Counselling Case Study Examples Background Information. so I discussed this in supervision. Objective The client seemed to be with fine mood. Chad is a 9 year old Chinese-American, high school student, who was diagnosed with Cystic Fibrosis when he was 3 months old.
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