for KIM

Case Conceptualization and Treatment Plan

Develop a clear and thorough understanding of the presented case in the video shown in class. Write a 2,800- to 3,500-word paper using the Clinical Case Study Guidelines document to prepare your analysis of the video presented in class. Review your notes taken during the counseling session presented in class. Use the DSM 5 (main source) and additional professional sources as you explore the client’s situation, potential diagnosis, treatment planning, and legal and ethical concerns. Select a theoretical orientation to complete the analysis of the client. Discuss the presenting problem from the theoretical perspective, and include language from the theory throughout the case conceptualization. Include the following:

•Summarize the client’s background and present living situation, addressing diversity and the human life cycle.

•Discuss the client’s present level of functioning and provide examples from the Unnamed Video to support your assessment.

•Identify the client’s key problems and issues. Discuss which problems the client is experiencing and why the client is having these problems.

•Propose a theoretical orientation that would be appropriate to use with this client and discuss the theory and application.

•Provide a logical and rational assessment of the client and a diagnosis that is consistent with the assessment. Support the diagnosis using the DSM 5 and other research.

•Identify appropriate goals and interventions that are consistent with the assessment, diagnosis, and theoretical orientation. Discuss how these might be addressed within the treatment sessions.

•Recommend psychometric tools that would be appropriate for further assessing the client’s needs based on background and diagnosis. Justify your recommendations.

•Identify thoughts and behaviors that you would use as criteria to determine readiness for successful client termination.

•Identify important legal and ethical issues and propose resolutions. Support your resolutions with appropriate codes of ethics and legal statutes.

•Use peer-reviewed sources to support your ideas throughout the paper. Format your paper consistent with APA guidelines.

ive included the format, examples, and notes on case with convesation from therapist and client

Runninghead:

Treatment Plan: Alexandria Wright

Example of friend’s paper on another case

you can use this outline to guide you

Treatment Plan: Alexandria Wright

Description of Client:

Alexandria Wright is a 36-year-old Caucasian female who appears older than her stated age. She was well groomed, average height, and overweight. She was respectful and cooperative throughout the interview; however, at times she did appear defensive. She is married and has two sons ages five and seven. Her parents are both deceased with her father passing away a year ago. Alexandria also has three sisters with a three-year gap between them. She is also highly educated and works as a Certified Public Accountant.

Presenting Problem:

Recently, within the last month, she has had a return of the feelings of sadness present after her father death a year ago. According to the client, she is experiencing this recurrence because of issues associated with her father’s estate.

History of Problem:

Alexandria reported having been in psychotherapy a year ago after her father’s death, and reported that it helped her. However, in the last month she has been dealing with settling her father’s estate, and it has brought back the feelings of sadness. She describes her sadness as feelings of annoyance, especially toward others. Although she initially reported sadness as her primary issue she quickly shifted the focus to family problems that months ago were not present. According to, Alexandria the family problems began as soon as, at the request of her father, she started functioning as the executor of her father’s estate. She also reported that besides being assigned the executor of her father’s estate his wish was that the family divided everything equally to prevent any family discord. To ensure aforementioned occurred she and her siblings decided they would prohibit their spouse’s involvement and input in their father’s estate.

Despite the agreement made she has been experiencing interference from her brother in-law Bruce. She reports he is not in agreement with the value and prices she has placed on her father’s belongings. This is causing her to feel agitated, annoyed, unappreciated, and insulted. It also has caused them to argue and have conflict between them. According to Alexandria these feelings stem from having invested a large amount of time and effort placing value on her father’s belongings. She also believes he is criticizing her ability to handle being the executor of the estate even though she is an accomplished certified public accountant (CPA).

Additionally, this has caused conflicts with Bruce’s wife Elizabeth, who is her younger sister. She believes Elizabeth should put a stop to his interference and criticism, and by not doing so is choosing Bruce over the agreement they made. She also believes Elizabeth’s behavior is inappropriate at times because of her impulsivity, spontaneity, and growing up with no boundaries or guidelines. Thus in effect causing her to be upset and irritated with Elizabeth.

Mental Status:

Her eye contact was good. Her affect was appropriate to the context and situation. She was oriented to person, time, and place. Her motor activity was overly calm. Her attitude was cooperative and focused; however, easily defensive. Her speech was coherent and of normal rate, rhythm, and tone. She also reported no past or current history of suicidal or homicidal ideations or plan and intent. She did not experience visual or auditory hallucinations. Insight and judgment appears within normal range. Thought content was free of phobias, delusions, and ideas of reference.

Social History:

Alexandria reported having a normal childhood with nothing unusual occurring. Her parents had clear expectations and rules, and they had high expectations for her. Despite their rules and high expectations she had a good relationship with them. She was well organized and a responsible child. She was also very tidy, clean, and liked order. She also grew up with three sisters with a three-year gap between them. Alexandria reported that they were named after royalty, and her parents treated them as such. She was closest to the oldest sister because they had many things in common. This close relationship continues to hold true as adults. Alexandria reported some of her proudest achievements included becoming her high school valedictorian, graduating magna

cum laude

for both her bachelors and masters degrees, and getting her CPA on the first try.

Currently, she is married and has two sons ages five and seven. Her husband is an automotive engineer and her children attend elementary school. She has a CPA and currently works as an accountant. She describes her life as very organized and structured. For instance, they get up every day at the same time, eat at the same time, clean their home every Monday, do laundry only on Tuesdays, and she helps her children with homework the same time every day. Financially they follow a strict budget and always save 10% of their income for their son’s college education and emergencies. According to Alexandria, life is easier having structure and order. Even though she reports the need of having structure and order she denied engaging in rituals, procedures, or obsessive thoughts.

Alexandria also reported that she organizes for fun and organizing relaxes her. For instance, when on family vacations she finds herself organizing the kitchens in her vacation homes. Additionally, at times when organizing it is hard for her to stop intrusive thoughts; however, she is always able to complete the task. She also stated she is a hard worker not a perfectionist; however, her sisters tell her she is a perfectionist. For example, when planning a family vacation she will spend a significant amount of time organizing and structuring the trip to the point of annoying her family. She also will not consider delegating tasks because of the belief that no one can do as well as her. She reported concerns about her children’s education because of inappropriate societal influences. She believes society has taken a nose dive for the worse and would like to control what her children learn in regard to morality and values. In fact, this belief has caused her to consider home schooling her children.

Strengths and Assets:

Alexandria is a hard worker, is self-disciplined, and motivated to treatment evidenced by her self-referral. This motivation and insight as well as her self-discipline and work ethic will prove beneficial in the implementation of goals and interventions. She is also assertive, which in client driven and collaborative therapeutic modalities will be a strength.

Diagnosis:

Axis I: 309.0 Adjustment Disorder with Depressed Mood, Acute

Axis II: 301.4 Obsessive-Compulsive Personality Disorder

Axis III: None

Axis IV: Problems with primary support group-discord with brother-in-law/sister

Axis V: GAF 61 (present)

Diagnostic Rationale:

Alexandria meets the criteria Axis I 309.0 because substantial criteria indicators are met. The indicators are as follows: She developed the emotional symptoms (sadness, annoyance) in response to the stress of pricing her father’s belongings within three months of beginning this task. This annoyance and sadness is in excess of what would be expected from exposure to this new stress in her life (her brother-in-law interfering with the estate). Additionally, this is causing her significant problems interpersonally with her sister and brother in-law. Last, with the information gathered, she did not meet the criteria for any other mood disorder or bereavement disorder because her symptoms are not related to mourning the loss of her father.

She meets the criteria Axis II 301.4 because four or more of the criteria indicators are met. They are as follows (1) is preoccupied with details, rules, lists, order, organization, or schedules to the extent the major point of the activity is lost, (2) is over conscientious, scrupulous, and inflexible about matters of morality, ethics, or values, (3) is reluctant to delegate task or work with others unless they submit to exactly his or her way of doing things, (4) adopts a miserly spending style toward self and others; money is viewed as something to be hoarded for future catastrophes, and (6) shows rigidity and stubbornness.

Treatment Plan:

Mode:

With adjustment disorder the goal of therapy would be to have Alexandria return to the level of interpersonal functioning prior to the conflicts associated with the estate. Also to change the maladaptive thoughts or behaviors she is using to respond to her current stressor. In terms of the obsessive-compulsive personality disorder the target would be Alexandria’s need to organize (behavior) to feel a sense of control (feelings). The premise of Cognitive Behavioral Therapy (CBT) is the link between a person’s thoughts, feelings, and behaviors, thus I would recommend this approach for Alexandria.

Frequency and Duration:

CBT is recommended weekly. The sessions would be one-hour long for 12 to 14 weeks.

Referrals:

1. Referral to psychiatrist for an evaluation to determine appropriateness of medication for symptom management.

2. Referral to her primary care physician to rule out any medical condition that could be causing the sadness, such as a thyroid problem or diabetes.

Goals of Treatment:

Short-Term Goals:

1. Will reduce arguments with brother in-law Bruce and sister Elizabeth from seven times a week to five times a week.

2. Will improve coping and problem-solving skills to reduce stress when confronted with a new problem or challenge.

3. Will engage in one pleasant activity a week that does not consist of organizing or scheduling.

4. Will decrease episodes of organizing and structuring from seven days a week to five days a week.

Long-Term Goals:

1. Will restore positive interpersonal relationships with her brother-in-law and sister to the previous (one year ago) level.

2. When faced with a new problem, change, or challenge will display effective coping and problem-solving skills.

3. Will be able to engage in three pleasant activities a week that does not consist of organizing or scheduling.

4. Will decrease episodes of organizing and structuring from seven days a week to once a week.

Interventions:

To improve Alexandria’s relationship with her brother in-law and sister interventions provided would be:

a) First increase her awareness of her behavioral responses in the relationship, her role in the conflicts as well as their interpretation of her behaviors.

b) Assist in identifying inappropriate responses by having her journalize her interactions and feelings when interacting with Bruce and Elizabeth.

c) Practice appropriate verbal and behavioral responses to a variety of anticipated situations via the use of role-play.

To improve her coping and problem-solving skills interventions provided would be:

a) Teach her to identify what she has control over and what she does not.

b) Educate on effective problem-solving techniques.

To increase her pleasant activities the interventions provided would be:

a) Help her identify activities she could participate in that do not consist of organizing and scheduling.

b) Use a calendar to have Alexandria schedule in the day of the week she will do the activity.

c) Teach her the link between pleasant activities and the decrease in her stress as well as sadness.

To assist in helping decrease her episodes of organizing and structuring interventions would include:

a) Use the cognitive triangle technique to teach how her thoughts about orderliness and cleanliness are affecting her behavior.

b) Implement the thought stopping technique to assist in the reduction of the obsessive behavior and thoughts.

c) Implement the deep breathing technique so she can relax and self-soothe while attempting to decrease the obsessive-compulsive urges and behaviors.

Prognosis:

Alexandria’s prognosis is good because she not only has the motivation for treatment but also has the cognitive ability to understand the interventions that would be provided in session. Ultimately, treatment outcome will not solely depend on the recognition that a problem exist but also relinquishing some of that control despite the emotional stress it will cause.

Person of the Therapist:

The therapist recommended neuro-linguistic programming despite the fact the he was not competent in this technique having attended only one seminar. As therapist we cannot treat or use interventions beyond our scope of practice or competencies. During this session the therapist exposed himself in transference by saying he knew who Bruce was and even mentioned his last name. The therapist told the client he work in the same company and even shared personal information about Bruce. Therefore, the client felt in her confront zone and asked the therapist to speak to Bruce and tell him to maintain away from her business. Even though the therapist stated he could not do that because it was unethical this can still have some ethical or legal concerns as it can cause a dual relationship or even risk breaking confidentiality laws. In this situation I would have asked the client if she had a problem with me as her therapist because I knew her brother in-law. If she did have a problem I would transfer the case to prevent a multiple or dual relationship. If it was not a problem I would reinforce confidentiality as well as setting clear boundaries.

Also, the therapist interrupted the client numerous times. For instance, he consistently interrupted to make inferences of what she was feeling, what she did or said. Even though summarizing of feelings is an appropriate therapeutic technique he did not reflect the clients feelings effectively.

I would also have liked the therapist to obtain more information on the client’s sadness to assist in ruling out a mood disorder as well exploration of indictors of associated with bereavement. It also would have been helpful to explore impairments in an area of life functioning other than socially/interpersonally. For example, it was not clear if her extreme organizing is affecting her at work, with her activities of daily living, or with her physical health. It is assumed with the limited information we obtained she is not. He also never asked about substance abuse, legal history, mental health history, explored culture factors, or assessed for trauma.

Reference

American Association for Marriage and Family Therapy (AAMFT). (n.d.). Code of Ethics. Retrieved from http://aamft.org

American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed; text rev.). Washington, DC: Author.

This

paper was from 2015 and they used something else not the new DSM 5 to get the diagnosis.

its old but this is what the movie was about to give you an idea. Try to use my friends outline and different wording please as they check

DESCRIPTION OF THE CLIENT

The client is a 34-year-old woman Hispanic female, dressed casually and neat, clean clothing. She made normal eye contact, she spoke in expressive voice, and appeared sad manifested by tears.

PRESENTING PROBLEM

The client reports for the past two months she experiencing hopelessness, depression and anxiety because of negative core beliefs that she is inadequate, worthless and a failure.

The client reports “I have a lot on my mind, I feel pressure like I cannot breathe sometimes and I get angry with myself because I want to please everyone”. This has resulted in symptoms that are diminishing the enjoyment of her life. The client’s automatic negative thoughts that she is worthless and a failure has caused the client to stop doing things that used to bring her pleasure. The client reports that all of these emotions and conflict is affecting her. The client states she is tearful, always tired; restless; unable to feel pleasure; ambivalent suicidal ideations; anxious, unable to sleep; hopelessness; loss of appetite; despair; and fear.

HISTORY OF PROBLEM

The client reports that she and her husband have relationship conflict and communication problems which lead to arguing. The client states “he pushed and slapped me, he said that he would kill me or hurt me in front of my children. I felt the abuse was escalating so I took the children and moved in with my mother”. For the past two years her husband started drinking heavily and the physical abuse is escalating. She has been living in fear that he will kill her. This negative core belief has a caused automatic negative thoughts that allowed years of mental, emotional, and physical abuse from her husband. These automatic negative thoughts have contributed to the client’s depression as a result, she has left her husband and moved in with her mother. The experience of the separation from her husband has triggered negative core beliefs that she is inadequate, worthless, and undesirable, and reinforces, or activates, her automatic negative thoughts.

MENTAL STATUS

Activity: The client displayed her attitude as open and somewhat guarded. Motor activity level demonstrates psychomotor regularity, frequently moving her hands to wipe tears away. Her speech is of regular rate and rhythm; eye contact is fair.

Mood and Affect: The client appeared sad with tearful affect, which was congruent with mood and appropriate to content.

Thought Process, Content, and Perception: The client denies any auditory and visual hallucinations and has coherent thought process. The client has difficulty sleeping due to constant preoccupation and rumination of thought of hurting her children by taking them away from their father or should she return to him.

Cognition, Insight, and Judgment: The client is oriented to time, place, person, and situation. The client demonstrates average intelligence, has clear cognition, and intact memory for recent and remote items. The client has slightly impaired insight and judgment.

Physiological Functioning: The client appeared to be in good health but reported she has lost some weight because she does not feel like eating. The client states “I feel pressure like I cannot breathe, am I hurting my kids because I took them away from their father”. She denied use of alcohol or illicit drugs however she drinks coffee to stay awake during the day.

Suicidal and Homicidal Assessment: The client reported having thoughts about ending her life. She voiced ruminating thoughts “I do not want to be here because I am not pleasing my children, husband, or mother”. She states, these ruminations are fleeting thoughts with no plan. Therefore, she is considered a possible danger to self. The client denied any homicidal ideation or ruminations.

SOCIAL HISTORY

The client reported that she is separated, unemployed, and has two children, a nine-year old boy and a seven-year-old girl. She has been married for ten years. She states early in her marriage they would argue and yell. The first year of marriage was fine but her husband started emotionally and physically abusing her. With the help of her close friend she left her husband and has been living with her mother for the last two months. She has not spoken to him since she left. This event has triggered negative core beliefs that she has failed as a parent for not keeping the family together. Her sister supports the decision to leave her husband and wants her to come to Washington for a fresh start. But now, the client states he continuously apologizes by sending gifts and begs for her to come back home. The client also reports that her mother suggest that she return home so the children will not suffer from not having their dad.

The client’s family of origin lives in California and consists of her mom and younger sister. Her father was a truck driver and her mother was a stay at home mom. The client reported her father past away from a heart attack over five years ago, and her mother never remarried. The client states her father was “a drunk and abusive towards my mother”. The client states her mother instilled Christian and cultural values and beliefs that family is everything. Once you get married, your husband is the head of the

household and you are to obey and never get divorced so the children will have both parents. These thoughts are part of the client’s core belief from the way she was raised. The client reported her father was would yell, call her mother names, tell her “she is worthless and without him she is nothing”. These thoughts and feelings are part of the clients’ negative core beliefs that she is inadequate and worthless because of her upbringing. The client states her “father would hit her in front of us and she would not come out of her room for days because of the bruises. We were afraid all the time especially when he would drink”. The client reports her mother would blame herself for the abuse and try harder not to make him angry and do everything her husband would tell her to do, because he was all she had. These faulty core beliefs followed the client into her marriage reinforcing her faulty cognition of what a marriage is supposed to be.

The client and her sister are very close. Her younger sister was determined to get out of the house and not end up like her mother. Once she graduated from high school she went away to college in Washington and found a job after she graduated from college and rarely returns home. The client’s younger sister is not married and has no children. The client was an average student in school. She only had a few friends with whom she shared activities and phone calls. She had no serious illnesses and lived in the same house all of her life. The client attended college for about two years and received an Associate’s Degree in Business Management. She worked as an Administrative Assistant until she got married and had her first child then became a stay at home mom. She has one close friend with whom she hangs out with.

LEGAL ISSUES

The client has no legal concerns. However, client is currently separated from her husband.

ETHICAL CONCERNS

The client was given consent forms and understands the confidentiality, HIPPA, reporting laws, etc. The client received a thorough risk assessment.

THEORETICAL PERSPECTIVE JUSTIFICATION

Cognitive Behavioral Therapy (CBT) is a counseling model that increases the client’s understanding of how thoughts and behavior are connected to emotions. The clients’ upbringing and exposure to negative childhood experiences of seeing her parents fight have created her cognitive distortions. The cognitive distortions she learned from her mother in childhood have persisted to adulthood. This faulty belief system have created negative thinking patterns that have been evident throughout her life creating hopelessness and despair. The client’s family background and exposure to negative childhood experiences have produced her cognitive distortions. The cognitive distortions she learned from her mother in childhood have persisted into adulthood.

DISCUSSION

CBT helps to address and change negative thinking patterns and behaviors associated with depression while teaching how to change the behavioral patterns that contribute to

her depression. Changing the behavior can lead to an increase in thoughts and mood. CBT can help the client identify her automatic thoughts and maladaptive behaviorism so she can develop an accurate schema through which to filter her daily interactions. The client should be tested for Folstein Mini Mental Status Exam, Beck Anxiety Inventory, The Beck Depression Inventory (BDI) this scale would be helpful to measure his depression. Columbia-Suicide Severity Rating Scale is a questionnaire used to assess suicide. This measure can be used by any professional. This instrument is needed to help determine the severity of suicide in the client. To determine if he is just thinking about it because of the break up with his girlfriend or was this something he has been thinking about for a while.

DIAGNOSIS

Major Depressive Disorder

Depressed mood most of the day, nearly every day, as indicated by either subjective report or observation made by others.

Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day.

Significant weight loss when not dieting or weight gain, or decrease or increase in appetite nearly every day

Insomnia or hypersomnia nearly every day. Fatigue or loss of energy nearly every day.

Feelings of worthlessness or excessive or inappropriate guilt nearly every day.

Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others).

Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.

The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

The episode is not attributable to the physiological effects of a substance or to another medical condition.

The occurrence of the major depressive episode is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified and unspecified schizophrenia spectrum and other psychotic disorders.

There has never been a manic episode or a hypomanic episode. With Melancholic features

Loss of pleasure in all, or most activities

Lack of reactivity to usually pleasurable stimuli

A distinct quality of distressed mood characterized by profound despondency, despair, and/or moroseness or by so-called empty mood.

Early morning awakening Significant anorexia or weight loss Excessive or inappropriate guilt

POSTTRAUMATIC STRESS DISODER F 43.10

Exposure to actual or threatened death, serious injury, or sexual violence in one (or more) of the following ways:

Directly experiencing the traumatic event(s).

Witnessing, in person, the event(s) as it occurred to others.

Presence of one (or more) of the following intrusion symptoms associated with the traumatic event(s), beginning after the traumatic event(s) occurred:

Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s).

Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event(s).

Marked physiological reactions to internal or external cues that symbolize or resemble an aspect of the traumatic event(s).

Persistent avoidance of stimuli associated with the traumatic event(s), beginning after the traumatic event(s) occurred, as evidenced by one or both of the following:

Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).

Negative alterations in cognitions and mood associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following:

Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world (e.g., “I am bad,” “No one can be trusted,” “The world is completely dangerous,” “My whole nervous system is permanently ruined”).

Persistent, distorted cognitions about the cause or consequences of the traumatic event(s) that lead the individual to blame himself/herself or others.

Persistent negative emotional state (e.g., fear, horror, anger, guilt, or shame). Markedly diminished interest or participation in significant activities.

Feelings of detachment or estrangement from others.

Persistent inability to experience positive emotions (e.g., inability to experience happiness, satisfaction, or loving feelings).

Marked alterations in arousal and reactivity associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following:

Problems with concentration.

Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep).

The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

The disturbance is not attributable to the physiological effects of a substance (e.g., medication, alcohol) or another medical condition.

SPOUSE OR PARTNER VIOLENCE, PHYSICAL, CONFIRMED

T74.11XD Subsequent Encounter

Psychosocial Stressors

The client has problems with primary support which is her mother who wants her to return to the violence for the children.

RECOMMENDATIONS

1. Complete homework assignments

2. Become more active with family, friends, or social groups

3. Join a gym or start an exercise regimen

TREATMENT PLAN

Short-term Goal #1

The client will continue to decrease her frequency of automatic negative thoughts of wanting to end it all or die.

Interventions for Goal #1

The client will decrease her frequency of these thoughts from 20 times a day to 15 times a day by journaling to identify thoughts, feelings and behaviors before during and after stressors.

Short-term Goal #2

The client will continue to decrease her frequency of negative self-statements.

Interventions for Goal #2

The client will identify and alter irrational or negative self-statement and replace them with positive statements.

The client will journal to identify thoughts, feelings, and behaviors before, during, and after stressors.

Short-term Goal #3

The client will plan and complete one pleasant or social activity per week.

Interventions for Goal #3

The client will increase the ability to find evidence to the contrary of negative emotions with higher levels of positive emotions through the use of mood monitoring.

Long-term Goals

The client will also continue to journal and use thought records to identify her stressors.

REFERALS

The client will be referred to physician and psychiatrist.

EVALUATION OF COUNSELING PROGRESS/PLAN

The counselor will use a cognitive behavioral approach. The sessions will be once a week for five weeks, then once every two weeks if appropriate, until symptoms have improved. At that time, the counselor and client will determine a plan for the future course of sessions.

The client is a 34-year-old Hispanic woman in a marriage that has experienced depressive symptoms, anxiety, ruminating thoughts, and catastrophizing with ambivalent suicide ideations. The goal is to help identify her automatic negative thoughts and negative core beliefs with the process of cognitive restructuring. Cognitive restructuring helps replacing these unhealthy thinking patterns with positive self-statements. The client will be given homework of journaling and completing a thought record to aid her in identifying her stressors and prompting her positive self-talk. The client will continue to actively participate in approximately 20 cognitive behavioral therapy sessions one hour a week to ensure progress with anxiety, mood, and depression.

This has the therapist and client conversation

Case Conceptualization and Treatment Plan

Develop a clear and thorough understanding of the presented case in the video shown in class.

Write a 2,800- to 3,500-word paper using the Clinical Case Study Guidelines document to prepare your analysis of the video presented in class.

Review your notes taken during the counseling session presented in class. Use the DSM 5 and additional professional sources as you explore the client’s situation, potential diagnosis, treatment planning, and legal and ethical concerns.

Select a theoretical orientation to complete the analysis of the client.

Discuss the presenting problem from the theoretical perspective, and include language from the theory throughout the case conceptualization. Include the following: