In this paper I shall be outlining in a case study my work with a client using the Cyclical Maladaptive Pattern (CMP) to help formulat e and track a Focus and shape the ongoing work. I shall illustrate this with des criptions of the client and extracts from our sessions. All information used is a résumé of the information gat hered throughout our 6 sessions. In complying with confid entiality, I shall refer to my client in this case study by the pseudonym Zola. The Client: Zola is a 53 year old unemployed woman from a Carib bean background. She has a history of depression going back many years and has been referred to the IAPT service by her GP. The IAPT assessment form indicat es that she suffers from behavioural and emotional problems, as well as havi ng memory and concentration difficulties. She has long term health problems and is on several medications. She suffers from osteoarthritis and a bad back as well as heart and kidney problems. She complains of pains “ from head to feet on a daily basis” and describes herself as an old lady walking slowly and with her head bowed. Zola was sexually abused between the ages of eleven to her mid-teens. She has had therapy twice before from two different counsellors . She is a single mother of two girls and reports tha t her elder daughter, in her late twenties, suffers from agoraphobia and is house bou nd. She is very proud of her 2 younger daughter who is in her early twenties and Z ola describes her as bright and as being a strong and direct girl. Zola’s mother died five years ago. She does not kno w who her father was and her mother had always refused to talk about him. She be lieves that her mother was raped and fell pregnant with her.... ... middle of paper ... ...with the impression that my work with this client has been helpful and meaningful to her and on a personal level I have learned how important it is to present empathy and build a strong therapeutic alliance, never more so than in Zola’s case. I cannot be completely sure that Zola is going to b e able to continue implementing her new experiences , but overall it feels as if therapy has been benef icial to her. She appears able to understand how episodes from her pa st are affecting her present day relationships and how she might be able to make these connections on her own. If nothing else, she found someone who actuall y listened to what she had to say and was prepared to take her seriously. This, f or her, is a new experience and is undoubtedly a first step to her finding peace with her past and a reason to look forward to the future.
The second stage she is struggling in is Stage 6 Intimacy vs Isolation in young adulthood (Rogers, 2013). She is 28 years old, and is isolated from her family and her son, Joey, who her parents now have custody due to her drug abuse. The other reason she is isolated from her family is due to her having an abortion, and her parents feel she has committed a mortal sin and they do not want her in their home. She has the lost the intimacy of being with her son and her
Co-occurring mental health and substance abuse disorders are quite prevalent in today’s society. Treatment and prevention of co-occurring disorders are both critical topics. However, professionals across the board cannot seem to agree on what is the best way to approach these topics. Perhaps the most ‘at-risk’ demographic for substance use are adolescents, ages 12 – 17. (Substance Abuse and Mental Health Services Administration [SAMHSA], 2011) Thankfully, more and more research has been conducted in the areas of adolescents and co-occurring disorders over the past few decades. However, since treating and preventing co-occurring disorders in adolescents is so monumental for their proper development and for their future as adults, the research must continue.
K is a 45 year old man who has been having intense stress and worry. He also has been having trouble going to sleep and has been having to intrusive thought. He feels like he has no control in his life, he feels worthless and slightly hopeless. All these symptoms, point to a diagnosis of OCD.
Jake is an 18 year old male who lives with his mother in Southampton, Massachusetts. Jake’s primary disability includes epilepsy, idiopathic mycarditis and there are concerns of a mitochondria disorder. He has a history of febrile seizures and is being medically managed for that disorder. In fourth grade, Jake experienced a grand mal seizure; he was placed on medication; and an IEP was developed in school for this medical condition. Jake also experiences allergic rhinitis and asthma, which is brought on by environmental factors. Jake has not been diagnosed with ADHD, but has confided with the ATS that he has a difficult time staying focused and struggles with concentration. He continued to say at times he experiences anxiety, especially
Luckily, one day she was browsing the Web and found Pandys.com, which is a place where not only was accepted, but also supported her so that she could overcome everything that had occurred to her. Resulting, she could know and understand the devastating effects of sexual abuse. She has learned to survive with flashbacks and memories. The most important thing, it is that she could retake her life and finally, to make sense of all things and have the strength and courage to move on.
The client's mother was emotionally unavailable and never stepped in to intervene during the father's violent rage. The client witnessed domestic violence as a child and also personally experienced years of abuse from her husband. The client had two children with her soon to be ex husband, a son and a daughter, as well as two grandkids. She reports a having frequent contact with her children, however, she describes their relationship as distant. Both of her parents struggled with alcoholism but the client denies any alcohol abuse. The client's experiences made her develop low self-esteem and low confidence as well as difficulties trusting others. Regina cannot maintain healthy relationships and has problems interacting with others
Co-occurring disorders or dual-diagnosis are terms used to describe clients with an SUD and mental illness. Much like the chicken and the egg, professionals continue to discuss and argue whether the substance use disorder (SUD) contributed to the mental illness, the mental illness led to the SUD, the mental illness and SUD co-exist, or whether the two are interconnected. While the verdict is still out, what is known is there are complications and challenges in using this diagnosis. There are also problems related to this subpopulation and treatment options used.
After reading Chapter 1 I was met up with many questions: why are we afraid of those with mental disorders? Who told us that to be different was a disease? How did we decide that this reality was the right way so many years ago? How does our timeline with mental illness jump from humane compassion to rotting cells of people being mistreated? How can we continue to ignore the homeless problem in the world today and deny that we can help those who are suffering? As an idealist, I found the chapter both eye opening and stomach jerking. Especially after watching the videos on lobotomy’s I questioned who the hell gave that guy an ice pick! It was interesting to watch the timeline of mental disorders go from spirits who were needing to be
The therapist must anticipate that Shelia will experience transference this can be used as a tool to help the client develop further awareness of why she behaves the way she does. “This analysis of the transference helps the client to achieve deeper insight into his or her past experiences and how they may still be affecting and influencing present relationships and experiences,” (Tan, 2011, p.49). However, the therapist should anticipate that the transference can cause a negative response since her father was distant and not involved in the family. Especially, that father’s are traditionally viewed as the protector and Shelia was not shielded by her father from her uncle. Hence, the therapists ought to be aware of his non-verbal’s and
She continues in this sequel to talk about the abuse she faced and the dysfunction that surrounded her life as a child and as a teen, and the ‘empty space’ in which she lived in as a result. She talks about the multiple personalities she was exhibiting, the rebellious “Willie” and the kind “Carol”; as well as hearing noises and her sensory problems. In this book, the author puts more emphasis on the “consciousness” and “awareness” and how important that was for her therapeutic process. She could not just be on “auto-pilot” and act normal; the road to recovery was filled with self-awareness and the need to process all the pieces of the puzzle—often with the guidance and assistance of her therapist. She had a need to analyze the abstract concept of emotions as well as feelings and thoughts. Connecting with others who go through what she did was also integral to her
The client stated that she came to therapy because she has been feeling really lonely and feeling as though that she is not enough since the death of her father. After the death of her father, her mother did not pay her any attention; she understood that her mother was grieving, especially when her grandfather passed a year later. I stated that the frequent death that surrounded her mother, seem to have caused her mother to distance herself from her. She responded “yes, and it even gotten worse when my mom started to date and eventually marry my stepfather”. She mentioned that once her little sister was born, she became jealous and envious. I emphasized with her by stating that she must have felt as though her little sister was going to take the attention that she sought from her mother. After confirming that her mother paid more attention to her sister and stepfather, she mentioned that during this time she began to cut herself in places that no one would notice. The pain did not take the feeling away, but she wanted to know that if she could still feel pain after the thought of losing everything. However, the only person who paid her any attention during this time, was her grandmother. Her grandmother showed her the love that her mother nor “father figure” never showed her. I stated, “the love that your grandmother showed was not the love you were
When assessing a new client, it is crucial to provide the client with a form that is easy to understand and complete. These forms are often the first impression a client has of an agency; a hard to understand form may intimidate a client or discourage them before the treatment has begun. For this critique, a form was selected from an independent therapist’s website. The form is simply titled “Mental health intake form” and consists of seven (7) pages of questions regarding the client’s mental and physical health as well as questions regarding past traumas and experiences.
After identify the problems that faced by Riley, we found that the Cognitive Behavioural Therapy is the most suitable therapy to guide Riley for achieving the outcome goals. There are some objectives of Cognitive behavioural therapy (CBT) which to help a person learn to recognize negative patterns of thought, evaluate their validity, and replace them with rational thinking. CBT emphasises on helping an individual to manage his or her problems by changing the way his or her think and behave. That means it is useful to assist the clients change their undesired behaviours due to the dysfunctional thinking. Besides that, CBT more apply on the clients who suffer from depression and anxiety, but also can be useful for other mental and physical health problems such as eating disorders, insomnia, and panic disorder. In CBT, the counsellor and the client work collaboratively to agree on patterns of behaviour those need to be changed. The roles of counsellor are to listen, guide, and encourage, while the client's roles are to express concerns, practice, and make changes.
To define abnormal psychology is to define three parts: there must be an observable manifestation of abnormality. You must be able to observe the “disturbance in an individual cognition, emotion regulation, or behaviour.”(20) A clinical definition provided by the DSM-5. A disorder which is completely internalized with no observable component would not be considered abnormal. Secondly, this disturbance must be statistical different from what is regarded as societal norms. Smoking could be viewed as a disturbance that reflects a dysfunction. However, smoking is not regarded as abnormal because there are too many smokers, it is not a statistical infrequency. The last criteria to be met is that this disturbance must have a result or outcome and that result or outcome must be seen as harmful or negative to the individual or those observing.
There are many potential problems that could be presented on the intake form. The intake form is an important document for the client to complete and for the social worker to review. In the appendix, there is an example of a mental health multidimensional intake form. The intake form will provide valuable information if completed and completed with honesty. The included intake form has great potential on providing quality information and the presenting problem that the client has. The intake form is five pages along and cover current and historical information. It also includes the mental health history and any medical history or current medical concerns. The intake form also covers the domain of the client’s social dimension. Occupational questions are also included on the intake form. Family