The client of whom is being discussed in this particular case study is Carol, a 38 year old female that has been receiving counseling services for approximately three years now. Carol originally began seeking psychological services as a result of what she believed to be panic attacks as well as having been, at that point, in a particularly bad relationship. Carol is annotated to have not been married to this individual of whom she was in a ‘really bad relationship’ with but she was in fact dating this person. Carol has two children (7 and 4 years old) of whom can attest to the relationship having been an unhealthy one. Initial review of the case study suggests that Carol is in fact struggling with several issues in conjunction with her having had been in an unhealthy relationship; issues including financial woes, aggression, finding a job, her background is indicative of having had two alcoholic parents, struggling with obsessive compulsive disorder, anxiety, and guilt. While these issues arose throughout the course of therapy, it is again stated that the proverbial straw that broke the camel’s back and brought Carol in for professional therapy was her having panic attacks that were likely associated with her having been in a bad relationship. While this is stated as the reason for Carol seeking professional therapy, it is not, in my opinion, the most significant issue that she is dealing with or was dealing with. Of the before mentioned psychological issues that can be recognized as occurring with Carol, the most significant of those problems would be guilt.
It is in my opinion that guilt would be the catalyst to the other types of issues that Carol suffers from. When it comes to guilt, Freud was certainly revered as the expert...
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Here the therapist would help X review her emotions, thoughts, early life experiences, and beliefs to acquire the necessary insight into their emotional life about their current emotional situation. The therapist can then draw an emotional pattern of X over time. Taking, for instance, her reaction to her failed marriage, her parents' deaths and lastly, her relationship breakdown with her half-siblings. Pin-pointing recurrent behavioral patterns establish a persons' way of responding to situations, these can be ways of avoiding distress or development of defense mechanisms. Strategies are then drawn to cope with these
The psychoanalytic therapy was developed by Sigmund Freud. It is considered the foundation or modern day psychiatry, psychology, and counseling and is the gage by which all therapies have been measured. Psychoanalytic therapy consists largely of using methods to bring out unconscious thought that can be worked through. It focuses on childhood experiences that are analyzed though discussions that are reconstructed, and interpreted.
At the onset of assessment by a staff-counseling psychologist, the woman seemed to relax and share some of her thoughts and feeling. As the assessment process continued, the psychologist was able to ascertain that the issue with depression appeared to be a relevantly recent development. Additionally, the depression appeared to be the result of heighten conflicts between the woman and her husband pertaining to alleged extra material affairs. In conversation with the psychologist, the woman claimed to feel “overwhelmed”; her husband filing for divorce triggered the feelings she inferred, which reportedly lead to her breakdown. However, the psychologist has since discovered that the husband denies the affairs and attributes this to the depression. Additionally, the husband claims that the termination of the marriage is a result of the deterioration of his wife’s mental state.
Case conceptualization explains the nature of a client’s problem and how they develop such problem ( Hersen, & Porzelius, p.3, 2002) In counseling, assessment is viewed as a systematic gathering of information to address a client’s presenting concerns effectively. The assessment practice provides diagnostic formulation and counseling plans, and aids to identify assets that could help the client cope better with concern that they are current. Assessment is present as a guide for treatment and support in the “evaluation process. Although many methods can be employed to promote a thorough assessment, no one method should be used by itself” (Erford, 2010, p.269-270). Eventually, it is the counselor's job to gain adequate information concerning the client and the client's presenting concerns to establish an effective treatment strategy. Using a combination of assessment techniques increases the likelihood of positive interventions and promotes successful treatment (Erford, 2010, p.271). A case conceptualization reflects how the professional counselor understands the nature of the presenting problems and includes a diagnostic formulation. Case conceptualization organizes assessment data into meaningful outline, applying research, and theory to make sense of client’s current problem.
The therapist must be aware of individual values and beliefs in order to develop an understanding of why the client responds to certain life-stressors. For e...
The current practices of the clinical and counselling psychological streams are not entirely dissimilar as both are concerned with the application of psychotherapy, education, research, and instruction (Mayne, Norcross, & Sayette, 2000; Norcross, 2000). Clinical psychology is primarily concerned with the assessment, treatment, and study of populations who experience severe mental illness (Bechtoldt, Campbell, Norcross, Wyckoff, & Pokrywa, 2000; Norcross, 2000) clinical psychologists mostly employ behavioral and psychoanalytic theoretical orientations when treating clients (Norcross, 2000). In contrast, counselling psychologists generally aim to support people who, while not typically suffering from severe mental illness, need assistance in overcoming the emotions associated with traumas such as loss of employment, marital dissatisfaction, loss of friend or family member, addiction (Geldard & Geldard, 2012; Gladding, 2013). Primarily they employ client-centered and humanistic methods of theoretical orientation (Geldard & Geldard, 2012; Gladding, 2013; Norcross, 2000).
...th this man, but she was treating her children the only way she knows how, which was how she was raised. Lynn was eventually hospitalized because of extreme weight loss and was immediately assigned to a government mental health case worker. Lynn’s case was very extreme due to the exposure of her long term trauma. She was diagnosed with dissociative identity disorder and obsessive compulsive personality disorder. Her therapy sessions exposed her to major traumatic memories and it would cause her to collapse on the floor and reenact her past. Her team of therapists integrated and applied theories of structural dissociation, attachment, and mentalization to provide a foundation of treatments for Lynn. Their work load was very challenging with Lynn, but it also deepened their appreciation and compassion for who Lynn is and how she has survived throughout her life.
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The psychoanalytic perspective is one psychological theory that revolves around the unconscious mind. This perspective emphasizes that personality development is largely unconscious, hidden, and unknown. Sigmund Freud, the most influential figure of the psychoanalytic theory, emphasized that personality develops through unconscious forces, biologically based drives of aggression and sex, and unavoidable conflicts in early childhood. The psychoanalytic theory of personality dictates that behavior stems from the experiences that are left in the unconscious mind. Freud created the
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