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    Person-Centered Therapy-Case Conceptualization

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    Damaris Kambua
    Joanne is experiencing complicated grief following the death of her spouse. She exhibits symptoms of extended grief, anxiety about acceptance by others, interpersonal isolation, low self-esteem, and depressive signs. Her family support system and change in daily structure following retirement are important contextual factors. She is diagnosed with complicated grief disorder and mood disorder. A theoretical orientation focusing on interpersonal relationships would guide treatment. The treatment plan utilizes complicated grief therapy consisting of psychotherapy and addressing symptoms through cognitive-behavioral and interpersonal approaches over 2 years.

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    Person-Centered Therapy-Case Conceptualization

    Uploaded by

    Damaris Kambua
    1K views4 pages
    Joanne is experiencing complicated grief following the death of her spouse. She exhibits symptoms of extended grief, anxiety about acceptance by others, interpersonal isolation, low self-esteem, and depressive signs. Her family support system and change in daily structure following retirement are important contextual factors. She is diagnosed with complicated grief disorder and mood disorder. A theoretical orientation focusing on interpersonal relationships would guide treatment. The treatment plan utilizes complicated grief therapy consisting of psychotherapy and addressing symptoms through cognitive-behavioral and interpersonal approaches over 2 years.

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    Case Conceptualization

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    Person-Centered Therapy—Case Conceptualization

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    Joanne is experiencing complicated grief following the death of her spouse. She exhibits symptoms of extended grief, anxiety about acceptance by others, interpersonal isolation, low self-esteem, and depressive signs. Her family support system and change in daily structure following retirement are important contextual factors. She is diagnosed with complicated grief disorder and mood disorder. A theoretical orientation focusing on interpersonal relationships would guide treatment. The treatment plan utilizes complicated grief therapy consisting of psychotherapy and addressing symptoms through cognitive-behavioral and interpersonal approaches over 2 years.

    Copyright:

    © All Rights Reserved
    1K views4 pages

    Person-Centered Therapy-Case Conceptualization

    Uploaded by

    Damaris Kambua
    Joanne is experiencing complicated grief following the death of her spouse. She exhibits symptoms of extended grief, anxiety about acceptance by others, interpersonal isolation, low self-esteem, and depressive signs. Her family support system and change in daily structure following retirement are important contextual factors. She is diagnosed with complicated grief disorder and mood disorder. A theoretical orientation focusing on interpersonal relationships would guide treatment. The treatment plan utilizes complicated grief therapy consisting of psychotherapy and addressing symptoms through cognitive-behavioral and interpersonal approaches over 2 years.

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    © All Rights Reserved
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    The key client concerns are extended grief, anxiety, isolation, low self-worth, and depressive symptoms following the death of her spouse. A treatment plan involving complicated grief therapy is proposed.

    The primary concerns for the client are extended grief, feelings of anxiety and a need for acceptance from others, interpersonal isolation, feelings of self-devaluation and lack of purpose, and depressive symptoms.

    The diagnosis given was Complicated Grief Disorder (ICD-10 code F43.21) due to difficulty imagining life without her spouse, problems caring for herself, and inability to work part-time. The diagnosis is justified in the document.

    CASE CONCEPTUALIZATION

    Student Name: Case Name / #: Joanne

    1. Problem identification & definition: [1–2 paragraphs]

    [Primary and contributing concerns for the client]

     Patient concerns: Extended grief

     Patient concerns: Feeling “anxious,” associated with being accepted by others

     Patient concerns: Interpersonal isolation

     Patient concerns: Self-devaluation, feelings of no purpose

     Patient concerns: Depressive-related signs

    2. Contextual considerations: [1–2 paragraphs]

    [What ethical, legal, cultural, or other key considerations need to be considered with this client

    when creating a treatment plan?]

     Joanne has a family, and this support system should be included in her treatment plan to

    help her better manage the loss of her spouse. The family consists of her two sons and

    siblings and even friends.

     Joanne retired from her work to travel more, and this will affect her daily progress since

    she is no longer engaged and has no sense of what she should do.

     From Joanne’s attempts at effecting change, and self-referral, it seems as though she

    might have the capacity to restore her life to normal and move on in a healthy manner.

    3. Diagnosis

    4. [be sure to provide full title and code]


    CASE CONCEPTUALIZATION

    Axis I: F43.21 Complicated grief disorder

    Axis II: No diagnosis on Axis II

    Axis III: Is slightly overweight, diabetes and hypertension

    Axis IV: Death of spouse

    AXIS V: GAF = 41-50 Severe symptoms of impaired social and interpersonal

    relationships and normal day to day functioning

    Diagnostic Comments: [1 paragraph]

    [Here, provide a brief—no more than 1 paragraph—comment on the justification for your

    diagnosis]

     Complicated grief disorder- Has difficulty imagining a meaningful future without the spouse,

    problems taking care of basic and inability to report to her part-time job. Isolates herself from

    the family and friends for fear of being a burden, intense yearning, longing, or emotional pain.

     Disruption of moods/ Mood swings- Lack of energy, exaggerated feelings of self-depreciation,

    poor sleeping pattern and poor eating habits.

    5. Theoretical Conceptualization: [1–2 paragraphs]

    [How would your selected theoretical orientation explain the primary issues for this client, and

    thus which interventions / treatments would be best suited for this client?]

    6. Treatment Plan

    Presenting Issue #1: F43.21 Complicated grief disorder

    Strengths: Part-time employment helps her maintain reality. By recurrent and unsuccessful

    attempts at looking outside of self for the help thus her approach of the pastor shows that the client

    wasn’t to get help and get better.


    CASE CONCEPTUALIZATION

    Barriers: Birth order, poor relationships with the youngest sibling, anxiety overburdening

    family and friends—all of which suggests long-standing issues with the way the patient relates to

    different groups.

    Goals: Reducing her symptoms and particularly the depression symptoms are one of the goals,

    develop a coping mechanism or plan for the patient to be better placed accepting the loss of the

    loved one, and restoration of a normal life.

    Interventions: Complicated grief therapy is a treatment approach that will be used. According

    to Wetherell, (158), complicated grief therapy is a new treatment plan that can be used on patients

    with observed success. Complicated grief therapy (CGT) is developed to help address symptoms

    relating to complicated grief. This intervention has a background in interpersonal therapy (IPT)

    and cognitive-behavioral therapy.

    Modality / Duration: Utilization of long-term psychotherapy focusing on the

    psychotherapeutic relationships. This modality will be utilized because humans are biologically

    preset to seek, form, and maintain close relationships.

    Three weekly 30-minute sessions for up to 2 years

    A measure of Progress: Observe progress of therapy sessions is assessing transference and

    “uncovering.”

    References from Empirically Supported Research

    Cozza, Stephen J., et al. "Performance of DSM-5 Persistent Complex Bereavement Disorder Criteria

    in a Community Sample of Bereaved Military Family Members". American Journal of

    Psychiatry, vol 173, no. 9, 2016, pp. 919-929. American Psychiatric Publishing,

    doi:10.1176/appi.ajp.2016.15111442. Accessed 28 Jan 2019.


    CASE CONCEPTUALIZATION

    Shear, M. Katherine. "Complicated Grief." New England Journal of Medicine, Vol 372, no. 2, 2015,

    pp. 153-160. New England Journal of Medicine (NEJM/MMS), doi: 10.1056/nejmcp1315618.

    Accessed 28 Jan 2019.

    Wetherell, Julie Loebach. "Complicated Grief Therapy As A New Treatment Approach.". Dialogues in

    Clinical Neuroscience, Vol 14, no. 2, 2019, pp. 159-166. NCBI,

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3384444/. Accessed 28 Jan 2019.

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