Case Conceptualization with Treatment Plan

Published: 2020-12-16 09:26:28

The patient in focus is Becky, a 15-year-old girl who lives with the parents and has a 2-year-old cousin who lives a few meters away from her. She is good-looking and has many friends. She has an extended family that celebrates special occasions together such as BBQ. Lately, she has become self-isolated and has changed her look; she also has severe mood swings to being frequently angry, and she no longer goes for sleepover or movie nights with the friends. Becky has had a rough time from multiple sodomizations against her will by her 20-year-old male cousin. She is experiencing tension and fear, feeling insecure, and even drifting when she remembers the hard times. Furthermore, she is experiencing emotional numbness and being over-responsive to anger. Becky is also suffering from nightmares and emotional distress that are even reflected in her school grades. Becky has never experienced any case of withdrawal, emotional numbness, or being over-responsive to anger. There is no history of nightmare or distress or any other symptoms from the past. This is the first incident that is recorded on Becky’s emotional and psychological state. Though the symptoms have been developing gradually over a certain period of time, there is no past recorded history. The patient is emotionally withdrawn; she experiences fear and insecurity that is indicative of her unstable mental state. She is over-reactive and over-responsive to anger with serious mood swings. She isolates herself from her environment. Having self-rejection and appreciation, she feels herself ugly and unloved. She experiences hatred for people around, her cousin in particular. Becky feels uncomfortable mostly with her cousin, and she even fears if someone is mentioning his name. She is afraid of family gatherings as this will cause the revival of her memories. She is afraid of the darkness in her room and sleeps with the light on and with her younger sister. Lately, Becky has been stressed by her friends of what they think of her and how they perceive her making herself feel isolated. She is experiencing stress and instability in her mental state. It is reflected in her poor school performance. She has difficulties in focusing at school and experiences memory drifts as well. She is experiencing emotional numbness, severe mood swings, anger, low self-esteem, rejection, and fear. She has poor sleeping pattern; her social interaction and engagement are affected; and she is experiencing character change along with changing her look by cutting her hair and applying more make-up. She is isolated and no longer associates herself with her friend in terms of going for sleepovers and movie nights. Becky’s diagnosis is aligned with her symptoms of withdrawal, mental instability, behavior change, and mood swings. She is diagnosed with unstable emotions and mental state due to the rape trauma she had experience. The primary goal is to help Becky recover from her traumatizing experience, avoid stress, improve sleeping pattern, and reduce mood and emotional swings. Main strength is to empower the patient to rediscover herself and overcome the challenges she is currently facing. Encouraging the patient to meet her goal such as overcoming depression by the end of the treatment session is also practiced. The best intervention program that will help the patient recover has to be chosen. This treatment intervention can imply activity scheduling, cognitive restructuring, and behavioral therapy. Different objectives will be set to help check the patient’s progress towards attaining the goals set during the treatment process. This will be realized in achievable steps such as reducing fear, positive character reinforcement, or improving attitude and emotions. This is the assessment of how the objectives are met, and it depends on the number of objectives. The progress will summarize the activities done during intervention and the whole treatment process. The outcomes are viewed as for the achievements made or objectives completed by the end of the session. The therapy focuses on the changing behavior, emotions, character, and thoughts of the patient towards Becky’s conscious and unconscious state and motivations. These aspects help orient therapies by closely working with the patient to identify and explore her condition to aid in treatment or solving the problem she experiences. This therapy will assist in determining the effect of the event experienced by the patient. It will assess Becky’s current lifestyle, compare it with past life, and note the changes such as traumatization, stress disorders, and character withdrawals. This will include assessing Becky’s normal and abnormal behavior such as a change in character and personality, how she is associating herself or is relating to people and things around her. Behavioral therapy addresses the way Becky talks, walks, sleeps, and involves herself with people around her. This therapy will identify the factor that causes her behavior or character change such as the level of stress that affects her sleeping pattern, her fear, withdrawal behavior, or isolation towards her family and friends. This therapy focuses on Becky’s thoughts and how this thinking process can affect or alter her feelings and behavior. This treatment is based on problem solving and focuses on the patient’s primary situation that distorts thinking. Here, Becky’s cause of stress and discomfort is assessed and identified to help her understand how to limit emotional and mental distress. The level of anxiety, stress, tension, and personality is observed through cognitive therapy in order to help come with a solution to the current situation. This kind of therapy involves assessing Becky’s ability to make a rational choice and decision. It measures the girl’s capacity to exercise potential towards solving her problem. It also helps the patient to focus on self-energy and motivation to overcome the obstacles (Fulkerson, 2015). Hence, Becky is encouraged to believe in her energy and self-drive to achieve a positive result. Here, the girl is also encouraged not to focus on the past or negative factors, but instead to focus on positivity, self-actualization, and self-growth. This therapy is necessary as it helps the patient find meaning to her life and value positivity. She is encouraged to be responsible and focus on self-determination and free will to overcome all her challenges.
About the author: Elif Flores is a master in Literature at Maryland University. She is currently working as one of the best writers at the https://elitewritings.com/write-my-discussion-board-post-cheap.html She also studies male psychology.