individual Clients Mental Health Treatment
Made up scenario
Framework /Theory used_________________________
Framework /Theory used:_Motivational Interviewing / CBT_________
Verbatim Process/Analysis Strategy
P.G. is a 22 year-old woman who has had some trouble with compulsive shopping and spending. She graduated the previous year and now works at International, Inc. She got engaged when she was 20 years-old, and after graduation, the engagement was broken off. She has been in an estranged relationship with her parents since she left for college. She lives by herself and is entirely on her own financially. She has an older sister whom she is very close to and talks with regularly by telephone. In her spare time, she likes to shop, run, and meet men in hopes of finding a committed relationship.
Therapist: Good to see you again, P. How have you been doing since our last session?
P.G.: I’ve been doing well- about the same. The day of our last session, I did really well. I didn’t go shopping at all that day but every day after that I have gone shopping but I haven’t spent as much as I have before.
Therapist: That’s good you are making some improvements. Why don’t you pick a day that you went shopping this past week and tell me about that day? (Positive Regard/Open-ended question)
P.G.: Well, Saturday I slept in. By the time I woke up, F- the guy that I have been seeing had already left. But before he left, he had the time to write me a looovely note explaining to me that our relationship wasn’t going to work out because he needed his space. So after that, I took a shower and got ready, had a late breakfast, and left for the big Macy’s Sale. I spent the afternoon shopping and then met up with my sister for dinner. Then I met up with my girlfriends and went out to the bars. I met the most awesome guy! He bought me a drink, and we just really hit it off. He kept complimenting me on my dress and saying how beautiful I was, and he just seemed so sweet, and it just felt so right. We left the bar together and went for a late-night McDonald’s run. After that, we went back to my place and called it a night.
Therapist: Well that sounds like a very full day! So, your day started out pretty rough after reading the note J. had left you, then you went shopping, met your sister, went out with the girls, and met…(Paraphrase/Probe)
P.G.: Uumm… Gosh… I don’t remember… [Long pause]…I think it was R. Yeah. R.
Therapist: Okay! Well, let’s talk about your shopping some more. How does it make you feel when you buy something? (Probe)
• Learn in advance as much as possible about the client.
• Complete assessment and collect data.
• Prepare psychotherapy contract and review it carefully with the client.
• Discuss expectations and plan.
• Initiate therapy sessions, and discuss the strategies / theoretical frameworks you will be using with the client.
This is a formal client returning for a psychotherapy session. She is being treated for OCD and anxiety.
Ø Open-ended questions are crucial to obtaining information as in the sample.
Ø The therapist gives recognition for meeting a goal discussed in a prior therapy session.
Ø Paraphrasing demonstrated interest, empathy, and the same implicit clarification of what the client had mentioned to the therapist.
Ø The use of interpretation confirms that the therapist understood what the client told him.
Ø Open-ended questions to continue probing and getting more details.
Ø Motivational interviewing aims to engage the patient and create a connection and therapeutic alliance. Active listening, reframing.
Cognitive Behavioral Therapy – working with the concept of guided discovery to help identify the automatic thoughts expressed in her behaviors – compulsive shopping, denial of personal self-worth. Possibly discuss emotional reasoning.
Exposure therapy – to treat her obsessive-compulsive behaviors. – use of in Vivo exposure treatment – linking to consequences of actions.
Brief dynamic therapy
Establishing the therapeutic focus and goals; time management no more than eight sessions, fostering therapeutic alliance, rapid assessment, and intervention.
You should highlight the process and summarize the strategies or techniques for intervention, psychotherapy models used r