Therapy and Treatment Exercises - Treatment Plan - Psychology Case Study Assessment Answer

Treatment Plan Therapy and Treatment Exercises Psychology Case Study Assessment Answer

Assessment Task:

Task:
Choose from ONE of the following fictitious case scenarios (A, B, C, or D), and select a third-wave therapy to discuss how that therapy might treat the mental health condition. Once you have made your choice, you will be required to write a report using the following headings:

1.    CASE SCENARIO AND DIAGNOSIS
State which case scenario you have chosen, briefly discuss some of the issues your client has been experiencing and their diagnosis (approx. 500 -700 words).

2.    THERAPY AND TREATMENT EXERCISES
In this section provide a general description of the chosen therapy. This should include describing the basic premise of the therapy, and most importantly what would happen during those therapy sessions. 

3.    CRITICAL REVIEW OF CHOSEN THERAPY
Finally, in approximately 1000-1200 words, provide a critical review of the therapy chosen based upon research evidence. You will need to provide a rationale for choosing that therapy (i.e. how much evidence is there that your chosen therapy is effective for your client’s condition). You should examine the strength of the research for that therapy.

Case Example A: A 40-year-old woman presents to her GP complaining of feeling tired and ‘washed-out’. She has had difficulty getting to sleep for about 4 weeks, and has felt restless during the day. Straightforward, everyday tasks have become a challenge and sometimes provoke a dry mouth and churning stomach, and she occasionally feels tearful. The GP is aware that the woman’s mother died 3 months prior to the presentation. Her mother had been ill for a long time and she had not been able to support her mother as much as she would have liked. As a result, she has been having thoughts of uselessness and worthlessness. She has been diagnosed her with a mood disorder.

Case Example B: A 22-year old bank clerk was involved in a severe car crash. He witnessed the death of a young woman, and he had to be cut out of his car whilst it was on fire. He sustained only minor injuries and was able to return to work a few days later. After about one month he became increasingly irritable, low in mood, and anxious. He felt guilty about the death, and believed that he could have saved the woman if he had acted quicker. He could not drive near the scene of the accident without becoming extremely anxious. As a result, he avoids driving in that area, which means he no longer visits friends and family that live close to the scene of the accident. He could not understand why he was not coping when he had survived the accident virtually unharmed. He has been diagnosed with PTSD.

Case Example C: A 37-year-old woman is referred for an urgent assessment by her GP. She has been complaining of low mood for the past 3 months, and in recent weeks this has become increasingly severe. She has begun to complain that she can hear the voices of dead relatives talking to her, telling her that she would be better off dead, and that she is a useless wife and mother. She complains of a constant unpleasant smell, which she believes is coming from her. She refuses to leave the house because she thinks other people will smell it. She has told her husband that the world is coming to an end, and has suggested that she has in some way caused this. She has been diagnosed with psychosis.

Case Example D: A 56-year-old man has recently been dismissed from his job for working whilst under the influence of alcohol. For the past five years, he has been suffering from depression and drinking alcohol heavily on a daily basis. During a consultation with his GP, he revealed that he feels inadequate and does not like himself. He reports feeling lonely since his marriage ended, but does not want to pursue any new relationships because he does not think he is good enough. He has been diagnosed with unipolar depression and is highly critical of himself.

Structure of write-up:

In setting out your case formulation you will need to structure your report in the following way:

1.    CASE SCENARIO AND DIAGNOSIS
This section should be a brief description of the case scenario chosen and the diagnosis provided. Do not copy and paste the case scenario here – provide a brief statement that paraphrases the chosen case study and restates the diagnosis. This section should also include some background information or context that may have led to the development of symptoms, for example, any trigger, illness, accident, bereavement. This section should identify those behaviors/mental health issues that led to the diagnosis, for example, the onset of intrusive thoughts and flashbacks following a traumatic event.

2.    THERAPY AND TREATMENT EXERCISES
This should be a general description of the third wave therapy, including what the basic premise of the therapy is.  This will include describing what kind of exercises you would do (i.e. you may choose Values exercises, a defusion exercise, compassionate imagery, leaves on a stream etc. For example, if using ACT for Case Example A, you may want to describe some defusion techniques for her thoughts of worthlessness.) You can mention in this section what worksheets you might use (e.g. values worksheet). You may also want to mention any homework you might set. Do not worry too much about referencing in this section, as it is often hard to decipher where different exercises originate.
 

3.    CRITICAL REVIEW OF CHOSEN THERAPY
In this section, you should aim to write approximately providing a critical review of the chosen therapy, which is based upon the research evidence. You will need to discuss how much evidence there is for your chosen therapy, how good the evidence is (e.g. have many randomised controlled trials been conducted, how good are the experimental designs, how robust the research is, where the evidence base might be lacking etc?), how much evidence there is for its effectiveness for the mental health condition of your client (e.g. if you have done ACT for anxiety, how much research has specifically been conducted on ACT for anxiety, rather than only discussing the ACT research in general). It is important that you try to focus on research that is relevant to the mental health condition of your client. You may want to mention the general evidence base for your therapy (e.g. “There are 68 empirically studies on mindfulness-based stress reduction”), but try not to just discuss the general evidence, and keep it specific to your chosen therapy.

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