assignment needed a psycholgist

3) Plan to start with a moderate goal and write how you are planning with your patient to way up gradually. 2.4

4) Use the Exposure Practice form and fill up for the case hypothetically. Fill at least 2 exposure tasks. 2.4

5) Come up with anxiety work plan for coping with anxiety with outcomes. 2.4

Assignment should contain at least 800-1000 words.

CLOs:

2.2 Illustrate the cognitive behavioural model to a client using diagrams and thoughts diaries.

2.4 Judge how best to motivate a client to devise and complete homework tasks and behavioural/ experiments/ challenges.

3.1 Comply with the standard practice regulation and commitment to the professional ethics while administering psychological tests and psychotherapy.

Case:

A 36-year-old mother, Sara, enters clinic and sits in the chair across from my desk. She sits quietly, with downcast eyes, waiting for me to make a comment. It is obvious that she’s nervous and that this is the first time she has seen a therapist. After the usual introductions I ask Sara why she made the appointment. As she begins to tell me her story, I notice that her body is tense, her voice is strained, and she shifts frequently in her seat. This whole process is clearly anxiety provoking for her.

Sara, it turns out, has panic attacks. Her surges of anxiety are so great that she has been missing a lot of work. Recently she was put on notice for excessive absenteeism and is in danger of losing her job. The panic attacks and daily anxiety and worry were debilitating in many other ways as well. Sara was becoming “people phobic.” Because her anxiety was much worse in social situations, she started avoiding crowds, then social gatherings, next smaller events like dinner invitations and visiting new friends, and now she won’t interact with her closest friends or family members. She won’t even return their phone calls or text messages. Except for work, Sara has become practically housebound, her home becoming her only “safe haven” from anxiety. Her husband is exasperated because she won’t go anywhere or have contact with anyone.

Anxiety is ruining Sara’s life, and her job and marriage could be next!

In our first sessions Sara revealed a number of other factors that had weakened her ability to deal with her anxiety. In the last two years she had moved up north so her husband could take a new position with his company. She did not like her new community and missed her old friends. She was now a few hundred miles from her family, whom she rarely saw because anxiety made it difficult for her to travel. Her job at a call center was a definite case of underemployment, but it was all she could get. To make matters worse, her 10-year-old son was having difficulty at his new school, and her 8-year-old daughter longed for her old friends. Everyone in the family is feeling miserable and upset— everyone, that is, except Sara’s husband, whose promotion has required more travel. Sara is feeling lonely, discouraged, and scared for her future and that of her family.

In next section you can see the profile of Sara:

Report writing of case study

Case illustration:

1) Administration of Exposure worksheet and Hierarchy

2) Normalization cards

3) Planning of gradual exposure

4) Exposure tasks

5) Anxiety work plan with outcomes

Annexure 1

Exposure Worksheet

Annexure 2

Normalization cards

1. Situation:

Normalization card:

2. Situation:

Normalization card:

Annexure 4

Exposure Practice

Annexure 5

Reflection

Anxiety Work Plan

Outcome: What happened? What did you observe?

What have you learned? How does what happened relate to the target cognition(s)and the alternative(s)? How far do you now believe them (0–100%)?

What next? What further experiments can you do?