2
CASE PRESENTATION FOR GEORGE
Case Presentation of George
Identifying Data
Date of Initial Assessment: July 1, 2024
Client’s name: George Bauer
Age: 35
Race &Ethnicity: Caucasian, European-
American
Marital Status: Married
Employment Status: Full-time employed as
a software enginE
Gender: Male
Sexual Orientation: Heterosexual
Treatment Plan
Problems
1. Anxiety and depressive symptoms – persistent worry, feelings of sadness, fatigue,
insomnia, low self-worth, avoidance, helplessness.
2. Work-related stress – high workload, tight deadlines, lack of work-life balance,
burnout.
3. Marital conflicts – frequent arguments, communication issues, emotional distance.
4. Sleep deprivation – difficulty falling asleep, frequent waking, poor sleep quality.
Goals for Change
1. Reduce anxiety and depressive symptoms
Learn how cognitive errors are connected to maladaptive core beliefs and
anxiety/depression.
Participate in as many activities as possible that will enhance the enhancement of
mental health to minimize the extent of avoidance behaviors.
Create realistic relational schemas in order to enhance one’s self-esteem and decrease
depressive symptoms.
Decrease or eradicate the symptoms of anxiety or depression and regain the previous
level of functioning.
2. Manage and reduce work-related stress
Learn about the effects of stress on the mental health and how to manage stress.
Enhance personal organization and the amount of time spent on leisure.
Lower the stress rates and avoid the burn out feature.
3. Improve marital relationship
Improve the communication and conflict management competencies.
Enhance the positive communication and expression of affection within the marriage.
Enhance the general level of marital satisfaction and decrease marital conflict.
4. Improve sleep quality
3
CASE PRESENTATION FOR GEORGE
Learn about causes of sleep problems and improve sleep habits.
Adopt a healthy sleep schedule and enhance the quality of sleep.
Minimize sleeplessness and maximize quality sleep.
Objectives & Therapeutic Interventions
Offer theory, length of treatment, and citations for objectives and interventions below.
The client will engage in 10 to 15 weekly individual sessions of CBT (Beck Institute,
n.d.; Schwitzer and Rubin, 2015; Murdock, 2017).
Problem One: Anxiety and Depressive Symptoms
Objective one (client will . . .)
George will identify and challenge negative automatic thoughts.
George will develop coping strategies to manage feelings of sadness and hopelessness.
Interventions to reach objective one (counselor will . . .)
Counselor will conduct weekly CBT sessions to help George recognize and modify
cognitive distortions (Constantin et al., 2020).
Counselor will assign homework exercises to practice cognitive restructuring
techniques between sessions (Reddy et al., 2020).
Objective two (client will . . .)
George will engage in activities that bring pleasure and accomplishment.
Interventions to reach objective two (counselor will . . .)
Counselor will create a behavioral activation plan to schedule enjoyable activities and
gradually increase engagement in social and recreational events (American
Psychological Association. 2019).
Problem two: Work-Related Stress
Objective one (client will . . .)
George will develop effective coping strategies for managing stress.
George will improve time management skills to balance work demands.
Interventions to reach objective one (counselor will . . .)
Counselor will teach relaxation techniques such as mindfulness and deep breathing
exercises, and integrate stress management strategies into daily routines (Norelli et al.,
2023).
Counselor will provide time management training and tools to help George prioritize
tasks and set realistic goals.
Problem Three: Marital Conflicts
Objective one (client will . . .)
George will enhance communication skills and conflict resolution strategies with his
spouse.
George will increase positive interactions and emotional support within the marriage.
4
CASE PRESENTATION FOR GEORGE
Interventions to reach objective one (counselor will . . .)
Counselor will facilitate couple therapy sessions focusing on communication skills,
conflict resolution, and emotional support (Lebow & Snyder, 2022).
Counselor will use role-playing exercises to practice effective communication and
conflict resolution techniques (Ünal & Akgün, 2022).
Problem Four: Sleep Deprivation
Objective one (client will . . .)
George will improve sleep hygiene and establish a regular sleep routine.
Interventions to reach objective one (counselor will . . .)
Counselor will provide education on sleep hygiene practices, such as maintaining a
consistent sleep schedule and creating a restful sleep environment (NIH, 2022).
Counselor will introduce relaxation techniques to help George unwind before bedtime,
such as progressive muscle relaxation or guided imagery (NIH, 2022).
Outcome Measures of Change
Offer what the changes would look like for the client (increased euphoric moods,
attentiveness, prosocial behaviors) as measured by…
Measurement one: Reduction in anxiety and depressive symptoms as measured by
lower scores on the BDI-II and GAD-7 (Beck Depression inventory. n.d.; Jeon & Kim,
2018).
Measurement two: Improved work performance and job satisfaction as reported by
George and his employer.
Measurement three: Enhanced marital satisfaction and reduced conflicts as reported by
George and his spouse.
Measurement four: Improved sleep quality as measured by self-reported sleep logs and
the Pittsburgh Sleep Quality Index (PSQI).
5
CASE PRESENTATION FOR GEORGE
References
American Psychological Association. (2022). Clinical practice guideline for the treatment of
depression across three age cohorts.
Beck Depression inventory. (n.d.). BDI-2 | Pearson Assessments US.
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-
Assessments/Personality-%26-Biopsychosocial/Beck-Depression-Inventory/p/
100000159.html
Beck, J., & Beck, A. T. (2020). Cognitive behavior therapy: Basics and beyond (3rd ed.).
Guilford Publications.
Constantin, D., Dinu, E. A., Rogozea, L., Burtea, V., & Leasu, F.-G. (2020). Therapeutic
Interventions for Adjustment Disorder: A Systematic Review. American Journal of
Therapeutics, 27(4), e375. https://doi.org/10.1097/MJT.0000000000001170
Jeon, S. W., & Kim, Y.-K. (2018). Application of Assessment Tools to Examine Mental Health
in Workplaces: Job Stress and Depression. Psychiatry Investigation, 15(6), 553–560.
https://doi.org/10.30773/pi.2016.10.24
Lebow, J., & Snyder, D. K. (2022). Couple therapy in the 2020s: Current status and emerging
developments. Family Process, 61(4), 1359–1385. https://doi.org/10.1111/famp.12824
Murdock, H. L. (2017). Theories of counseling and psychotherapy: A case approach (4th ed.).
Pearson.
Rubin, A. M., & Switzer, L. C. (2015). Diagnosis & treatment planning skills: A popular culture
casebook approach (2nd ed.). Sage.
Powered by TCPDF (www.tcpdf.org)
