Psychology Case studyDevelop and describe a CBT formulation and treatment plan for a case study (which will be supplied). A cognitive-behavioural formulation should be provided to explain the ‘client’s’ experience, followed by a treatment plan that addresses the areas of the formulation (including a description of the CBT skills to be used within each treatment step).
COUN222 COGNITIVE BEHAVIOUR THERAPY 2019 Assignment 2 – Case Study: “Peter” Peter is a 45-year-old man. Since completing Year 12, he has completed a number of industry certificates but has not completed any other postgraduate studies. He is 180 cm tall and weighs 81 kg. Peter has been married to his wife, Julie, for 12 years. Julie completed Year 10 before completing a certificate of secretarial studies and working in the reception of a busy General Practice office. Julie has worked part-time since the birth of their first child. They have two sons; Peter Junior (‘PJ’) aged 9 years and Thomas (‘Tom’) aged 6 years. During the initial interview, Peter was casually dressed, generally co-operative and polite. Nevertheless, he struggled to make eye contact and seemed to have difficulty answering some of the questions. His speech was slow and laboured. Peter reports feeling sad almost constantly and general low mood. Three years ago, Peter was fired from his previous position of employment with a Real Estate agency due to a decline in his sales. At this time, he was unemployed for nearly 12-months. This was devastating to Peter as he sees himself as the “bread winner” for his family. Peter reported that “during that time they struggled to make ends meet”. Julie was a great support to him throughout this period and always remained optimistic and encouraging. Peter finally found a position as a sales rep for a nation-wide company. For the first 18 months, Peter was extremely successful in this position and was consistently ranked within the top 10% of sales reps for the company, earning lucrative bonuses. When the opportunity for promotion came up in the company, Peter was confident he would be successful. However, he missed the promotion and his confidence “plummeted”. Subsequently, his sales figures dropped substantially. Since missing the promotion approximately 5 months ago, Peter has struggled with having the motivation to work. His employer is placing more and more pressure on him to return to his previous rate of sales and he feels guilty for letting his boss down. His concentration is poor and he is having difficulty keeping up with the paperwork at work, as well as managing bills and accounts at home. He sets his standards high and is ashamed that his performance has deteriorated. Peter describes himself as “completely worthless” and says that he feels there is no point trying anymore because he will only “continue to fail at everything”. As he explains “I never knew why I never got promotions at work. Now I know, it’s because I’m useless and can’t handle the pressure.” Peter does not sleep well. He lies in bed worrying about the things that have happened that day and worrying about whether his position will be terminated. When he does fall asleep he wakes after a short time. He dreads the morning and facing the day ahead. At other times he can sleep for long periods but feels no more rested. His appetite is poor and he has lost weight. Peter denies thoughts of self-harm or suicide. Background (e.g., demographic details, family and/ or employment circumstances) : Superior level and description of information. Includes key demographic details relevant to the client and the client’s family. No irrelevant information included. Details of problem and Formulation(30 marks): Correctly identifies the presenting problem. High level assessment and integrative description of the details of the problem. Includes key information relevant to the duration of the problem, environmental triggering factors, physiological reactions, problem behaviours and maladaptive cognitions. Clear and concise description of relevant precipitating, predisposing, perpetuating, and protective factors and information is correctly assigned to these factors. Cognitive formulation presented. Sophisticated links made between model and the client. No irrelevant information included. Treatment plan (20 marks) :Treatment plan is clearly linked to target the problem areas identified in the assessment. Treatment plan demonstrates an advanced level of integration and insight. High level of critical thinking evident in outlined treatment plan. Evaluation is supported by references to relevant literature. Proposed treatment sessions (25 marks) Superior level and description of treatment sessions. Includes description of key session details including number of sessions, specific therapy skills in each session, and homework assigned for each session. Logic of order of sessions made clear. No irrelevant information included.