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Case Study for Assessment and Formulation Skills using CBT

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caroline long

on 6 March 2014

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Transcript of Case Study for Assessment and Formulation Skills using CBT

(Scale from 0-8)
Work: Recently Unemployed
Leisure: Rarely goes out alone
Home: Struggles for motivation
Client Information
45 years old
Three Children
Unemployed Housewife

Confidentiality is considered throughout this case
Early Experience
Competitive Family Upbringing
Poor Attachments
Core Beliefs
I am not who I want to be
Others are better than me
If I am myself people will think I am stupid, so I must not show my true self or emotions
If people know I am stupid they will not like me
Critical Incident/Trigger
Busy public places
Meeting new/old friends
Woman points whilst saying clients name in busy town

Cindy is now able to go for daily walks with her dog on her own, although safe routes are still used
Cindy still believes people will judge her although her inner strength and belief appears to be growing
Dual Relationships can be difficult when trying to remain congruent and empathetic
Interventions out of session could have been focused on more in session looking at the 'safe behaviours' exhibited and what they mean to the client
Case Study for Assessment and Formulation Skills using CBT
Presenting Problem
Fear of people judging and afraid people will not like her
Can't go to busy public places due to anxiety i.e. Supermarkets, Town Centers
Sticks to 'safe routes' which are quiet
Woman points at client saying her name in middle of busy town
Avoids going out alone
Sticks to 'safe routes'
Feeling Nauseous
Avoids going out alone
Sticks to 'safe routes'

In Session:
Look at clients self-concept and how this affects them physically (Reappraisal)
Out of Session:
Gradually attempt to walk different routes with more opportunity for socialization i.e. road side
Daily Thought Records (DTR)
In Session:
Discuss what looking stupid means to client in mental terms
Recognise patterns in behaviour understanding formulation (Reappraisal)
Out of Session:
Aim to give one opinion a day without being critical of it
Three System Analysis
FIDO Ratings
Feeling Nauseous
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