Background and presenting problem
The client, a 33 year old Caucasian female, received treatment at an outpatient Psychology Training Clinic over the course of 5 months. Developmentally, the client was from a low SES family of 6 and her parents were separated when she was very young. The client described a pattern of inconsistent employment history throughout adulthood. At the time of treatment, the client had started her graduate studies in performance arts and had a graduate assistantship.
The client’s stated reasons for seeking treatment included difficulties with attention and concentration and depressed mood. Specifically, she reported intermittent depressed mood for approximately 10 years and a life-long history of …show more content…
Developmentally, the attentional difficulties remained unaddressed throughout childhood due to the combined impact of financial instability in the family, parental conflict, and relative scarcity of parental support. As a consequence, the client struggled with academic achievement at school and experienced functional impairment at work during adulthood years. As a result of continued impairments in these domains, the client developed an image of herself as inadequate and unsuccessful, which contributed to her depressed mood. From a trans-diagnostic stand point, the client engaged in excessive rumination, which further impeded her ability to maintain focus, exacerbated depressed mood, and reinforced self-criticism through negative …show more content…
Termination was mutually initiated by the therapist and the client since all treatment goals were met. The last two sessions of the therapy were spaced across two months. During these sessions, the patient maintained the good prognosis, presenting with increased self-esteem, self-efficacy, motivation, and hopefulness about the future. At the time of the discharge the client was high functioning in several domains, including work, academic, and social relationships. The client no longer met the diagnosis criteria for 309.0 Adjustment Disorder With Depressed Mood, and continued to meet the diagnostic criteria for 314.00 Attention Deficit Hyperactivity Disorder, Moderate, Predominantly Inattentive Type, however the latter no longer interfered with the client's academic or occupational functioning. At the time of the termination, the client was expected to maintain the treatment