Cbt Therapy Case Study

3499 Words 14 Pages
Brief description of client
Alan Zupka is a fifty year old, Caucasian gay male who appeared to be his age. He has been in a long term relationship for eight years. He was self-referred to counseling. Client has a Bachelor’s degree in psychology and is currently working on his Master’s degree in clinical mental health counseling. Client has been retired since 2008.

Client identified as American when asked his ethnicity. Mr. Zupka is an attractive man who is in good shape, neatly dressed, appropriately groomed, with good hygiene. Client has numerous tattoos on both arms. Client stated “I have tattoos covering 40% of my body.” Client had no apparent physical abnormalities. Client appeared relaxed, sat comfortably, and remained attentive, cooperative,
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Because of the client’s concern with stage of life (turning 50), Existential therapy will be helpful for the client to focus on the choices he has today instead of looking into the past. The client has stated that he does not want to deal with past family issues. Existential therapy may also supply a keener and philosophical insight for the client in order to reduce anxious thoughts by understanding the rationale behind his thought process. Because the client has stated he does not want to speak to his mother, it may be advantageous to have a male therapist so maternal transference is …show more content…
Including: Hyperventilating (Symptoms: dizziness, disorientation, light headedness), walk up and down stairs rapidly for 90 seconds (Symptoms: rapid heartbeat, heart pounding), and put on layers of warm clothes and turn up the heat (Symptoms : sweating).
Rationale: Client will learn that he can have unpleasant bodily symptoms without anything terrible or dangerous happening.

C) During an individual CBT based outpatient office session, the counselor will support the client in not fighting the panic by teaching the following concepts: 1.Face the symptoms in order to cultivate an attitude of “I can handle this.”2. Accept what your body is doing and don’t tense up allowing your body to have the reactions. 3) Allow time to pass because panic attacks are time limited. 4) Utilize coping statements such as “This feeling is not comfortable or pleasant but I can accept it, or “this too shall pass.”
Rational: By focusing and accepting panic symptoms, the panic will not be exasperated by “second fear” (fear of the fear). Client will learn to ride the waves of his panic attacks

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