Cognitive Behavioural Therapy Case Studies

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Initial contact with the client and her mother occurred at the ABC treatment agency. The focus of the agency is to help children, adolescents and adults who have experienced traumatic events to process the past events so they can look forward to the future. Client’s mother agreed to treatment for her daughter, who is not yet 18 years old. Mother reported that she agreed to these services to “help bring her back to me.” During the intake session, social worker attempted to build rapport by discussing client’s children, both who were with her during the session. Necessary topics, such as confidentiality, expectations regarding services, and missed appointments, and communication were discussed. Client was notified that her communication …show more content…
According to McDonagh, et al. (2005), this intervention, when working with individuals diagnosed with Post Traumatic Stress Disorder, “was highly effective for achieving remission of PTSD diagnosis, ameliorating PTSD and anxiety system severity, and reducing trauma- related cognitive distortions” (2005, p.522). Due to the symptoms that this client is experiencing, including frequent flashbacks, changes in sleep, and increased agitation, utilizing Cognitive Behavioral Therapy, therapy focused on “imaginal exposure” to the past traumatic experiences until “distress decreases” over the incidents (McDonagh, et al., p. 518). Helping this client to manage reactions to the frequent flashbacks that are occurring could be beneficial, when done with a fully trained clinician. On the negative sign, the research by McDonagh, et. al, also illustrated increased dropout rate for CBT over the other intervention strategies (CITE 1, p. 517). With this client and her limited comfort level with communicating past traumas, I would be somewhat concerned about her continuing services, however, her response would continue to be monitored to ensure safety. Work would focus on alleviating self-blame and increase assertiveness to feel more confident in her ability to manage, and overcome, daily life …show more content…
Referrals would be made to refer the client to agencies who focus on these areas. Furthermore, the client would greatly benefit form parenting classes, I feel. Client has expressed interest in becoming a better parent, and has already shown evidence of positive parenting, evidenced by reading and singing to her children. The Triple P Parenting Programs are available in my community, and as such, this client would be asked to participate in these parenting classes. According to Sanders, Kirby, Tellegen, and Day (2014), this program “aims to prevent and treat social, emotional, and behavioral problems in children by enhancing the knowledge, skills, and confidence of parents” and has shown to be “an effective parenting intervention for improving social, emotional and behavioral outcomes in children, and that it also has many benefits for participating parents” (2014, p. 353&339). Because poor parenting was modeled for the client, this type of program, focused on learning effective parenting strategies would likely have a positive impact on her developing

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