My Clinical Conceptualization Of Lucy 's Presenting Concerns Essay

908 Words 4 Pages
Case conceptualization My clinical conceptualization of Lucy’s presenting concerns uses an ISTDP framework. Lucy’s relational difficulties in her present life are connected to her past relational pattern with her parents. She is stuck in a cycle of emotional avoidance through implementation of defense mechanisms in order to keep her anxiety down. At one point in her life, these defenses were effective but now they no longer serves their purposes and as such causes Lucy distress thus pushing her to come back into therapy. I will start the conceptualization by focusing on the two triangles, beginning with the triangle of conflict then the triangle of person. These triangles will illustrate how I understand Lucy and her internal conflicts.

Triangle of Conflict – Hidden Feelings: Lucy presented in therapy as a sweet, friendly, and well-groomed woman who was struggling with relational difficulties. Although, it was unclear at first what her hidden feelings were, it became apparent in her stories. She is experiencing relational difficulties because she lacked a deep connection and love towards a significant figure. She has a deep desire to be love and to feel connected to people even though she may not be fully aware of it. This lack of love and connection caused her to feel angry or in her own word “explode” when she is not able to obtain love and connection with the people in her life. The explosion is accompanied with guilt because by exploding she is pushing the people who…

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