Interpersonal Psychotherapy Cases

Ms. Smith reported that she is introverted, experiences severe social anxiety, and has no friends she can rely on for support. She has no interest in building new relationships due to severe trust issues with people. She would like to focus on rebuilding her life, establishing her own residence and build trust with her family.

Gurman, A. S. (2008). Clinical handbook of couple therapy (4th ed.). New York, NY: Guilford Press.

Social anxiety is “a fear of humiliation or of being judged by others, and an avoidance of social situations where attention centers on the individual” (Martis). According to the Social Anxiety Institute, social anxiety has become the third largest psychological disorder, following depression and alcoholism (Richards). Commonly, victims of this social phobia have problems pursuing social environments, interactions, and relationships (“Social Anxiety Disorder”). The failure to fulfill daily requirements in jobs, social settings, and relationships often leaves them feeling “powerless, alone, or even ashamed” (“Social Anxiety Disorder”). Today in America,“15 million [people] suffer[from] the disorder” (“Social Anxiety Disorder”). Of the 15 million American adults affected, women and men are equally prone to develop the phobia (“Social Phobia (Social Anxiety Disorder)”). Currently, the prevalence rate for acquiring social anxiety disorder is “13-14% of all Americans” and continues to rise (Richards). As the number of people affected by social anxiety continues to rise, the understanding of social anxiety’s causes, effects, and treatments is crucial.

It is now time to fast forward 15 years later into his adult years where he has a job as a social media manager and is living alone. Evan is still seeing a therapist and has been since his adolescence, and it seems that this is the only way he can cope with his anxiety. A day when his depression and anxiety was at its worst, was when he had to give a presentation in front of his boss and other faculty members. He had fainted within in the first few sentences he spoke. Days after that, he had called in sick for work claiming that he had the flu when he was trying to avoid the consequences of what happened. Evan felt lonely at home with no one to take care of him. He had tried several times to create relationships with women, but he had always felt inadequate for his partner and avoided dates and seeing her. Evan told his therapist about these said problems, and he was diagnosed with an Avoidant Personality Disorder. In summary, a person with an Avoidant Personality Disorder is often extremely sensitive to rejection and not willing to be involved with others unless they are confident of being liked. They also experience social discomfort and fear of criticism which can correlate to the fact that they may not experience close relationships outside of their family as they have no ability to relate well to others. After Evan was diagnosed with this disorder, he had become more socially withdrawn, never showing up for

When conflict occurs within a partnership there is oftentimes a withdrawal from intimacy within the relationship before the conflict is resolved and intimacy can occur again. This is known as the intimacy-conflict cycle. In Little Miss Sunshine the parents, Richard and Sheryl, tend to manage their dissatisfactions with cyclic alternation responses, which are instances when one of the partners voices a complaint that prompts the other’s response in order to resolve their conflict (Galvin, et al., 219). This is seen very

This process can position the communication process for exoneration and forgiveness which give a high probability in re-establishing a balance relationship. Establishing relational truth and constructive entitlement which is guided by the therapist, the wrongdoer within the family system can give insight to show evident of the hurt he/she has caused. This can lead the wrongdoer to the process of relational trust moving to a level of restoration and mending the broken relationship (Mauldin, & Anderson, 1998).

She has issues being intimate in relationships when she wants to be. She also has issues with her relationships in general. She has dated multiple men and none of her relationships have lasted more than a month. She started coming to me to help her with her relationship and intimacy issues that she has. After hearing about what has happened in all of her previous relationships and why she can’t seen to have intimacy even though she wants to, I have decided to treat her with CBT (Cognitive Behavioral Therapy). The reason I am choosing to treat Charlotte with this kind of therapy is because in recent years, there have been recent trends of transdiagnostic approaches to CBT. Problems with intimacy and interpersonal issues are often found is most psychiatric disorders. Most of the targets that get focused on in CBT are primarily intrapersonal, with some directly involved in interpersonal functioning and effective intimacy. Since intimacy is one of her biggest problems and the fact that many of her relationships have ended abruptly because of this, the intimacy issue Charlotte has is what I want to focus mainly on. I would be able to apply the same treatment principles across many mental disorders without tailoring the treatments for specific diagnoses. This is important for me because it makes it easier for me to be able to treat Charlotte without a bunch of trial and error with things

The “Angry Couple” video depicts a therapeutic session concerning an angry couple who appears to be having difficulty listening to the concerns each have with the other, their relationship and with their therapist. Before the therapy session begins, Dr. Susan Heitler arranges the room for symmetry and interaction. She then begins the therapeutic session by asking a few intake interview questions to better assist the couple in the counseling process.

Michael features a downside with his brain chemistry. He has what's referred to as low latent inhibition. It is a mental problem, but not classified as a “bad one” all the time. Where there is an increase of dopamine levels, which is chemical compound that is a neurotransmitter. It deals with emotions and thoughts and the way the brain processes them. The condition is when a person learns to ignore “information” from a specific environment and concentrates on vital information. Where in a certain situation, a person processes every aspect of a given stimuli without controlling it. Some medical specialist say that combined with a high IQ it makes a person a creative genius. If a person has a low IQ they will distressed because the brain cannot handle all of the information. This is applicable to Michael; he features a high I.Q. permitting him to achieve success at any task. This explains why he might have selected to be a structural engineer. So, he may see each detail of a building like the

Social anxiety disorders affect almost 25% of all teens and 30% of all teen girls while only 5% receive treatment or have someone to talk to. (“Teens Are Feeling”) This issue is very personal to me and I am learning through what I go through on a daily basis, is not okay. It is okay to feel different and it is okay to be anxious but, you can’t get better alone and that is the unfortunate truth. I’m getting better, and wouldn’t be able to if it wasn’t for the friends I have today. I’m proud to say it gets better. I could not believe that this could be overcome so quickly because I felt that I was stuck in the quicksand I made for myself. I’m not going to lie, there are some days where I do not want to get out of bed but now I know how to beat it and I

Introverted identity issue, are hard to treat. Others, comparative tension is fair. Psychotherapy, called talk treatment, treats introverted identity issue. Treatment incorporates outrage in addition to savagery administration, substance mishandle/emotional wellness conditions treatment. In spite of the fact that the less requesting anxiety treatment incorporates working with a consultant to reduction pressure signs. To show, psychological behavioral treatment is a powerful type of psychotherapy to summed up nervousness issue. Cognitive Behavioral Therapy is mandate/community oriented; the specialist sets up clear/particular objectives with the patient in addition to utilizations prove based procedures to evoke a man enlisted to get restorative

Personality disorders is described in the DSM-5 as a maladaptive pattern of behavior, thinking, and functioning (Normann-Eide, Johnson, England, Walberg, 2015). There are ten types of personality disorders, which are divided into different clusters. However, this study focus on avoidant personality disorders (cluster C), the similar it has with other diagnosis and treatments, and how it affect communication skills. Avoidant personality disorder is a long standing pattern of a person shows feelings of being shy, sensitive to reject, or easily hurt (Rees & Pritchard, 2013).

The case study selected was “Once my lovely” about a couple who loved each other, but fought and argued. My reaction to the case as I understand it is that the couple seemed to argue in order to avoid feeling disconnected of distanced away from each other. As the therapist explained that couple fears having too much connection or become too attached to on another; hence arguing about trial matters brought them back to reality and at times made them feel connected to one another. Furthermore, my reaction was that it was interesting how the therapist worked with the couple. The therapist did not become frustrated when the couple came into the sessions arguing as if it was the very first session. The therapist was patient and worked with the couple and their concerns well.

IPT was based on a revised version of the manual developed by Lipsitz and Markowitz (1999). There were three phases of treatment, which firstly entailed conducting the interpersonal inventory with the aim of relating social anxiety symptoms to individual’s insecurities, where the role of transition was emphasised either in terms of life changes or the therapeutic role where the client begins to recognise that SAD is a temporary state. The second phase is where the problem is addressed and roles were clarified with their associated emotions, along with encouraging the client to communicate and express their feelings; with the final phase being therapy completion, which involved progress discussion and prevention. Much like the CT condition,

Conflicts which lead to unresolved issues can influence the quality of the marriage. Although several research was made on marital relationships, the factors which influence the arising of continuous conflicts are still not clear. Unresolved issues are problems which are continuously brought up in a marriage. However, marital conflicts are not the only source of unresolved issues in a relationship. Unresolved conflicts within the marriage can affect the longevity and quality of the marriage, but personal background and individual trauma contribute to marital problems more often than conflicts within the marriage. In fact, marital conflicts are usually started because of personal unresolved issues. If a person develops a behavioral property