Issue of the Client
Laura, 47years- old, has had a less than perfect relationship with her mother, she has also been in a long-term relationship with no notion to marry her partner for 15 years, and has a fear of social interaction with fear of rejection. Laura also has had chronic feelings of major depression and dissatisfaction with her life. Laura’s feeling of depression include sad moods, loss of interest, insomnia, and self-criticism. She has reported a feeling of anxiety with a number of different situations, and fits the criteria of social phobia. Laura also admitted that her fear of social rejection is excessive, and has caused her to let many of her friendships drift away.
Intervention Model and Key Features: Interpersonal Psychotherapy
…show more content…
The focus is on the disputes between two people that seem to have a stalled relationship and little hope of resolving it. The treatment goals contain aiding the client in identifying and understanding the nature of the dispute, deciding on a plan of action, and the beginning of the reassessment of the expectations of the relationship. Some feelings associated with interpersonal dispute may be anger and or guilt. In Laura’s case, she is experiencing both emotions when it comes to having to take on the responsibility of caring for her again …show more content…
Since Laura already understands her issues and has expressed dissatisfaction with her life, her next step will only be to make a change. The focus is on what is not working in her life both, personal and professional, and making it work. IPT will help Laura find strategies to maximize the opportunity that she could have when solving an interpersonal problem that she would deem otherwise hopeless. Take her social interactions with others, she has expressed that her anxiety was interfering with her social life and that she may have more friends if it wasn’t for her fear of rejection. Also, because the Interpersonal Psychotherapy Model is short-term, some may see that as a disadvantage to not being able to assess the entire problem of the individual. However, the time limited therapy is focused on rapid change, and the shortness of the process will increase the chance that Laura will complete the treatment. Considering that Laura gets uncomfortable when expressing her feelings and apologizes when she expresses any type of emotion, the short-term Interpersonal Psychotherapy Model will be an adequate intervention to use to not overwhelm
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
Gurman, A. S. (2008). Clinical handbook of couple therapy (4th ed.). New York, NY: Guilford Press.
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.
Couples that are in a conflict relationship pattern are most likely to seek out help because the couples seem to be more aware of the pain. In many cases conflict is nothing new to individuals who are struggling with it. Gilbert (1992) states “They may have grown up with it. Sometimes conflicted relationship partners grew up, not with conflict, but with other patterns that were just as difficult” (pg.46). In all reality conflict is a way of handling relationship anxiety and in many cases anxiety doesn’t come from the relationship, any type of anxiety can trigger conflict (Gilbert, 1992). To improve people’s relationships who are in a relationship pattern of conflict they have to stop focusing on the other partner and start focusing on themselves and what they bring to the relationship. While reading on the concept of conflict in relationships I noticed many similarities to my life. I can recall many instances in my life when conflict was a big issue in my relationships. Now that I have learned more on the relationship pattern of conflict I will be able to recognize it and hopefully improve any future relationship that struggles with conflict. The second concept discussed in the chapter was the relationship
This conflict coaching session was so excited for Jane. In this session, Jane and I performed the role play. She played Jane and I played Richard. The more questions Jane was asking “Richard”, the better picture of the conflict she was able to paint in her mind. Even though I raised Jane’s resistance, with this practice/exercise I helped Jane to recognize that not always her assumptions could be the right ones. As a result, she started to focus on a positive vision of the conflict as well as in what needs to happen to improve her conflict with her neighbor. In addition, this epiphany moment experienced by Jane is related to the Cognitive Behavioral Therapy, which consists “of all the approaches that alleviate psychological distress through
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
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,
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
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).
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
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
Psychodynamic theory revolves around the basis that the psychosocial development stages and the unconscious mind are essential to understanding human behavior (Walsh, 2013, p. 55). This broad theory encompasses several other theories such as ego psychology, psychoanalysis, relational and object relations theory, and self-psychology. For the purpose of this client intervention, the focus will be on the ego psychology practice theory. This practice theory identifies the client in their social environment and the role of the ego in human behavior (Walsh, 2013, p. 56). The client in this case is thirty-four years old and facing marital problems with her husband of twenty years. Changes over the last few years had caused her and her husband to slowly drift apart. After realizing the distance in their relationship, the client worked to spend more time with her husband and open up herself emotionally to him. Soon after, her husband told her he wanted a divorce since he no longer loved her. She sought the help of a therapist to help her work through the relationship problems.
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.