A Single System Design for Evaluation of Changes with Social Anxiety Client Goal Morris & Oosterhoff (2016) states that there is evidence that many internalizing disorders, such as emotional or behavioral disorders, are developed in the childhood or late childhood stages of development. They go on to say that the parenting styles used to raise a child and over control may be linked to a child developing an internalizing disorder. The parenting and over control will interfere with the developing a healthy process of self-efficacy and may “undermine children’s feelings” creating anxiety (Morris & Oosterhoff, 2016, p. 2). The client is a 24-year-old white female who states she was raised by her biological mother and father until he was age 12, when her parents divorced. The client …show more content…
A single-subject design or single-case research design A-B, was created to determine how a structured writing program impacted the client’s anxiety. The structured writing program was chosen because there is “a growing body of empirical research indicates that structure writing interventions produce substantial immediate and long-term benefits, including improvements in cognitive, emotional, behavioral and physiological functioning” (Barret & Wolfer, 2001, p. 1). Structured writing has been proven to be effective with emotional stimulation as well as helping a person with self-discovery process. The client will experience self-discovery through writing about her anxiety experiences, and describe what she feels, and how anxiety it affects her. This will be her experiences before, during and while the anxiety happens. She will create a journal of experiences that will help her to identify triggers for the anxiety. According to Barret & Wolfer (2001, p. 1) “It is viewed as a medium for disclosing one's innermost feelings and gaining clarity regarding traumatic bexperiences, and has been found to have a curative effect”. The
The client has been abused her entire life by her mother and father. She has two children by her father, a new born and one of whom has downs syndrome. She is 16 years old and only has a 2nd grade reading and writing comprehension level. She has never gone to the doctor and had her first child on the kitchen
Client’s parents were never married and ended their relationship when her mother was still pregnant with her. The client has 6 siblings. She has not had contact with her father and does not know where he is located. Her mother has refused to discuss him with her. Her mother has had several different live-in boyfriends. Client and her siblings have been in foster care on
A single system research design (SSRD) allows for the practitioner to study an individual, family or program. Single system research design is convenient, brief and cost efficient for the practitioner(s); SSRD interventions can be tested and assist in identifying their effectiveness on the patient (Royse, et al., 2010). SSRD has a risk of bias, from both the practitioner and the patient and the information gathered is not for generalizability, because it is only observing an individual. SSRD has little external validity, but allows the practitioner to observe in individual’s response to the intervention and monitor a trend for subsequent studies (Royse, et al., 2010). The patient involved in this research study is a 40 year-old Latina female. Her primary care physician referred her to behavioral health, when she demonstrated physical symptoms of fatigue, sleeplessness and numbness in her arm, inability to concentrate and feelings of sadness. Once, all medical illnesses were ruled out, the physician, working at an integrative care clinic, referred the patient to the LCSW on staff. In her first session the patient stated that she has demonstrating these symptoms for a month or so. She states that she did not know what is happening to her but she knew she had to see her doctor.The patient described that she has been living in Arlington for about 16 years. She is originally from Mexico and is married with four children. She states that lately she has been having some issues with
The client resides with her adult son, aged 20. The client also has two adult daughters that each live over two hours away.
My clients name is Mallory. She is a nineteen-year-old, Caucasian female attending Indiana State University as a freshman with an undeclared major. My client currently works as a support services specialist at the Indiana Air National Guard in Terre Haute and is a hostess at Chili’s. She currently lives by Ivy Tech with her grandparents, mother, and younger brother. The client has “no connections” with her biological father and appeared apprehensive when mentioning him. Her stepfather is now remarried and Mallory has limited contact with him. She mentioned that his mother, her grandmother, is very close to Mallory.
What were the results of this study? According to the data, all three interventions reduced worry to an extent, while those in the waitlist control group showed no significant improvement. Expressive writing was not as effective as worry exposure and audio-photic stimulation. There was a higher amount of reliable change for the worry exposure and audio-photic stimulation groups in comparison to worry exposure and the
The client is a 17-year-old African American male, born in Texas. His primary language is English. The client lives with his mother, father, and 10-year-old brother. He said his childhood was happy. His father is an accountant. His mother is a stay at home mom. Client stated there is tension between him and his mother, because of his bad grade and for not finishing his daily chores at home. He said his relationship with his father is not good. He never says anything about his grades at school or his chores at home. He reports a good relationship with his brother. No history of incarceration or legal issues for the client or his family members. Neither client nor family members have a record of mental health treatment or treatment
Using writing as therapy: finding identity. " British Journal of Occupational Therapy. Vol. 77, no. 12, 2014, p. 619-624.
The client under assessment is a white male individual that goes by the name Mario. Mario is 24 years old and has been married for the last six years. Mario and his wife Candice do not have any kids together. Mario is prior military with six years under his belt serving in the air force. Since leaving the air force he has changed occupation. Mario is currently working at a warehouse as security personnel and his wife works as a nurse. Mario’s relatives are his mother, Cynthia aged 29, his elder sister, and his 2-year-old nephew.
Finally, a summary of meta-analytic reports by Rodebaugh, Holaway, & Heimberg (2004) had a notable post- treatment effect in persons with social anxiety disorder: with effects ranging from moderate to large. These effects were larger in within-group interventions than in waiting-list interventions, and follow up studies done up to 12 months after treatment showed a retention of these effects. Generally, the use of cognitive restructuring and exposure was shown to have better results than the use of other interventions, and their combinations with cognitive restructuring. However, Rodebaugh reported that this difference was insignificant, with the insignificance being attributed to a small number of existing comparisons. In addition, the use of exposure alone and a combination of exposure and cognitive restructuring yielded similar results. Basing this observation, and on the findings from other interventions, it seems that exposure to stressors yields the best results. However, it is not clear whether such benefits are obtained from within- session exposure or from homework exposure.
My client is a 15 years old, Hispanic female who was born in July 28, 2001. My client is a 10th grader. Client is from Mexico, but she came to the United states at the age of 8 with the company of her mother, and two siblings. She is the second one from her siblings; her oldest sibling is 17, her younger brother is 11 years old and her little sister who was born here in the United States is one-year-old. The client is currently living with her mother and siblings, because her father had to stay behind in Mexico, in order for him to be able to pay for rent and other utilities. This is my third session with the client. During out previous sessions I was able to learn that the client seems to have a great relationship with her mother, because
This article is another personal story about anxiety. Mandy didn’t want people to know she had terrible anxiety because she didn’t want to be treated differently from everyone else. She was so scared of the stigma she could get from it that it made it worse. The end of the article discusses what people could have done to help her and make sure she was doing
Psychological control "refers to control attempts that intrude into the psychological and emotional development of the child" (Barber, 1996, p. 3296) through use of parenting practices such as guilt induction, withdrawal of love, or shaming. One key difference between authoritarian and authoritative parenting is in the dimension of psychological control. Both authoritarian and authoritative parents place high demands on their children and expect their children to behave appropriately and obey parental rules. Authoritarian parents, however, also expect their children to accept their judgments, values, and goals without questioning. In contrast, authoritative parents are more open to give and take with their children and
This section is important because Steve loves to write and writing is his main form of communication that he currently relies on. The prompts include something that went well that day, something that did not go well that day, a coping skill that Steve used that day, something that Steve learned in each group he attended that day, and how Steve feels that day. Using the various prompts, Steve will be able to reflect on the different occupational therapy groups that he attended each day and the discussions he was a part of. For example, in “What is Happening to Me?” the group discusses topics such as coping skills, anxiety, medication compliance, community supports following discharge, relationships, and finances. Through journaling, Steve can retain information from this group, relating to each topic better and more effectively considering writing things down promotes both emotional expression and cognitive processing, contributing to overall health and wellbeing (Ullrich & Lutgendorf, 2002). In addition, Steve can improve his perceptual skills, increase his insight, and promote his anger management and coping skills through the mindfulness-based task of journaling. Journaling is important within mental health because it promotes reflection through self-monitoring both mental activity and action, linked to mindful practice, which plays a central role in occupational therapy practice, especially
Bibliotherapy, a remedial approach that utilizations writing to bolster great psychological well-being, is a flexible and financially savvy treatment choice frequently adjusted or used to supplement different sorts of treatment. Defenders of the approach recommend mellow to direct indications of a few state of mind related conditions can be effectively treated with perusing exercises. Both individual and gathering treatment may use this technique, which is viewed as proper for children, teenagers, and grown-ups. Emotional wellness experts may empower those in treatment and the individuals who are sitting tight for treatment to peruse for direction or self-improvement, formative purposes, to find out about psychological well-being concerns, and for the helpful advantages of inventive writing.