How do I understand the distress of the patient/client and how did I help?

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Case conceptualizations are not only a useful tool to learn new psychotherapeutic theories, but they are also critical in the work of psychologists and therapists. They are meant to answer the question, given this theory, how do I understand the distress of the patient/client and how did I help? In this paper, you are required to select one of the two Case Studies listed below and complete a Case Conceptualization on the case using the format below. In this paper, you will identify one of the fourteen theories identified in your textbook that you believe would be appropriate in utilizing to assist client in treatment needs.
* Please demonstrate using at least three references for your theory in addition to your textbook
Counselor’s Name:
Client’s Name:
Theory used:
CLIENT HISTORY Briefly Summarize relevant information about the client’s history. This may include family of origin information, current family information, significant traumas, health/medication issues, educational background, work history, social/cultural context, etc. The type of information you will include should be shaped by the theory you are using.
PRESENTING CONCERNS In this section summarize the concerns (behaviors, thoughts, feelings) that have brought the client to counseling. These are the reasons why the client chose to come for counseling or the reason they were referred for counseling.
ACTUAL OR CORE ISSUES In this section summarize your theoretical conceptualization of the client’s II. concerns. This is the theory-based descriiption of the underlying causes of the presenting concerns.
INTERVENTIONS UTILIZED In this section give a narrative describing what you will do with the client The interventions should be consistent with your theory.
COUNSELING GOALS In this section list the short term and long-term goals of counseling. These goals should be consistent with your theoretical orientation.
ANTICIPATEDOUTCOMES OF COUNSELING Describe how you believe the client will change because of counseling. This should parallel your theoretical view of mental health or health functioning.
Case One
Maria has experienced a series of disappointments and traumas in the last few years. She has survived an abusive relationship and the abandonment of herself and her children by her husband, she has endured estrangement and disapproval from her family of origin, and she is struggling to parent her children alone. She does not feel she is receiving any support from her family or her employer, and it is clear that she feels alone and hopeless. In other words, she feels stuck and is at an impasse in her life.
Maria has also introjected and internalized toxic material from her environment through the negativity of her family and other important individuals in her life. Therefore, she has not been able to differentiate herself from significant others’ views or goals for her. This has led to confluence, which has contributed to her problems. In addition, Maria is not currently experiencing any support through a genuine, trusting relationship, and thus her growth has been hindered and she has experienced a negative view of self. Consequently, she has become out of sync with herself, her culture, and her view of the world, and she has lost contact with important others and has withdrawn from her children, her friends, her family, and even herself.
Case Two
Richard, a man in his mid-forties, feels depressed following his recent divorce after few years of marriage. He is particularly distressed about the divorce because this was his first marriage, at age 44. He had thought that in Connie had found the perfect woman. He describes his wedding day as the happiest day in his life. However, soon into the marriage he and Connie experienced what he calls communication problems. About a year ago Connie asked for them to separate and shortly thereafter she served him divorce papers. At times he expresses anger towards Connie for having taking everything away from him. At other times he expresses concern for her and feels that he did not bring anything into the relationship. Richard indicates that before meeting Connie most of his relations with women had been brief and non-committal. He dated some after the divorce, but he has not found the perfect woman (that have both looks and brains) that he is looking for. Richard also reports that throughout his life he has had difficulty relating to others and making friends. His priority in life has been getting ahead economically and only recently he has discovered the importance of relating to others. Lately he is feeling very lonely and depressed. Saturday afternoons when he does not have a date are particularly difficult times for him. Richard is an only child and both his mother and father were alcoholic. As a young child Richard witnessed his parents’ violent fights characterized by shouting and scuffling. He remembers feeling very scared at those times. As a child he did not have any friends; it was just him and his teddy bear. Richard moved around frequently staying with different relatives for brief periods of time. During his childhood he stayed the longest with his grandmother who is currently in the hospital terminally ill. Richard indicates in a very flat tone that he is not upset about his grandmother’s impending death because she is very ill and does not have much quality of life.
List of Counseling Theories/Techniques from textbook:
1.Psychoanalitic Therapy
2.Gestalt Therapy
3.Alderian Therapy
4.Person-Centered Therapy
5.Exestential Therapy
6.Behavior Therapy
7.Cognitive Behavior Therapy
8.Choice Theory/Reality Therapy
9.Femenist Therapy
10.Post Modern Approaches
11.Family Systems Therapy

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