Full Case Study Presentation Narrative

Running Head: Full Case Study Presentation Narrative
FULL CASE STUDY PRESENTATION NARRATIVE

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Full Case Study Presentation Narrative
Table of Contents
Introduction................................................................................................................................3
Conceptualization.......................................................................................................................3
Process........................................................................................................................................4
Outcomes....................................................................................................................................4
Discussion..................................................................................................................................5
Conclusion..................................................................................................................................6
Reference list..............................................................................................................................7
Appendix....................................................................................................................................9

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Full Case Study Presentation Narrative
Introduction
In this study, a case study of a person is being analyzed. He is a retired person of 60
years of age and he lost his wife 5 years ago. After the death of his wife, he started over
thinking every matter of his daily life. His son has mentioned that he is a smoker and this fact
has made his situation worse. His younger brother has shared that the death of his sister-in-
law has impacted negatively on the mind of the client. He is being overly worried about the
future of his son, his savings, and other small matters. This problem of worrying is also
impacting on his day to day activities.
Conceptualization
It can be diagnosed from the symptoms that this person is suffering from Generalized
Anxiety Disorder (GAD) for the last 5 years. Therapeutic goals, in this case, include reducing
overall frequencies and duration of anxiety, so that the daily functioning of the client is not
impaired. Another therapeutic goal, in this case, is implementing coping skills, which can
help to reduce anxiety levels and improve daily functioning.
Cognitive-behavioral therapy (CBT) is used in this case to treat GAD. As said by Jones et al.
(2018), CBT teaches various ways of behaving and thinking to different situations, which
helps to reduce the level of anxiety and worry. This is the most effective therapy for treating
GAD. Hallion, Tolin & Diefenbach (2019) argued that this is a short term treatment, which is
focused to teach specific skills that help to directly manage worries and help clients to
gradually return to activities that were previously avoided due to GAD.
The rationale behind this diagnosis is the over thinking attitude of the client. As stated by
Mulder et al. (2017), over thinking plans and solutions to problems is a major symptom of
GAD. As mentioned he is worried about the future, which demonstrates that he faces
difficulty in handling uncertainty, which is also a symptom of GAD. Adopting these

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Full Case Study Presentation Narrative
theoretical orientation clients can react more effectively in different challenging situations.
CBT helps clients and therapists to work as a team. Thus, to solve this issue collaborative
work can be done.
Process
A total of 13 sessions has taken place to help this client to deal with GAD. In the first
3 sessions, relaxation training has been given to the client by helping him to learn the ways
to be relaxed. At the beginning of these sessions, the client was not ready to cooperate with
the therapist and he seemed to be restless all the time. Less communication has taken place at
that time and gradually, he understood the importance of physical relaxation. After that, 3
sessions of cognitive restructuring has taken place. During these sessions, the negative
predictions of the client about life situations have been analyzed. At this time, he has
responded to the questions of the therapists and has realized that he is over thinking
everything.
Then, 2 sessions of mindfulness were there to make the client understand that he
needs to think about present life situations, rather than time traveling to worry about the
future. According to Janse et al. (2017), at this stage, therapists gain the trust of the clients
and they become able to influence clients for living in present situations. After that 2 sessions
of systematic exposure have taken place. This intervention allows people with GAD to
imagine the worst situation (Lindsay & Creswell, 2017). It has been found that the client has
realized his mistakes of over thinking. Lastly, 3 sessions for problem-solving training have
been designed. At this stage, he learned skills to manage stress and the ways to handle
different situations. Throughout this session, his confidence level increases.
Outcomes