This case study details a cognitive therapy intervention for a 47-year-old female patient named Sally, who is an alcoholic and drug addict with a history of relapse and a recent suicide attempt following a relapse and a disagreement with her boyfriend. The intervention, based on cognitive therapy principles, addresses her major depressive disorder, substance dependence, and suicidal ideation. The case study explores the patient's social history, including childhood sexual abuse and abusive relationships, which contributed to her mental health challenges. The therapy sessions focused on identifying automatic thoughts and core beliefs, developing coping strategies, terminating harmful relationships, managing suicidal tendencies, and addressing the cycle of depression. The intervention utilized techniques such as the cognitive model, safety planning, social worker referrals, and encouraging engagement in positive activities. The study highlights the importance of cognitive restructuring, behavioral activation, and building a support system to improve the patient's mental well-being and prevent future suicide attempts. The case study demonstrates the complexities of treating patients with co-occurring disorders and the effectiveness of cognitive therapy in addressing suicidal behavior and substance abuse.
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