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For Maham

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Sofia Swati
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18 views

For Maham

Uploaded by

Sofia Swati
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Treatment Plan

Case 31243 Client’s Maham Siddiqui Age 26 Gender Female


No Name

 Low mood
Symptom
 Inferiority complex leading to comparison with others and disturbed
interpersonal relationships
 Sensitivity towards criticism
 Conflicts with husband

Target Symptoms  Distorted assumptions and cognitions (distorted assumptions


leading to hypervigilance and interpersonal distrust. Distorted
cognitions leading to dichotomous thinking and weak sense of
identity)

Treatment approach  Cognitive behavior therapy

Frequency of 1 session per week Proposed number of 20-25


sessions required sessions to achieve goals
Major Treatment  Feeling safe to experience and express emotions and needs,
Goals and in personally connecting to others.

 To work on personality traits to alleviate distress and improve


psycho-social wellbeing.

Expected
Number of sessions Time
To achieve
Interim Treatment 1. To build insight and motivate her for change 3
Goals for target 2. Increase emotional modulation and decrease 5
symptoms emotional reactivity.
4
3. Stabilize interpersonal relationships.
4
4. Increase respect for self.
5. Increase problem-solving skills i.e., Increase 3
realistic judgment while decreasing crisis-
generating behavior.
6. Increase communication skills. 3

Initial Phase 1. To build insight and motivate her for change by:
 Developing therapeutic alliance with client by establishing rapport
through reflecting empathy, genuineness and unconditional positive regard.
 Assess the client’s level of insight
toward the “presenting problems”
 Educating client about nature of psychological problems and how
therapy works.
 Clarifying misconceptions regarding psychotherapy
 Formulating goals of therapy

2. Increase emotional modulation and decrease emotional reactivity by:


 Teaching ABC model about how distorted cognitions lead to
Middle Phase unhealthy emotions which in turn result in maladaptive
behaviors.
 Learning to differentiate between healthy and unhealthy
emotions.
 Learning to modulate emotional control by teaching Core
Mindfulness, Emotion Regulation, and Distress Tolerance
techniques.
 Introducing deep breathing to teach relaxation. Recording
thoughts, feelings, and emotions that elicit while aggressive
situations and understanding phases of anger and strategies to
control it.

3. Stabilize interpersonal relationships by:


 explore the themes of rejection and distancing
 encouraging client to examine her own emotions about how fear
of abandonment contributes to the distancing and reduction of
intimacy in interpersonal relationships.
 Challenge and dispute the client’s irrational beliefs regarding the
fear of abandonment and replacing extreme reactions with less
extreme ones.
 Teaching ways to accurately empathize with and validate feelings
of another person.

4. Increase respect for self by:


 Changing dysfunctional self-image by restructuring unhelpful
dysfunctional thoughts.
 Increasing self-esteem and self-confidence by positive self-talk,
self-compassion and self-esteem enhancing exercises.
5. Increase problem-solving skills i.e., Increase realistic judgment while
decreasing crisis-generating behavior by:
 Challenging client’s distorted cognitions that hinder problems solving in
stressful situations. (For example: catastrophizing, ideas, mind reading,
minimization and maximization etc.).

6. Increase communication skills by:


 Teaching assertive training to enhance interpersonal relationships.
(Through role playing and behavioral reversal).

 Assessing effectiveness of therapeutic interventions.


 Checking the goals achieved that were set for therapy.
Termination Phase  Preparing client for termination and helping her to practice techniques
taught in the therapy sessions.
 Scheduling follow up sessions and teaching the client strategies to
prevent relapse.

Supervisor Therapist

Dr. Nasreen Bano Ms. Emaan Ather Syed (MPhil Intern)


Institute of Clinical Psychology, Institute of Clinical Psychology,
University of Karachi University of Karachi

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