Running head: CASE STUDY AND COGNITIVE BEHAVIORAL THERAPY1Case Study and Cognitive Behavioral TherapyNameInstitution
CASE STUDY AND COGNITIVE BEHAVIORAL THERAPY2Case Study and Cognitive Behavioral TherapyThe Case StudyPatient’s Demography and Reported ProblemA Caucasian woman aged 32 named Karen and has been on psychiatric treatment since 2001 because of the anxiety states. The patient reported to a psychiatrist that she has been experiencing sleeping issues, and the psychiatrist diagnosed her with depressive disorder along with mixed anxiety as per the criteria of DSM-5. It was after the diagnosis that Karen was referred for psychotherapy.General Information Karen works as an accountant and is currently living alone. Nonetheless, the patient mentioned that she is in a relationship with a 40-year-old man and wants to end the relationship. Karen made her decision to start psychotherapy after her realization of the dying relationship. Patient’s Traumatic Experience Karen mentioned that in her childhood experience, both mental and physical violence, particularly from her mother. In turn, this made her afraid of her mother as a child growing up because Karen could never predict her actions. Once she left home, she spent 13 years without having any contact with her mother. On the other hand, her father was diagnosed with substance abuse disorder, but he passed away when Karen was 11 years old. Karen also has a younger brother who is also an accountant but in a different state. The patient’s problems began in 2011 when she was involved in an abusive and unhealthy relationship that led to losing her job. In 2013, Karen attempted suicide after the abusive and unhealthy relationship ended and starting drugs and alcohol. Consequently, in 2015/2016, she started causing self-harm by scratching herself and drawing blood. Between 2016 and 2018, Karen was in numerous relationships with
CASE STUDY AND COGNITIVE BEHAVIORAL THERAPY3men. The men were constant drug users and some of them never committed to her because they were married. So far, the patient has undergone two psychological therapies and group therapy.Present Issues of the PatientThe patient has high inclinations towards headaches and allergic reactions, particularly if she starts getting nervous. In a stressful situation, Karen often is always tensed and restless, becomes easily irritated, and shouts a lot. These reactions have been identified to intensify the somatic reactions of the body. An analysis of her relations with other highlights that the patient exhibits dominance avoidance or control characterized by aggression. The patient poorly manages herself in unpredictable circumstances, is not flexible, and prefers always to have everything planned, or she feels out of control and becomes nervous. In most of her relations, sheoften feels guilty and disadvantaged. It is the childhood traumatic experiences, high levels of anxiety, and strongly experienced anger and sadness through the years that mainly cause the patient’s problem.