CBT Case Study

For Pat’s service plan, I will be using CBT to meet the desired outcomes. I will have Pat record his thoughts, emotions, and behaviors in a daily log at least 5 times per week after completing psychoeducation. This will encourage Pat to be mindful and reflective about his how his moods influence his behavior in an effort to reduce the negative relationship between them. To improve Pat’s coping strategies with stress and anger, Pat will report his practice of mindfulness and relaxation techniques at least 5 times per week. To measure Pat’s medication adherence, Pat and I will design a schedule that he feels he follow and record when he goes to sleep, how long he sleeps, his diet, and when he takes his medication.

A. Evaluate Objectives

Self-Assessment of Your Work

Explore and reflect upon your clinical skills and work in the termination stage with your client. Where were you successful and where were you challenged? Were there personal/professional struggles? Counter transference issues? Make sure to also mention any challenges to self on ethnocentric, racist, heterosexist, ageist, classist, and any other assumptions that we all bring and must be tempered with our professional knowledge base. It was difficult when Pat was in a manic episode to be able to communicate with him during sessions occasionally. When in a full manic episode, Pat would talk in a rapid, rushed manner that was difficult to understand and follow. It was best to work with Pat when he was euthymic. I was most successful at improving Pat’s medication adherence, which helped with many of his other problem areas. At times it was difficult to have the confidence that I was capable enough to provide the care that Pat needed because he came across as such an extreme that I was completely inexperienced and he was referred because of his violent behavior. I struggled a little bit with my concerns for Pat’s wife’s safety, which I was worried might influence my ability to be Pat’s

I might have a bias towards in regards to my concerns for his wife’s safety. As a woman and someone who is passionate about preventing domestic violence and violence towards women, my concerns for Nikki’s safety is very prominent. Since he is a man it is harder to understand his violent, physical reactions to things. I was concerned that my thoughts about her safety could possibly interfere with my ability to properly care for Pat’s needs and problem areas. While I am concerned for Nikki’s safety, I am just as concerned with Pat’s safety as well. I would hope that Pat did not feel that I am more concerned with Nikki’s safety than his, because that is not true, but he could feel that I am more concerned about her because she is a