LCSW Case Study

Based on presenting information, Mrs. William and Paul were included in the treatment process. However, Peter and the LCSW preselected sessions that families could attend. During the first session, the LCSW began by asking a question Peter what he wanted from agreeing to therapy. Peter responded that he wanted to “get help with managing stress, marital issues and communication tactics.” When asked how he would know that he was getting that helped, he said he would be relaxed at home, and sociable and his marriage will start to feel like a partnership again. This was expanded on when the Miracle Question (MQ) was asked. LSCW: “Peter, if you woke tomorrow and all of your issues were no longer present what are some things that would be different.”

Note: Paul and Mrs.

William, during their first integration in the treatment process, were asked MQs. The MQ encouraged Peter, Paul and Mrs. William to break down “self-constructed barrier of things not being possible, allowing the perception and understanding that desirable behaviors and experiences can and will occur in the future, which promotes hope and expectancy.
Next, Peter and the LCSW explored pre-session changes(PSC). The LCSW asked, “what changes have there been since our 24 Hour Initial Contact?” Peter responded that he is more aware his problems. Since this was a positive change, the LSCW asked, “how did you avoid falling apart now that you are more aware of these issues?” PSC was explored at the start of each session by this question: “What’s different, or better since I saw you last time?”
After assessing pre-session change, the LCSW explored Peter’s individual strengths and resources and the strengths and resources of his family by asking the following questions: What things are you and your family doing that you would like to continue? What is your family good at doing? The following occurred throughout the 12

sessions
Next, LCSW explored what Peter is good at. Peter shared that he is good at his job and feels confident at work. Peter shared that he used to be good at socializing outside of work and connecting with his family. The LCSW aimed to develop clear, specific and achievable goals for Peter. With this treatment modality, the LCSW and Peter agreed upon small goals rather than larger ones: I want to visit my mom once a week. I want to take Paul on two in-state college visits. I want to take my wife on a dinner date. I do not want to feel stress.
LCSW: If you weren’t feeling stress how would you feel instead? This question assisted the LCSW to elicit a solution and positive framing of the goal. Peter: I would be relaxed LCSW: If you are relaxed, what would be different about you? Peter: I would socialize more and do fun activities with my children.