Client Conceptualization Paper

Met with Phillip for one house, 2’ session. Phillip presented as alert and oriented 4x. Phillip presented groomed and appropriately dressed. Client’s mood presented as melancholy and gloom. Client’s affect was blunted flat. Since the first session, Phillip stated that he hasn’t been so good since the last session. Phillip reported that “work keeps getting more stressful and busier” and “things don’t get easier”. Reportedly, since the last session Phillip stated that he can to the realization that he does not just drink to unwind, but he is using it as more of a form of medicine. In addition, Phillip describes his depressive feelings and experiences. He reports when he comes home from work, he is not in the “not in the mood for anything” and feels that then he needs a drink. Phillip reports that he does not good about himself and does not feel happy or confident enough. Reportedly, when Phillip is he come he can’t do anything in a good mood and he feels as if he is forcing himself to do things. His experience is different at work as he reports not having the time to feel depressed, because
he is very busy. When he returns home he doesn’t want to do anything. Phillip reported in his initial setting that he would go out for drinks with friends 3-4 times a week. This session, he reported that in addition to the outing with friend, he has begun drinking at home daily. According to Phillip, the drinking makes him feel better, but in contrast, he has been feeling depressed and really ashamed, because of the drinking. Phillip reports that he keeps a lot of information inside and doesn’t openly talk about his issues. Phillips does not want his wife to know, because he doesn’t want her to stress out or think less of him.
(A) There has been very little to no progress since first session.
Client’s report indicated that depression has worsened as evidenced by reported difficulties and symptoms. Client’s work conditions have been taking a mental and emotional toll on him. Client attributes increase in drinking as a result dealing with work stress. Client continues to drink and have increased from out drinking with friend 3-4 days a week to additionally drinking at home daily. Client only feels happy when he is drinking, because he does not think about work. Client does not have someone close to discuss his experiences and feelings with at home. Client does not want to talk to his wife about his issues, because he fears the affect it can have on how his wife views him. Client does seem to be more aware of his behaviors, emotions and actions as they are influenced by other
factors.