Individual Treatment in Group Process Practice Psychoeducational Cognitive Behavioral Group Therapy for Divorced Women Experiencing Anxiety and Depression
Individual Treatment in Group Process Practice Psychoeducational Cognitive Behavioral Group Therapy for Divorced Women Experiencing Anxiety and Depression
Amy Danowski
CNSL/561
August 20, 2012
Donna Clark
Assessment:
Clinical interview
Diagnosis:
Axis I 300.02 Generalized Anxiety Disorder 296.23 Major Depressive Disorder, Single Episode, Severe without Psychotic Features
Axis II V71.09 No diagnosis
Axis III None
Axis IV Problems with primary support group, problems related to the social environment, occupational problems, problems related to interaction with the legal system
Axis V GAF 50 (current); GAF 91 (highest past year)
Presented Problem:
Patient is experiencing depressed mood for most of the day and has feelings of excessive guilt and worry. Patient is unable to sleep and has been unable to concentrate. Patient is easily fatigued, irritable, and has been unable to control her excessive worrying for over six months.
Will need to identify and alter the dysfunctional thought patterns, attitudes and beliefs, which may trigger and perpetuate the patient’s anxiety and depression.
Diagnosis Justification:
The patient presents increasingly depressed mood with excessive worrying and anxiety. Since her divorce, she has an intense fear of social situations and believes that her life is “over” that her mood is “pretty down most of the time.”
Education and Employment History:
Patient indicated that she reached milestones at the appropriate time during her childhood development. She maintained A’s and B’s in school. Patient currently works as a teacher at a high school.
Medical and Psychiatric History:
Patient reported no previous medical or psychiatric problems.
Substance Abuse History:
Patient reported no history of drugs.
Legal/Criminal History:
Patient was divorced within the last year.
Social History:
Patient indicates that she has never had difficulty maintaining friendships and was
Amy Danowski
CNSL/561
August 20, 2012
Donna Clark
Assessment:
Clinical interview
Diagnosis:
Axis I 300.02 Generalized Anxiety Disorder 296.23 Major Depressive Disorder, Single Episode, Severe without Psychotic Features
Axis II V71.09 No diagnosis
Axis III None
Axis IV Problems with primary support group, problems related to the social environment, occupational problems, problems related to interaction with the legal system
Axis V GAF 50 (current); GAF 91 (highest past year)
Presented Problem:
Patient is experiencing depressed mood for most of the day and has feelings of excessive guilt and worry. Patient is unable to sleep and has been unable to concentrate. Patient is easily fatigued, irritable, and has been unable to control her excessive worrying for over six months.
Will need to identify and alter the dysfunctional thought patterns, attitudes and beliefs, which may trigger and perpetuate the patient’s anxiety and depression.
Diagnosis Justification:
The patient presents increasingly depressed mood with excessive worrying and anxiety. Since her divorce, she has an intense fear of social situations and believes that her life is “over” that her mood is “pretty down most of the time.”
Education and Employment History:
Patient indicated that she reached milestones at the appropriate time during her childhood development. She maintained A’s and B’s in school. Patient currently works as a teacher at a high school.
Medical and Psychiatric History:
Patient reported no previous medical or psychiatric problems.
Substance Abuse History:
Patient reported no history of drugs.
Legal/Criminal History:
Patient was divorced within the last year.
Social History:
Patient indicates that she has never had difficulty maintaining friendships and was
References: Behavioral Associates. (2012). What is cognitive behavioral therapy. Retrieved from http://www.behavioralassociates.com/cbt.asp Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The emperical status of cognitive-behavioral therapy: a review of meta-analyses. Clin Psychol Rev, 26(1), 17-31. doi:10.1016/j.cpr.2005.07.003 Clark, D., Fairburn, C. G., Gelder, M. G., & Rachman, S. (1997). Science and the practice of cognitive behavior therapy. Oxford, NY: Oxford University Press. Corey, G. (2004). Theory and practice of group counseling (6th ed.). Belmont, CA: Brooks Cole. Gladding, S. T. (2008). Groups: a counseling specialty (5th ed.). Upper Saddle River, NJ: Merrill Prentice Hall. Høifødt, R. S., Strøm, C., Kolstrup, N., Eismann, M., & Waterloo, K. (2011). Effectiveness of cognitive behavioral therapy in primary health care: a review. Fam Pract, 28(5), 489-504. doi:10.1093/fampra/cmr017 Lambert, M. J., Bergin, A. E., & Garfield, S. L. (2004). Bergin and Garfield’s handbook of psychotherapy and behavior change (5th ed.). New York, NY: John Wiley & Sons. Macrodimitris, S. D., Hamilton, K. E., Backs-Dermott, B. J., & Mothersill, K. J. (2010). CBT basics: a group approach to teaching fundamental cognitive-behavioral skills. Journal of Cognitive Psychotherapy, 24(2), p132-146. doi:10.1891/0889-8391.24.2.132