scholarly journals Appendix D: Cognitive Hypnotherapy Case Formulation and Treatment Plan for Jackie

2008 ◽  
pp. 239-243
2017 ◽  
Vol 13 (1) ◽  
pp. 1
Author(s):  
Jeremy D. Lichtman

Cognitive-behavioral therapy (CBT) with Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment for Tourette Syndrome (TS), with a manualized version available for guiding practitioners through treatment. However, CBIT is still a fairly new treatment for TS and rigorous training in its application is sparse. Additionally, potential treatment considerations are not thoroughly described in the manual. This dissertation presents a systematic case study that specifically analyzes the use of the manual with 10-year-old "Hiro," a South Asian Indian boy with TS who also had attention deficit hyperactivity disorder (ADHD), which is a confounding factor in the treatment of TS. To do this meant applying flexibility and an "hypothesizing-then-testing" mentality. The creation of an individualized case formulation and an associated treatment plan for Hiro were very valuable components in his treatment. The case study chronicles Hiro's successful treatment and explores how and when adherence to the manual was effective as well as how and when greater flexibility was required. Furthermore, the case study explores factors in the clinician/client relationship and how that relationship can prove a powerful tool in treatment. Options for how to maintain treatment goals after termination are also examined.


Author(s):  
Gregory H. Mumma ◽  
Jonathan Fluck

AbstractAlthough clinicians have used cognitive behavioural case formulations (CBCFs) to guide treatment for many years, the validity of the case formulation (CF) is rarely evaluated. Given the central role of the formulation in treatment planning, particularly for complex or comorbid cases, a straightforward method to empirically evaluate the validity of the CBCF could increase the effectiveness of a treatment plan tailored for a particular client. This article describes a step-by-step, person-specific approach to evaluating a CBCF that can be used for appropriate cases in a clinical practice or especially a clinical training setting. The evaluation focuses on discriminant validity of person-specific scales and constructs and patterns of predicted functional relationships between idiosyncratic cognitions and distress. The approach is illustrated with an adult seen in a training clinic who was diagnosed with generalized anxiety and recurrent major depressive disorders and who completed 28 brief end-of-day, individualized questionnaires. The clinician's CBCF hypotheses were empirically evaluated using mostly simple statistical analyses available in readily accessible worksheets. Intervention implications of the CF evaluation are discussed.


2021 ◽  
Vol 17 (1) ◽  
pp. 1-4
Author(s):  
Daniel B Fishman

This article is a brief orientation to the current PCSP issue, which presents and compares two contrasting, interpersonal theories—Interpersonal Defense Theory and Interpersonal Reconstructive Therapy—for developing a case formulation and treatment plan for the case of "Sharon," a 28-year, unmarried social worker with no children. At the beginning of Sharon’s therapy, which was part of a randomized clinical trial (RCT), Sharon presented with comorbid anxiety and personality disorders. A major focus of her problems was being stuck between being simultaneously drawn to and repelled by "Jeff," her former finance. In reading this article series, a number of important themes to keep in mind are mentioned, including (a) comparing theoretical similarities and differences between the two theories; (b) the differences in the information selected by each theory from the large database of quantitative and qualitative clinical information in the database generated by the RCT; and (c) the enrichment of theory that occurs when it is applied to an individual case.   


Author(s):  
Barbara Cubic

Chapter 14 covers treatment of a patient with anorexia nervosa, and the use of individual and family cognitive behavioral therapy (CBT) in the treatment plan. It focuses on a case example of a patient with anorexia nervosa to illustrate both evidence-based assessment and treatment. It includes demographic and referral information, assessment strategy, clinical interview information, assessment data, evidence-based case formulation, treatment and the need for family therapy, treatment outcomes, key principles and core knowledge used to approach the case, typical behavior patterns, epidemiological considerations, evidence for the intervention model, alternative options, case non-specifics, strategies to deal with therapy complications, ethical considerations, common mistakes to avoid in treatment, relapse prevention, and case conclusions.


Author(s):  
Mary V. Minges ◽  
Jacques P. Barber

Psychodynamic psychotherapies (PDP) is an umbrella term for a variety of therapeutic modalities that have evolved out of the psychoanalytic/psychodynamic tradition, each theorizing a trajectory of human development that includes an etiology of and treatment for psychopathology. PDPs have in common the belief that people have an unconscious mind that influences thoughts and behaviors outside of the individual’s awareness. These processes operate from birth till death and are responsible for adaptive and maladaptive functioning at the level of interpersonal relationships and daily living. The psychodynamic therapist creates a case formulation for the individual seeking treatment, which incorporates a formal diagnosis with an understanding of the underlying dynamic factors contributing to the individual’s suffering. From this case formulation a treatment plan is created specific to the individual. During treatment, the therapist develops a strong working alliance while utilizing psychodynamic-specific techniques targeted at bringing insight into these unconscious thoughts and behaviors. Greater self-understanding enables greater choice ability and flexibility in functioning. In contrast to prevalent views, empirical research has found support for the efficacy of PDP in the treatment of mental disorders, including but not limited to: depression, anxiety disorders, somatic disorders, and personality disorders. In general, PDP was found more effective than control conditions and not different from active treatments. PDP effects have been shown to remain stable post treatment.


Author(s):  
Shari Manning

In Dialectical Behaviour Therapy (DBT), case conceptualization uses the principles and the protocols of the treatment to assess client goals and behaviours, create a treatment plan, and provide accurate interventions that ultimately bring the client to his/her life worth living goals. It begins with the initial assessment and continues through pre-treatment. Throughout treatment specific behavioural targets are conceptualized using a behavioural formulation, including functions, controlling variables, and the behavioural interventions that treat the behaviours. The case conceptualization is organic and changes as needed. Formal case conceptualizations can be written or therapists can articulate their conceptualization of a case as they conduct the therapy. This chapter describes the purpose of case conceptualization in DBT, describes the various sections of the conceptualization that are used most frequently by DBT therapists, and concludes with a DBT case conceptualization example for a current Stage 1 DBT client.


1987 ◽  
Vol 51 (12) ◽  
pp. 720-722
Author(s):  
BJ Powell ◽  
BH Rice ◽  
LA Leonard
Keyword(s):  

2019 ◽  
Vol 4 (3) ◽  
pp. 474-482
Author(s):  
Sarah L. Schneider

PurposeVocal fold motion impairment (VFMI) can be the result of iatrogenic or traumatic injury or may be idiopathic in nature. It can result in glottic incompetence leading to changes in vocal quality and ease. Associated voice complaints may include breathiness, roughness, diplophonia, reduced vocal intensity, feeling out of breath with talking, and vocal fatigue with voice use. A comprehensive interprofessional voice evaluation includes auditory-perceptual voice evaluation, laryngeal examination including videostroboscopy, acoustic and aerodynamic voice measures. These components provide valuable insight into laryngeal structure and function and individual voice use patterns and, in conjunction with stimulability testing, help identify candidacy for voice therapy and choice of therapeutic techniques.ConclusionA comprehensive, interprofessional evaluation of patients with VFMI is necessary to assess the role of voice therapy and develop a treatment plan. Although there is no efficacy data to support specific voice therapy techniques for treating VFMI, considerations for various techniques are provided.


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