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Cognitive Therapy Case Study

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PREVIOUS MENTAL HEALTH TREATMENT (INCLUDING SUBSTANCE ABUSE TREATMENT): Sue was held in county jail for a few days after she pled guilty to charges of possession, sale of an illicit substance, and of engaging in prostitution. She attempted suicide one night by stuffing her throat and nose with clothing while in jail and awaiting her preliminary hearing. She was then transferred to a local inpatient unit for crisis evaluation and services, including medication. • Counseling has been provided to Sue which focuses on reducing her substance use, skill building, adherence to a recovery plan, and social, family, and professional/educational outcomes. • A counselor has been provided to Sue with a variety of therapies which helps treat her substance use. 1). Cognitive-behavioral therapy has taught Sue to recognize and stop her negative patterns of thinking and behavior. With cognitive-behavioral therapy, Sue can be aware of the stressors, situations, and feelings that lead to drug abuse, financial problems, and prostitution, so that she can avoid it all or even act differently when they occur again. 2). Contingency management is for Sue to reinforce positive behaviors, such as remaining abstinent from drug abuse. 3). 12-step facilitation therapy has sought to guide and support Sue’s engagement in 12-step programs such as Substance Abuse Treatment and other recovery group support for cocaine dependence. • …show more content…

It has also focus on detoxification as well as providing initial intensive treatment, and preparation for a return to community-based settings. • Medication help treat Sue’s drug abuse by reducing her level of cravings. Medication-assistant treatment such as methadone or buprenorphine and continued antidepressant medication. Lithium is a mood stabilizer and the most commonly prescribed medication for bipolar

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Phase One (Sessions 1 through 3) • The session 1 and 2 consists of the assessment of the client’s clinical problems and background information. Questions relate to her clinical problems, including (a) the nature of her problems (depression and difficulty with making decisions), (b) reason of seeking psychotherapy, and (c) previous attempts to deal with the problems. For the background information, the client’s histories are assessed in the areas of intimate/family relationship, educational/vocational activities, past history of psychological treatment, and physical condition. Session 3 primarily consists on the further functional assessment around her coping skills (e.g., avoidance) in the areas of interpersonal relationships. Phase Two

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