Student Case Name / #

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Case Conceptualization

Student Case Name / #:

  1. Problem identification &amp definition:

Primaryand contributing concerns for the client

  • Client concerns: Low self-esteem

  • Client concerns: Stressful

  • Clinical concerns: Lack of self-belonging and feeling unappreciated

  1. Contextual considerations:

Samis currently single meaning that he does not have anybody whom he canshare his problems. Lack of a close partner to reassure Sam of hiscapabilities means that he has to deal with the issue by himself. Incoming up with a treatment plan, it is vital to consider that thereis no one with whom he can look up to for the support.

Samis evidently hardworking but the type who desires to be appreciated.It is a reflection of the fact that if he is to be subjected to aparticular form of the treatment plan, the chances are that he wouldwork out means of recovery without challenges. Also, there is theconcept that he has realized he needs a partner whom he can settle.It is a reflection of the idea that he can reform. Sam may have thecapability to recover from the challenges that he is facing. Also, heis an outgoing individual, meaning if he were to be put in a goodcompany of friends, it would help him in recovering out of thestressful situation facing him. Finally, Sam is ambitious meaning asattested by his quest to change careers. If he was to be taught howto respond well to his supervisor, the chances are that he may stilldo well in his career life.

  1. Diagnosis


200.06 AcuteStress Disorder


V87.08 Physicaland temperamental. Recently fought a man at a club.




Underwentgall bladder surgery in the last two years


44-53 Symptomsof impaired social behavior. Over reliant on other people. Didattempt to commit suicide after undergoing a divorce, an indicationof the impaired social and interpersonal well-being.


Samis evidently experiencing a stressful condition owing to the fact heis not being appreciated in the workplace. The lack of appreciationby the supervisor makes him feel less of himself making him try toexert his feelings of anger towards others. He is seen to engage in aphysical fight with a man at a bar. The decision to participate inthe fight may be attributed to the fact that he is trying to asserthis presence. Further, while at work he is irritable to the rest ofhis co-workers, further confirming the fact that he is irrational andtemperamental.

Justificationof diagnosis

Distressfulcondition: Sam is working hard to ensure that he gets the attentionof his supervisor. All that he does at work is to get a reaffirmationfrom the supervisor. Also, the fact that he is not appreciated atwork makes him think that he is not good enough hence the harsh wayin which he treats his co-workers.

Temperamental:He is seen to fight people. There is also the need to seek anaudience in the society, where he struggles to live a single wifeafter divorcing his wife. The lonely life could be taking a toll onhim though he has admitted he is willing to settle if he gets theright woman.

  1. Theoretical Conceptualization:

Havingdivorced twice, it is evident that Sam has issues when it comes toself-esteem and being accepted by others. Further, there is the ideaof him exchanging careers. It can explain the fact that he is notcontented especially if he was to find himself in a state wherepeople do not accept him.

Also,the lack of appreciation by his supervisor could have affected hisconfidence adversely. For example, initially, the supervisor used toappreciate his efforts and tell him how good was at his work.However, the same is not the case despite the efforts that Sam makestowards getting the attention of his supervisor.

Finally,because there seems to be no one whom Sam looks up to considering thesisters are all married and parents travel a lot, the relationshipwith the therapist is the first step towards his recovery.

  1. Treatment Plan

PresentingIssue #1:

Strengths:Clientcould show potential for improvement through encouragement andsupport in the course of therapy.

Barriers:Occupationalbarriers where the supervisor fails to acknowledge his efforts.

Goals:Boosthis self-confidence and enhance esteem

Interventions:Clientis put on counseling to help boost his self-esteem

Modality/ Duration: Short-termtherapy be employed say a period of two months

Measureof Progress: Evaluaterelationship with supervisor and colleagues at work

PresentingIssue #2:

Strengths:Clientcan improve if they got a positive remark from those they areworking.

Barriers:Perpetualnegative treatment from supervisor and co-workers could affect him

Goals:Goalis to reduce his stressful nature and help him learn to manage stress


Modality/ Duration: Mid-termtherapy to help recover from stress

Measureof Progress: Normalcyin how they conduct activities at work

PresentingIssue #3:

Strengths:Canimprove if he had someone who appreciates him and acknowledges hisefforts

Barriers:Noclose relatives or friends to show appreciation

Goals:Havehim know his self-worth

Interventions:Introducehim to friends and encourage those at work to associate with him

Modality/ Duration: Canbe mid-term and take six months

Measureof Progress: Howwell he gets with friends and a stop in temperamental nature


Morris,N., &amp Raabe, B. (2002). Some legal implications of CBT stresscounselling in the workplace.

BritishJournal of Guidance and Counselling,30(1),55-62.