Analyzing katheryn case study example

Antisocial Personality Disorder, Conceptualization, Centered Personality Disorder, Adhd

Excerpt from Example:

Katheryn Case Study

Medical vignette

White girl, Katheryn, aged twelve, was called on account of her increasingly aggressive behavior towards her 8-year-old close friend, Carl. Mrs. Smith, their very own maternal grandmother, has been bringing up the two children. Carl was obviously a baby when ever she had taken him under her wing. Actually she was responsible for their upbringing seeing that their childhood; the two kids were removed from Mrs. Smith’s little girl (the kid’s mother) due to her dependency on alcohol and substance/cocaine abuse behaviors. Katheryn and Carl will be the two youngest of eleven children; non-e of these have been brought up by the mother and each of which struggles in one or various other way. Actually it has been reported that two older brothers and sisters of Katheryn had cleft palates at birth, and a single sister we hadn’t spoken until she converted five. Further, many bros have been diagnosed with attention deficit over activity disorder (ADHD); they are all upon medication remedy. Katheryn’s trouble is not limited to home life; in school, she is enrolled in a great SDC (special day class), in which she actually is found to struggle with being focused. Although Katheryn is fairly responsive to her adults and is engaged quickly, she sometimes needs to be rerouted, as she gets overly excited. Within the social level, Katheryn appears to feel a bit awkward, and reports that she is at the receiving end of her peers’ bullying, at times. While there have been not any reports of her doing fights in school, Katheryn has, once in a while, been taken to the principal’s office, on account of wrongdoings such as stealing pencils at university, nicking candies and chips from the local retailer-store, and shouting at guy students. Katheryn’s teacher reviews that your woman can sometimes be awkward (for occasion, breaking content by accident) as well as forgetful (Katheryn needs to wear spectacles, and on many occasions, your woman forgets about wearing them, or loses them). According to Mrs. Johnson, Katheryn is usually not a good influence at all in Carl, as she is, steals, and destroys articles or blog posts at home. At your workplace, however , Katheryn appears to be wondering, quite employed, and really taken with her therapist. Plainly, she has went to therapy lessons somewhere before, as your woman speaks regarding stress, comments that the girl really seems bugged by Carl, and worries about her grandma who, in her judgment, needs remedy as well, as she is affected with stress as well.

Strengths-Based Treatment Plan

Treatment Plan: Individual/Behavioral

Goal 1: The patient (Katheryn) will more and more comprehend the aggressiveness circuit and its effect on relationships in her existence (particularly with her brother); this will become evidenced by her capability of discussing the violence cycle and how her relationships reflect the cycle. Katheryn will be able to report a possible and clear safety or self-care approach.

Treatment Advice: One-on-one remedy sessions when every week.

Schedule: Between several and six months

Goal two: Katheryn will certainly exhibit decreased isolation via peers. This will likely be evidenced by the development and rendering of a technique to increase support as well as self-report frequency of weekly contacts with children belonging to her age group.

Treatment Recommendations: One on one therapy sessions once each week.

Timeline: Among 3 and 6 months

Target 3: Dysthymic symptoms in the child (Katheryn) will decrease. This will be evidenced simply by decreased rest disturbance, elevated energy, and decreased self-reports of feeling helpless and miserable.

Treatment Recommendations: One-on-one therapy periods once weekly; potential medication evaluation referral, if Katheryn’s condition worsens or does not change in 3 months’ period.

Timeline: Between 3 and 6 months

Aim 4: Katheryn’s self-esteem will increase. This will always be evidenced by simply decreased unfavorable statements relating to self plus more positive self-statements.

Treatment Suggestions: One-on-one therapy sessions once every week

Schedule: Between several and six months

Treatment Plan: Individual/Cognitive

Goal one particular: The patient (Katheryn) will significantly comprehend the violence cycle and its impact on relationships in her your life; this will be evidenced simply by her capability of talking about the assault cycle and just how her relationships reflect the cycle. Katheryn will be able to survey a possible and clear safety or self-care strategy. She will also become able of determining her faulty perceptions to find her marriage with her brother and peers, along with her role in these family/social relationships. Katheryn will also begin demonstrating even more reality-based thinking.

Treatment Advice: One-on-one therapy sessions once every week

Timeline: Between 3 and six months time

Goal 2: Katheryn’s interpersonal isolation will certainly decrease. This will be proved by her reports of increased understanding of how her relationship dynamics promote her isolation. She will also commence to make a conscious decision to reach out to her brother and interact more with other children of her age.

Treatment Recommendations: One-on-one therapy lessons once once a week

Timeline: Among 3 and 6 months

Aim 3: Dysthymic symptoms in the child (Katheryn) will decrease. This will be evidenced by her information of a better understanding of incorrect assumptions and attitudes concerning herself and her associations with others, and will reflect more reality-based opinions of herself and her really worth.

Treatment Advice: One-on-one therapy sessions when every week; potential medication analysis referral, in the event Katheryn’s state worsens or perhaps doesn’t change in three months’ time.

Fb timeline: Between 3 and six months time

Goal 4: Katheryn’s self-pride will increase. This will likely be confirmed by reduced negative statements regarding home and more confident self-statements, additionally to studies of knowledge of the position of her existing marriage dynamics in self-perception. She will be able to conduct reality investigations with her brother and peers the moment she experiences negative thoughts regarding herself.

Treatment Suggestion: One-on-one remedy sessions when every week; feasible bibliotherapy.

Treatment Timeline: Between 3 and 6 months.

DSM Multi-axial Analysis DSM-IV

The subsequent diagnosis was performed in case of Katheryn;

Axis My spouse and i: Clinical Disorders

This addresses:

Disorders commonly diagnosed amongst infants, kids or adolescents (ADHD)

Anxiety attacks

Mental disorders on account of virtually any general medical ailment

Feeling disorders (such depression)

Realignment disorders

Impulse-control disorders (Kleptomania, Intermittent Explosive Disorder)

Axis II: Personality Disorders and Mental Retardation

Antisocial character disorder

Axis IV: Psychosocial and Environmental Problems

Difficulties with one’s major support group (family, brother, and grandmother)

Cultural environment-related problems (friendships concerns, loneliness)

Educational problems (academic issues, disputes with educators)

Axis V: Global Analysis of Working

This amount between one particular and 75 reflects wisdom of caregiver, with regard to overt functioning level. In my opinion, Katheryn’s score must be 60: the girl exhibits average symptoms/difficulty in functioning in school and in society (American Psychiatric Connection, 2000).

Clinical Conceptualization of Working with This Client

The clinical case preparation strategy supports effort with sufferers for figuring out idiosyncratic areas of presentation, and selecting affluence based on this. Hence, it is just a two-way avenue. Therapist and client need to establish a relationship where affects of the two may be felt. Effects of therapist refer to the amount of variance attributable to the specialist rather than the beneficial model utilized (Duncan, 2010).

The Medical conceptualization of working with Katheryn;

Background Information

Black girl, Katheryn, aged twelve, has an 8-year-old brother, Carl. Mrs. Cruz, their mother’s grandma, has been raising the 2 children. Katheryn is, at present, enrolled in SDCs.

Reasons for Recommendation

Referred on account of her more and more aggressive behavior toward Carl

Showing Problem

Aggressive behavior at home

Attends SDC

At times yells in peers

Is, steals, and destroys things at home

Can be forgetful and clumsy

Amount of Functioning

The DSM Multi-axial Diagnosis’ end result places Katheryn’s functioning level at sixty.

Stressors – Present/Past

1 ) Katheryn’s mom is an alcoholic, and a element (cocaine) tourner.

1 . Many siblings of Katheryn’s experience ADHD and receive medication therapy

1 ) Katheryn promises she’s stressed and remarks that her little buddy really irritates her; Ingram (2006) says that extreme emotional reactions to modest and gentle stressors signifies the presence of vulnerabilities whose beginnings are inside the individuals’ activities of early on childhood. In Katheryn’s case, such an encounter may be connected with her mom’s drug problems.

Treatments Received (Current/Past)

Katheryn has received remedy earlier.

Brief summary of Risk and Safety Factors

Basically, Katheryn offers relational concerns. Key elements of interest in her case consist of domestic assault, dysthymia, poor self-esteem, and social solitude.

Outcomes – Goal-attainment Climbing (GAS)

Goodheart (2011) says that result measurement is roofed in the force towards health-related quality and accountability; overview of treatment final results is a way of ensuring correct resource allowance (Goodheart, 2011). Hence, outcomes of every training stage govern overall program execution. In the event goal you isn’t obtained and the being successful goal is dependent on it, practitioners won’t carry on till it is met. Nevertheless outcome examination alone can be not satisfactory; the information must be translated into a sustainable evidence-based practice unit, which can lengthen, further, to employing innovative methodologies for assessing recovery rates, monitoring patient progress, intervening when response is definitely poor, and contributing to benchmarking risk-adjusted affected person outcomes. GAS needs to include information opinions for improving patient-clinician relationships. A book focus on specific outcomes, taking into consideration risk variables and specialized medical characteristics, is going to facilitate improved patient treatment delivery (Elizabeth A. Newnham Page, 2010).

Barriers

Pertaining to effecting the above mentioned

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