Cbt Case Formulation Case Analysis - 1436 Words

Heather Slack CBT Case Formulation I. Case History a. Identifying Information: A.W. is a 48-year-old married white female living with her husband and one of her children. b. Chief Complaint: â€Å"My anxiety seems out of control† c. DSM-IV-TR Diagnosis: I. Generalized Anxiety Disorder, r/o mood disorder II. Deferred III. Multiple medication side effects IV. Stressors related to relationships, finances, and housing V. 50 d. History of Present Illness: The patient’s anxiety symptoms began several years ago and include the following: †¢ Emotional symptoms: Uncontrollable worry, anhedonia, irritability †¢ Cognitive symptoms: Difficulty concentrating, catastrophizing, negative thoughts, loss of confidence, feelings of failure, all or nothing thinking †¢ Behavioral symptoms: Avoidance of public situations, inability to relax, over immersion in work †¢ Physical symptoms: Insomnia, fatigue, restlessness, multiple physical complaints of unknown etiology suspected to be related to anxiety e. Psychiatric History: No prior psychiatric history f. Medical History: No significant medical history. Surgical history includes tonsillectomy and adenoidectomy, vein stripping, surgery for lazy eye and basal cell carcinoma removal. Side effects from multiple psychiatric medications: †¢ Paroxetine: decreased appetite, insomnia, increased anxiety †¢ Nortriptyline: bleeding from rectum †¢ Mirtazapine: less anxiety and improved appetite but lost efficacy †¢ Venlafaxine: decrease appetite andShow MoreRelatedDescribe What Comprises a Comprehensive Cbt Case Study – Evaluate the Use of Case Studies in Therapy.1735 Words   |  7 PagesDescribe what comprises a comprehensive CBT case study – Evaluate the use of case studies in therapy. Cognitive Behavioural therapy is a based on the fundamental idea that emotions are experienced as a result of our interpretation and appraisals of events (Dryden 2004). 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