This case report presents a series of therapeutic interventions with a 42 year old lady referred to the Community Mental Health Team by her GP. The therapist is currently employed as a community psychiatric nurse within this team. Firstly the report will briefly describe the client; brief biographical information, presenting problem, formulation, therapy journey, relapse prevention blueprint, and outcome. A discussion of pertinent points will conclude the report.
The client presented to his GP 4 weeks ago describing 3 year history of suicidal thoughts and depression. He was commenced upon Citalopram and referred to the secondary mental health services.
The formulation framework is taken directly from Beck A. T et al (1979). The use of behavioural experiments and thought diaries is based on work by Christine Padesky C, Greenberger D (1995) and Bennett – Levy J et al (2005).
1.1 Biographical Data
Peter is a 42 year old married man, with children ages 6 and 10. Amber (6) is Peter’s biological child and Jamie (12), a child from a previous relationship of his wife’s. Peter currently works for a friend at a small engineering workshop.
2. Presenting problem
Peter was encouraged by his boss present to his GP when he became concerned by Peter’s concentration lapses, emotional outbursts, and low mood. This culminated in Peter informing his boss of his thoughts about putting his hand into a large drilling machine, in order to end his life . Trust protocol informed by NICE (2010) guidelines was followed and Peter was referred to secondary mental health services.
Peter lost his best friend to cancer immediately prior to the referral. Peter and Jane (his wife) cared for his friend for two years prior to his death. Peter found the additional support required by his wife, at this time difficult to provide due to his worsening depressive symptoms. Peter felt that Jane’s emotional state coupled with her expectations of support from him, and his...