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Name: John Clinton
First Consultation Date: January 6, 2021
Treatment Duration: One year
Number of Sessions: 65
Summary Termination Date: January 23, 2020
Last Consultation Date: January 27, 2020
Number of Missed Sessions: 7
The client, John Clinton, is African American aged 32, who currently lives with his girlfriend. John visits the clinic seeking remedy in addressing the difficulties of expressing himself and feelings of social discomfort, which have become persistent in his life. Notably, the disorder affects the social and professional functioning of the client. For that reason, he reports that the condition affects his personal and professional development.
Major Psychological Issues
The client encounters severe insomnia, as identified during the treatment course. The treatment focused on addressing the issue of insomnia, which had adverse effects on his sleeping patterns. Equally, the client suffers from depression because of the death of his brothers through a road accident. Clinton has been in constant grief and mourning during the period.
Types of rendered services: Individual
Overview of Treatment Process
The treatment session took place once per week, which the client received a combination of supportive-dynamic psychotherapy and cognitive-behavioral techniques. The techniques and therapies sought to manage the client’s panic attacks and insomnia. The therapeutic process facilitated the establishment of a productive relationship between psychologist and client (Maree & Di Fabio, 2018). However, John Clinton demonstrated difficulties in expressing emotions and thoughts. The initial phase of treatment involved creating awareness for the client about an emotional state for the social spheres. The next treatment phase focused on addressing the client’s emotional autonomy and psychological independence (Dunlop, 2016). The treatment was effective in supporting the client in coping with the loss of his brother
Nature of Termination
The client demonstrated notable gains and improvement during treatment termination. The client confirmed that he was satisfied with the development he encountered during the treatment session. Notably, the client had made notable improvements during cessation, such as sustaining personal projects.
The core objective of the therapy was treating major psychological issues encountered by the client. The client made notable improvements during treatment and expressed the value of expressing feelings and thoughts.
The therapy failed to address the possibility of cultural identity conflicts during the treatment session, which are significant causes of psychological disorders.
The client expressed no significant difficulties or concerns by the end of the treatment session.
The client has made significant progress, which has expedited attainment of self-understanding and psychological wellbeing goals. In the future, it would be imperative to utilize psychodynamic therapy in treatment.
The treatment involved no precise follow up for the client.
Instructions for Future Contacts
The client was to contact therapists in case of any further consultation.
Counselor’s Signature Date
Supervisor’s Signature Date
Dunlop, B. W. (2016). Evidence-based applications of combination psychotherapy and pharmacotherapy for depression. Focus, 14(2), 156-173.
Maree, J. G., & Di Fabio, A. (2018). Integrating personal and career counseling to promote sustainable development and change. Sustainability, 10(11), 4176.