Case Vignette: Case Conceptualization for Module 2
Case Conceptualization for Module 2
Case Conceptualization for Module 2 – For module 2, you pick ONE of the following Case Vignette to complete the case conceptualization:
- Chapter 19 has the case vignette of Margarita.
- Chapter 18 has the case vignette of Chester.
- Chapter 16 has the case vignette of Violet.
Instructions
Students will create case conceptualizations for Module 2 to 5. Case conceptualization format and example paper is provided on Blackboard. There are four case conceptualizations for your course. Include, in each of your two paged, short answer summaries, the etiology, diagnosis and designed treatment plan (long term and short-term plan) if working with this individual/family. Also include, what would be some of the challenges you would face as a counselor? You are required to incorporate two peer-reviewed research articles into the summary and will be included in the reference page. The book, newspaper articles, and/or blogs are not considered peer reviewed research articles. The paper does NOT have to be APA style but the references need to be written in APA 7 style.
Violet
CLINICAL HISTORY
Violet is a 15-year-old female in the ninth grade. She came with her parents to a local mental health center, complaining of intense anxiety and social shyness. The visit was prompted by a rather traumatic school dance. Violet came home early with her friend, Lisa, at Violet’s insistence. Violet reported that she was feeling more and more uncomfortable at the dance, and when she mentioned her feelings to Lisa, her friend told her “lighten up” and to stop obsessing about everything. Violet became quite upset and started to cry. Others at the dance gathered around her until school personnel escorted Violet and Lisa from the building. Violet’s parents were called, and the two girls were taken home. Violet is the older of two children. She has an 11-year-old brother who has no apparent mental health concerns. Her parents appeared to be happy and well adjusted with no history of mental illness; however, her mother reported that she was rather anxious herself in high school and college. Violet’s mother took nortriptyline (Pamelor) for several years but reported no anxiety problems in recent history. Both parents claimed that Violet had always been a shy, quiet, and very sensitive little girl. She was always uncomfortable around strangers and other students. In fact, she had a difficult time adjusting to both kindergarten and first grade. Although she is a very pretty girl, Violet avoided social contact with other students, and quickly excused herself when approached by them. Recently, while Violet was visiting at Lisa’s home, a few more friends showed up and suggested calling some boys over. Violet became more and more anxious until she excused herself and retreated to Lisa’s bedroom. Lisa called Violet’s mom, who came to take her home. Violet is aware that her fears and behaviors are ruining her life. She reported that she feels very inadequate in social situations. Violet is afraid that she will do or say something that will bring attention to her, and others will laugh at her. She also reported feeling very uncomfortable in the girl’s shower room at school. Violet will not shower or dress unless the other students have gone. She once became so concerned that others were watching her that she had trouble breathing and felt dizzy. After a complete physical by her family doctor and an evaluation by the therapist in the clinic, no physical causes for Violet’s anxiety were found. She functioned quite well at home and in the presence of people she knew well. School performance was good except when she had to raise her hand or give speeches in front of the class. She appeared to have no other phobias, no history of depression, and no history of trauma or abuse.
POSTCASE DISCUSSION AND DIAGNOSIS
Violet appears to have Social Anxiety Disorder (F40.10). She has always been rather shy and anxious in social situations, but recently her symptoms have worsened. She purposely avoids social situations and the possibilities of social invitations. She once dropped a class because the teacher said the students would have to work in groups. She fears that if her anxieties continue, she will not be able to finish high school or attend college.
