Case Conceptualization for the Case of Iceman: Cognitive Behavioral Theory
Presentation
Iceman presents with social withdrawal, emotional numbing, hypervigilance, and flashbacks.
Precipitant
here Writes the predominant on going……in the moment I have the reaction to that.
The onset of symptoms coincides with Iceman’s return from military deployment, particularly after witnessing traumatic events and combat experiences.
Predisposition
Use theory and explain why.
Biological: Iceman has a family history of anxiety disorders and PTSD. About parents…
Psychological: cultural
Skill deficits include assertiveness, friendship skills, and negotiation. Only two. Not this much.
Self-view encompasses feelings of vulnerability and worthlessness.
Perceptions of threat and danger characterize Worldview as demanding, harsh, arbitrary, and unsafe.
Social: Iceman experienced childhood trauma, neglect, and bullying, which contributed to his development of maladaptive coping strategies.
Perpetual
Iceman’s symptoms are perpetuated by avoidance behaviours, hypervigilance, and re-experiencing traumatic memories. ALL wrong this above is wrong…. thing persons envoriment makes symptoms worse. Rejected, humility he becomes angry on-going trigger. Social life look at his job.
Protective factors/strengths
Write internal and exeternal
Iceman has resilience, determination, and a supportive family network despite his struggles. Internal love his kids Internal and external.
Pattern write the movement explain why.
When triggered by reminders of trauma or stressful situations, Iceman withdraws from social interactions, experiences heightened anxiety and relives traumatic memories. Movement Away, or towards or against, or ambivalent.
Plan
First order goal(s) & interventions
Reduce hypervigilance and emotional numbing symptoms through grounding techniques, relaxation exercises, and exposure therapy.
Second-order goals & and interventions
Address underlying cognitive distortions and maladaptive beliefs through cognitive restructuring and trauma-focused therapy.
Integrated Clinical Formulation Statement:
Iceman’s presents (……)symptoms can be traced back to his exposure to traumatic events during military deployment, compounded by his predisposition to anxiety and maladaptive coping strategies. However, Iceman displays remarkable resilience amidst these challenges, bolstered by a supportive family network. (Predisposition) self view (….) from the CBT concept the Iceman…… This family circle in which he is surrounded becomes a barrier that limits his stress growth and offers him tangible emotional fulfillment and material to overcome his difficulties. By manipulating the safest environment and seeking the help of adequate programs, such as climate change, Iceman is likely to benefit the peace settlement and promote the restoration, respectively. Formulating a precise understanding of his experiences, biases, and support from our environment assumes paramount importance when designing a treatment plan that tackles his specific issues and empowers him during his road of recuperation and adaptation.
Protective factors/strengths:
Iceman exhibits remarkable resilience and unwavering determination, which are further fortified by a steadfast and supportive family network. This foundation empowers Iceman to confront challenges with fortitude and persevere in pursuing his goals.
Initial Treatment Planning:
Presenting issue/symptom
Goal (First and second order)
Intervention(s) and rationale
Only one intervation.
Social withdrawal
First order goals reduce symptoms….
Increased social skills
(Second Order) has to get the pattern. Personality work. To address personality pattern.
Interventions include role-playing, social skills training, and exposure therapy. Consequently, this will bolster him and boost his self-confidence and self-sufficiency in social situations, reducing his shyness towards people. It will enhance people’s interest in socializing activities and create a feeling of sharing space with others, which is a good step towards social integration. Get one intervation and explain.
Emotional Numbing
Reduce symptoms of emotional numbing
(First order)
Cognitive restructuring to challenge distorted beliefs and mindfulness techniques to increase emotional awareness. Human beings experience difficult times in life and undergo trauma that can hinder their ability to relate to others. Through addressing and processing their suppressed emotions, such individuals can again have better moods and relationships with their fellow human beings.
hypervigilance
Reduce symptoms of hypervigilance
(First Order)
Relaxation exercises and gradual exposure to safe environments. Individuals could get to learn how to manage their responses related to anxiety. Such a response would help reinstate safety, thereby reducing hyperarousal, which could lead to a more balanced threat perception in their surroundings.
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