Alan Zupka is a fifty year old, Caucasian gay male who appeared to be his age. He has been in a long term relationship for eight years. He was self-referred to counseling. Client has a Bachelor’s degree in psychology and is currently working on his Master’s degree in clinical mental health counseling. Client has been retired since 2008.
Client identified as American when asked his ethnicity. Mr. Zupka is an attractive man who is in good shape, neatly dressed, appropriately groomed, with good hygiene. Client has numerous tattoos on both arms. Client stated “I have tattoos covering 40% of my body.” Client had no apparent physical abnormalities. Client appeared relaxed, sat comfortably, and remained attentive, cooperative, …show more content…
Because of the client’s concern with stage of life (turning 50), Existential therapy will be helpful for the client to focus on the choices he has today instead of looking into the past. The client has stated that he does not want to deal with past family issues. Existential therapy may also supply a keener and philosophical insight for the client in order to reduce anxious thoughts by understanding the rationale behind his thought process. Because the client has stated he does not want to speak to his mother, it may be advantageous to have a male therapist so maternal transference is …show more content…
Counselor will assist the client in gaining insight into how the notion of worry may function as a form of avoidance.
Rationale: Client will be able to verbalize an understanding of the role that cognitive biases play in excessive irrational worry and persistent anxiety symptoms and how this relates to his current phase of life and life situations. Responsible parties: Client , Counselor
• Objective 2: Reduce overall frequency, intensity, and duration of panic attacks from 4 times a month to 2 times a month evident by client journal.
Intervention:
A) As part of an Individual CBT based outpatient therapy, client will read chapter 6 in The Anxiety & Phobia Workbook and complete worksheets 1, 2 “Identifying Bodily Symptoms” and “Catastrophic Thoughts” and connect corresponding thoughts with feelings.
Rationale: Client will be able to identify and connect catastrophic self-statements that he makes in attempt to make sense of his unpleasant bodily symptoms that are not true. For example, sweating, rapid heart rate, and tightness of chest are not signifying a heart attack. Goal is to change these catastrophic