Case Presentation by Claire Standish, Timothy R. Jenkins School of Behavioral Sciences, Liberty University.
Author Note: I have no known conflict of interest to disclose. Correspondence concerning this article should be addressed to Timothy R. Jenkins, Liberty University, 1971 University Blvd, Lynchburg, VA 24515. Email: trjenkins@liberty.edu Case Presentation: Case Conceptualization (CP-CC) of Claire Standish Identifying Data Date of initial assessment: January 21st, 2024 Client’s pseudo name: Grace Smith Race: White Age: 17 Ethnicity: Non-Hispanic Gender: Female Marital Status: Single Sexual Orientation: Heterosexual Employment Status: Student Part IV- Case Conceptualization Theoretical Orientation To conceptualize Ms. Smith’s case, …show more content…
The way we view the world is influenced by our beliefs about ourselves, and by targeting the thoughts at the core, the outcomes to situations can be changed by altering the filter we view life through (Sokol & Fox, 2019). The use of cognitive-behavioral theory also was chosen due to its wide efficacy in the treatment of substance use disorders, mental health issues such as depression, and other domains such as eating disorders (Agras & Bohon, 2021; Atwood & Friedman, 2020; Tan, 2014; Zamboni et al., 2021). Narrative of the Case Conceptualization Applying cognitive-behavioral theory to Ms. Smith’s presenting concerns, the cognitive distortion that she is not good enough is the source of her substance use Ms. Smith’s desire to fit in and be perceived as “hot” or “thin” or cool has led to her maladaptive behaviors to fit into her preconceived mold of what society expects of women. Ms. Smith regularly purges and uses laxatives because she feels that she must be “thin” to be beautiful. She has, in essence, applied the label to herself as “not enough” or “ugly” …show more content…
Ms. Smith’s skin picking is a manifestation of anxiety, acting on the belief that hair is an undesirable trait for women to be considered beautiful. At the core of this belief, just like with her purging, Ms. Smith believes she is not good enough. Her behaviors are geared towards going from her perception of inadequacy to the socially defined ideal of “beauty” in an attempt to fit in and be enough. Ms. Smith’s cannabis usage stems from inadequate coping strategies and faulty thinking. Ms. Smith has a stressful home life with her mother’s alcoholism and social stressors such as preparing for college, among other things. Ms. Smith also wants to fit in with her peers and be seen as cool. These desires and automatic thought processes, activate her beliefs about drugs and serve to rationalize their use with drug-biased automatic thoughts (Sokol & Fox, 2019). References Agras, W. S., & Bohon, C. (2021). Cognitive Behavioral Therapy for the Eating Disorders. Annual Review of Clinical Psychology, 17, 417–438. https://doi.org/10.1146/annurev-clinpsy-081219-110907 Atwood, M. E., & Friedman, A. (2020) - The 'Secondary' of the 'Secondary' of the 'Secondary' of the
Author Note: I have no known conflict of interest to disclose. Correspondence concerning this article should be addressed to Timothy R. Jenkins, Liberty University, 1971 University Blvd, Lynchburg, VA 24515. Email: trjenkins@liberty.edu Case Presentation: Case Conceptualization (CP-CC) of Claire Standish Identifying Data Date of initial assessment: January 21st, 2024 Client’s pseudo name: Grace Smith Race: White Age: 17 Ethnicity: Non-Hispanic Gender: Female Marital Status: Single Sexual Orientation: Heterosexual Employment Status: Student Part IV- Case Conceptualization Theoretical Orientation To conceptualize Ms. Smith’s case, …show more content…
The way we view the world is influenced by our beliefs about ourselves, and by targeting the thoughts at the core, the outcomes to situations can be changed by altering the filter we view life through (Sokol & Fox, 2019). The use of cognitive-behavioral theory also was chosen due to its wide efficacy in the treatment of substance use disorders, mental health issues such as depression, and other domains such as eating disorders (Agras & Bohon, 2021; Atwood & Friedman, 2020; Tan, 2014; Zamboni et al., 2021). Narrative of the Case Conceptualization Applying cognitive-behavioral theory to Ms. Smith’s presenting concerns, the cognitive distortion that she is not good enough is the source of her substance use Ms. Smith’s desire to fit in and be perceived as “hot” or “thin” or cool has led to her maladaptive behaviors to fit into her preconceived mold of what society expects of women. Ms. Smith regularly purges and uses laxatives because she feels that she must be “thin” to be beautiful. She has, in essence, applied the label to herself as “not enough” or “ugly” …show more content…
Ms. Smith’s skin picking is a manifestation of anxiety, acting on the belief that hair is an undesirable trait for women to be considered beautiful. At the core of this belief, just like with her purging, Ms. Smith believes she is not good enough. Her behaviors are geared towards going from her perception of inadequacy to the socially defined ideal of “beauty” in an attempt to fit in and be enough. Ms. Smith’s cannabis usage stems from inadequate coping strategies and faulty thinking. Ms. Smith has a stressful home life with her mother’s alcoholism and social stressors such as preparing for college, among other things. Ms. Smith also wants to fit in with her peers and be seen as cool. These desires and automatic thought processes, activate her beliefs about drugs and serve to rationalize their use with drug-biased automatic thoughts (Sokol & Fox, 2019). References Agras, W. S., & Bohon, C. (2021). Cognitive Behavioral Therapy for the Eating Disorders. Annual Review of Clinical Psychology, 17, 417–438. https://doi.org/10.1146/annurev-clinpsy-081219-110907 Atwood, M. E., & Friedman, A. (2020) - The 'Secondary' of the 'Secondary' of the 'Secondary' of the