Counselling (case conceptualisation and treatment plan)
The assignment involves identifying how to assess a client, constructing a formulation for that client, and identifying treatment goals and a CBT treatment plan for the client. It also involves considering how ACT could be used to construct a formulation for the client, and what interventions would be most helpful to the client.Please apply yourself to the following tasks, using your chosen case vignette as if your client. Please have a cover page for your assignment. Details regarding the formatting of this page and other aspects of the assignment are provided further below. After your cover page, the assignment should have the following labelled sections and content.1. Assessment State what further information you think is important to obtain in order to construct a sound and helpful CBT formulation for the client, and indicate how you would obtain that information. Justify your planned assessments or methods of conducting them, using references as needed or useful. Guidelines · This should be written like a traditional assignment (i.e., complete sentences with appropriate use of paragraphs). This excludes the use of dot points. 2. Case formulation Present a CBT formulation that you have developed for your client. This should include all ‘elements’ or ‘facets’ of a formulation. This formulation should be based on the information provided to you in the vignette, plus information you might have got from the client if you had conducted the assessment described in section 1. You do not need to provide a sub-section where you report on the information you ‘obtained’ from your client. Instead, this information should just be incorporated into your formulation. (Note: the information you ‘obtained’ from your client should not contradict or be in-consistent with information in the case vignette.) Guidelines · Your formulation can be given in whatever format you choose – for example, text only, or a mix of diagrams and associated text. Note: this differs from assignment 1 which required you to provide mix of one or more diagrams and associated text; this time you may choose to present it anyway you wish. Nonetheless, you will probably find a mix of diagrams and text to be the most suitable. · Text which is not part of a diagram should be written like a traditional assignment (i.e., complete sentences with appropriate use of paragraphs). · If you do use diagrams, they will naturally contain labels/headings and some other text, but this should be limited. Text within or part of diagrams are not included in the word count. Excessive text within a diagram will be penalised. Remember that diagrams are primarily meant to be visual aids. 3. Goals and treatment plan (a) State possible CBT treatment goals that you might establish with your client. (b) Set out a CBT treatment plan for the client. Justify/provide support for your plan throughout (which will include – but not be limited to – the use of references). · Although your second reading for Week 8 (Ledley, Marx, & Heimberg, 2010) gives an example of a treatment plan on a session-by-session basis, please do not present your treatment plan in this manner (i.e., having particular goals or tasks tied to particular session numbers). · Your treatment plan shouldn’t have tasks linked to session numbers because counselling practice does not usually follow a rigid timetable for what should be accomplished in which session. In fact, such an approach may be un-ethical or at least constitute poor practice since it does not allow for the flexibility that is often required as new information comes to hand, or events occur in a client’s life. · Instead, just present your treatment plan (and goals) as what you would ideally like to do and accomplish over the course of your counselling sessions with your client. Work on the assumption that the counselling sessions continue until reaching a natural ending point. Although counselling in practice generally involves some constraints in terms of the number of sessions, we want to see that you are able to construct a plan that may be able to be carried out in its entirety. · Although your plan ought not to be tied to session numbers as explained before, present your plan in terms of the general order/sequence you would follow over the course of your counselling sessions. Guidelines · You are encouraged to present this section in whatever format you consider most appropriate. You might elect to use any one or more of the following: a table, dot points, or traditional text (sentences). If using dot points, make sure that your meaning remains clear. 4. Alternative formulation and intervention (a) With the assistance of references, explain how ACT would conceptualise the client’s problems. You should focus not so much on the nature of the client’s problems (i.e., describing them), but how/why the client is having them (explaining them). It will, however, be necessary at times for your formulation to have a descriptive component in the course of providing the explanatory component. Use references as needed to assist you. (b) Describe specific ACT interventions that you think would be most helpful to help your client, and explain how they might be applied to your client. Use references to make a case for your choices. You do not need to provide a formal intervention plan here; rather, this section should be written more like a discussion. Guidelines · Sub-section (a) should be formatted as for section 2. · Sub-section (b) should be written like a traditional assignment (i.e., complete sentences with appropriate use of paragraphs). This excludcpres the use of dot points.