Clinical Vignette At the initial meeting, “Mrs. Lopez,” a 56-year-old, monolingual Spanish-speaking White Latinx divorced woman with three adult children, was living by herself in an underserved community. Mrs. Lopez was born and raised in northern Mexico and moved to the United States as an adult. She was referred for cognitive behavioral therapy (CBT) by […]
As of 2020, Latinx/Hispanic individuals comprised 18.9% of the total U.S. population according to the U.S. Census. Individuals who are Latinx may come from different backgrounds and there is diversity within diversity. Dr. Ortiz will present three acculturation models and four acculturation strategies impacting mental health treatment. She will also present case examples and ethical […]
Research indicates that American Indian and Alaska Native (AI/AN) youth and emerging adults are at the highest risk of suicide in the U.S., in part due to systemic issues including poverty, threats to sovereignty, and inadequate access to mental and behavioral healthcare. Despite an increased need for mental health care services, a majority of psychologists […]
Some readers may prefer to read this article in PDF format, available on the Pragmatic Case Studies in Psychotherapy website. Editor’s Note: for the interested reader, an outline of the structure of the case study of “Keo” is shown in Appendix 1. CASE CONTEXT AND METHOD At the time of this case, I was a professor of […]
Vignette Geeta Patel is a 61-year-old, multilingual, right-handed, married Indian American woman with 14 years of education and a prior medical history of diabetes mellitus-type 2, hypothyroidism, and hypertension who was seen in a University Medical Center Neuropsychology Clinic complaining of gait, balance, speech, and cognition changes following COVID-19 (SARS-CoV-2) infection. Ms. Patel was diagnosed […]
Vignette Jaseli is a 15-year-old, cisgendered, heterosexual Puerto Rican female who uses she/her/hers pronouns. She lives with her mother, father, 10-year-old brother, and 3-year-old sister. They live in a metropolitan neighborhood that is characterized by petty crimes such as theft, but Jaseli reports feeling “safe enough” to walk to school. Jaseli stated her family has […]
Clinical Vignette Wilson is a cisgendered, straight, Black male in his mid-20s who attends a graduate school program in a northeastern metropolitan city. He initially presented to psychotherapy due to a history of depression and anxiety that was at first attributed to the stress of his graduate school education. As treatment progressed, Wilson specified that […]
It is well known that exposure to racism and discrimination are linked to various adverse mental health outcomes. For Black men, toxic masculinity, generational trauma, and mistrust of the healthcare system have been proven to serve as additional barriers that impact therapy retention and outcomes. Dr. Warner will provide culturally responsive, trauma-informed ways to address […]
Clinical Vignette A 40-year-old, right-handed, bilingual Persian/English-speaking Pakistani woman, who we will call Zara, with longstanding epilepsy presented to a neuropsychology clinic in the United States for neuropsychological evaluation as part of her pre-surgical workup for potential left temporal lobe ablation. She completed a presurgical workup three years before in a different English-speaking country but […]
Clinical Vignette Maria (not an actual individual), an 11-year-old female from Honduras, was seen at a psychology clinic in the South Texas-Mexico border. She was referred by a government shelter that houses newly arrived immigrant minors. Maria was an only child, born and raised in an intact family environment in Honduras. She attained a fifth-grade […]