Clinical Vignette Regina is a 19-year-old White, cisgender female college student. She struggles to make new friends, rarely initiating friendships. She often declines social events from existing friendships due to social anxiety, using academics as “an acceptable excuse when I’m not feeling social.” She describes her current friends as “thrust upon her” through chance. She […]
Clinical Vignette Dillon (pronouns They/Them) is an early career psychologist who, after completing post-doctoral training, started a clinical faculty position in the same department of family and geriatric medicine with a residency training program. Dillon works primarily (2.5 days/week) in the family medicine clinic as a leader on the Behavioral Health Team in an integrated […]
Clinical Vignette Alex (he/him) is a 40-year-old cisgender, straight, Hispanic male who was referred for intensive outpatient psychotherapy twice per week to address substance use, anxiety, and anger management. He is divorced with two young children from whom he receives weekly visitations and his support system includes his mother and children. He recently participated in, […]
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 “Gina” is a 41-year-old woman who was referred to you, a health service psychologist, by her Physician Assistant to address what seemed to be Posttraumatic Stress Disorder (PTSD) symptoms related to her significant childhood trauma history. Gina’s presenting concerns are trauma-related symptoms that include relationship distress, feelings of loneliness, chronic depression, suicidal ideation, […]
Clinical Vignette Liz and Phil, a married couple in their mid-thirties, present to you for treatment of relationship distress. Liz reaches out to make the initial appointment, and reports that they have been struggling lately and need to work on their communication. They have been married for 8 years and have two children, ages 6 […]
Clinical Vignette Jane is an early career clinical psychologist at an academic medical center, where she primarily provides therapy to patients with trauma and depression at a busy adult outpatient clinic. She provides many back-to-back therapy sessions every day. After six months at her new job, the pandemic hit and the clinic transitioned to a […]
Clinical Vignette Jada, who identifies as a Black 28-year-old female, was self-referred to treatment after attending a webinar on compassion fatigue she found while browsing a local trauma conference. Jada is a sixth-year graduate-student clinician enrolled in a PhD program in clinical psychology. In her current full-time internship placement, she is providing services to veterans […]
Introduction Of the many societal changes resulting from the COVID-19 pandemic, the shift to distance provision of healthcare services, including psychological services, has been among the most profound. In general, the provision of any kind of care via telehealth increased from less than 1% in 2018 to over 16% in April 2020, with demand for […]
Abstract You have been practicing via telepsychology means for the last 11 months. You made a practice announcement a couple months ago that you would begin seeing vaccinated patients about a month after you yourself are vaccinated. It is time to begin discussing with your patients the option of returning to in-person, office-based care. You […]