Clinical Vignette Lindsey is a 27-year-old transgender female client who contacted your practice looking for an assessment due to difficulties with social interactions and staying focused at work and home. She is hoping to better understand herself, receive a diagnosis (if applicable), and receive support and recommendations. During your initial contact with her through a […]
Some readers may prefer to read this article in PDF format, available on the Pragmatic Case Studies in Psychotherapy website. EDITOR’S NOTE 1: This case study (without a formal Guiding Conception and related sections) was originally written for Henriques’ Psychology Today blog to reach a large, lay audience (see https://www.psychologytoday.com/us/blog/theory-knowledge/201706/maggies-story-the-many-reasons-why-not); and the assessment and course of therapy […]
Clinical Vignettes Samira: Irritability, Emotion Regulation, and Bonding Samira is a 35-year-old, married, cisgender, first generation Indian American woman. She initiated treatment in the third trimester of pregnancy for mild depression and anxiety. In her first few days postpartum (i.e., following delivery), her symptoms of anhedonia, avolition, insomnia, and excessive guilt worsened, and she struggled […]
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 “James”[1] is a 20-year-old cisgender (he/him/his pronouns), bisexual, Black young man living and attending college in a northeastern metropolitan area of the United States (US). James’ family moved to the US from the Caribbean when he was a toddler. His family raised him in a working-class community not far from the college he […]
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, […]
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 “Chris” is shown in Appendix 1. IRADA YUNUSOVA a,b,c d a Adult Outpatient Psychiatry Department, Montefiore Medical Center, The Bronx, NY […]
Clinical Vignette Dr. Smith identifies as a 36-year-old cisgender woman (she/her/hers) who works as a full-time, un-tenured, assistant professor and neurologist at a large academic center. She has a large clinical practice with limited grant funding for clinical research. She is a mom to a young son Max. Recently she started her current professional staff […]
Clinical Vignettes Jasper Jasper (they/them/theirs) is a 17-year-old, Mexican American, pansexual, transmasculine person. As a health service psychologist, Jasper was referred to you for depressive symptoms. You have been conducting weekly therapy sessions with them for the past six weeks. In their most recent session, Jasper tells you a story about a visit to the […]