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 […]
Clinical Case: Josephine Josephine is a 16-year-old cisgender female who was admitted to a local pediatric medical hospital after fainting at school. There, she was triaged and met with an interdisciplinary eating disorder (ED) team of physicians, a dietitian, and a psychologist. Josephine’s medical work-up indicated that she had bradycardia (with a heartrate in the […]
Clinical Vignette Carlos, a 39-year-old IT systems analyst with no psychiatric history, was referred for mental health assessment by his PCP during the COVID-19 pandemic due to complaints of anxiety, poor focus, trouble staying on task, and increased difficulty in keeping up with his workload. His PCP was contemplating initiating antidepressant treatment, concerned that the […]
Clinical Vignette Ms. H is a 55-year-old partnered, able-bodied, Latina cisgender female with a past medical history remarkable for atrial fibrillation (Afib), three-vessel coronary heart disease (CHD), Type 2 diabetes mellitus, and chronic kidney disease (stage 3). Her cardiac treatment is remarkable for placement of an implantable cardioverter defibrillator (ICD) five years ago and medication […]
Written by Terry Bardagjy on January 12, 2023
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 […]
Clinical Vignette Ms. P was a 40-year-old single Jewish woman who was referred to a psychologist embedded in a breast cancer program by her surgical team. Her surgeon identified her to be very anxious during their first appointment, which she attended alone, stating that she did not have many supportive people in her life. She […]
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 […]
Introduction When the Supreme Court of the United States opened its Term in October 2021, the focus was overwhelmingly on COVID. The Court was back in its courtroom for the first time since March 2020. The Court had agreed to hear two major COVID testing cases. In the Shadow Docket (explained in the Notes),[1] the […]
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 […]