Sample Case Conceptualization

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Case Conceptualization Jennifer presents herself as an independent and selfless individual. She reported “always going out of my way to help others, even if it puts my plans on hold.” However, the client has issues dealing with the struggle between herself, others, and the world around her. As interpersonal relationships and emotion regulation problems plague her time, she is still having difficulties understanding and coping with her past trauma. According to Barnicot and Priebe, borderline personality disorder is associated with a high prevalence of childhood trauma, especially trauma relating to abuse and neglect (2013). The client’s past abuse and neglect from her parents have carried with her throughout her life and through her …show more content…
Her thoughts about being abandoned lead to problematic behaviors to keep men she trusts around and the cycle of violence and abandonment has developed symptoms associated with posttraumatic stress disorder and a diminished self-worth. According to Harned, Tkachuck, and Youngberg, borderline personality disorder and posttraumatic stress disorder are commonly co-morbid disorders with rates up to 58% (2013). Knowing this, I must be willing to address difficult, often taboo, issues surrounding the trauma, interpersonal violence, and provide the care and support for the client to heal (Goldsmith, Barlow, & Freyd, 2004). The client’s progress in treatment can be stymied with her dual diagnosis. The client’s problem sleeping without disturbance or nightmares can effect emotion regulation and stress management (Shelby, 2013). Poor sleep can lead to higher levels of functional impairment and treating the sleeping problems may enhance treatment by improving emotion regulation and implementation of therapeutic skills. Through a psychiatric evaluation and reestablishing a new bed routine, the client had improved in her sleeping
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