Sperry & Sperry define the art of discerning a client’s story to guide a treatment process as a case
conceptualization. A case conceptualization “functions like a ‘bridge’ to connect assessments
and treatments with clinical outcomes” (2012, p. 3). This structure entails four main components,
or sections, which include a diagnostic, clinical, cultural and treatment formulation (Sperry &
Sperry, 2012). The case conceptualization to follow will guide the reader through a cognitive
behavioural therapy (CBT) case conceptualization for an out-patient client named Laurel. This
case conceptualization reviews the assessments, treatment plan, and outcomes for the client.
There is a review of ethics and possibilities for future practice.
Laurel Smith is a 22-year-old Caucasian female. Laurel visited her university counselling
services for support with sadness and anxious thoughts. Laurel’s family moved her back home,
and she paused her university courses. Both Laurel’s parents spoke with her to increase her
support and encouraged her to move home. Laurel has increasingly self-isolated and has an
increased sense of worry and panic at the thought of activities or interactions outside of the
family home. Laurel began counselling services on 24 June 2020.
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