Analyze the case of Michael and explain how you would approach treatment
please look at the attached paper/outline. if you have any question let me know. use at least 4 of these therioes (e.g., Rational-emotive, IPT, CBT, BA, ACT, schema-focused therapy) in the same attachment their is the case of Micheal please read it carefully
For this assignment:
please analyze the case of Michael and explain how you would approach treatment—using concrete illustrations with description using at least Four (4) of the therapy theories
(e.g., Rational-emotive, IPT, CBT, BA, ACT, schema-focused therapy). Address how you would integrate the approaches in addressing the client’s problems.
The length of the assignment should be 8 pages plus bibliography; the paper should be double spaced APA style. Please follow the APA guidelines when citing your sources.
The Case of Michael:
Michael is a 55 year-old carpenter and divorced father of one. He has been feeling down for several months and was referred for therapy by his family physician, who he has known for over ten years.
The first appointment involved a complete diagnostic work-up including a structured diagnostic interview (the Structured Clinical Interview for DSM-IV-TR), Clinician Version; First et al. 2000); open-ended questioning about Michael’s reasons for seeking therapy; assessment of his high risk factors (e.g. Michael’s past and present thoughts about suicide); self-report scales including the Beck Depression Inventory (A.T. Beck et al. 1961), and the Beck Hopelessness Scale (A.T. Beck et al. 1974); and take-home questionnaires in which Michael wrote about his current life situation, personal history, and goals for therapy.
As a result Michael was given the following provisional DSM-5 diagnosis:
F33.1: Major depressive disorder, recurrent, moderate severity
F40.10: Social Anxiety Disorder (Social Phobia) (mild)
Avoidant Personality features
I51.9: Early signs of chronic pulmonary disease (heavy smoker)
Psychosocial and contextual factors: moderate life stressors, including:
Z56.3: Overwork and stress in his job as a carpenter
Z59.9: Financial difficulties due to the on and off nature of his job; financially irresponsible ex-wife, college expenses for his son,
Z60.4: Social isolation and loneliness.
Michael’s symptoms included sad mood, anhedonia, low energy, feelings of guilt and a sense of worthlessness, hopelessness about the future, loneliness, and early morning awakening. Michael reported that he was generally uncomfortable in social situations and spent most of his free time alone. He had few friends and few social contacts outside of visits with his son.
Michael did not acknowledge suicidal ideation but reported that there were two times in the distant past when he seriously contemplated suicide: once when he was in high school and broke up with his girlfriend and the second time was when he learned that his wife had several affairs during their marriage. He reported suicidal feelings only during these times; he had no plan and no previous actual suicidal attempts.
His social history indicated that he was raised in a household where his father ruled with an “iron hand.” He had two older sisters whom he was not close to; however, he reported that he was emotionally close to his mother. His relationship with his father was characterized as emotionally distant and he described himself as quiet and shy.
In high school he was in love with a young woman whom he wanted to marry. They spent a great deal of time together “as friends;” they were not sexually involved but had a two year relationship. During their senior year, the young woman broke off the relationship stating that since they were both leaving for college, it would be too difficult to continue. Michael stated that he was blind-sided by this and felt crushed. His chief reaction was to chide himself for “being so stupid.” He was unable to eat or go to class. He went to the student counseling center where he was determined to be depressed with suicidal ideation and was subsequently hospitalized. He missed all of his final exams. Upon discharge, he did not go to college as planned, and instead went to trade school and became a carpenter. He remained socially isolated until age 30 when he met Gayle, who was socially outgoing and aggressively pursued him. Years later, he learned that his wife had a propensity for infidelity. He suffered silently during the marriage until he learned of his wife’s affair with the next door neighbor, whom he considered a fairly close friend. At this point, he opted to end the marriage, although in keeping with his mild-mannered, nonassertive approach to life, he pursued a “no-fault” divorce. He shared custody of his son with his wife, although his son eventually came to live with him.
For the next few years he functioned reasonably well, being a competent and loving father to his son. Nevertheless, his existence was fairly lonely and melancholy. Suddenly, he fell in love with a woman named Sarah whom he met at a concert in Central Park. He asked her out several times, but never tried to kiss her or hold her hand. Sarah surmised that his romantic interest was much greater than her own and she withdrew contact. When he continued to call, she acknowledged that she could only be his friend and that the relationship would never be anything more. Just as before, Michael felt despondent and self-reproachful, declaring to himself that he must be undeserving of a real, mutual relationship with a woman. His depressive symptoms worsened. After several sleepless weeks and inability to eat, he contacted his family physician who referred him for treatment.