Example of development of case conceptualization from sperry

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Reference no: EM133681356

Assignment:

Jonah is a 35-year-old cis gender, gay man who lives with his partner, Stephen, in Ottawa, Canada. Jonah and Stephen met at their place of employment, the National Gallery of Canada. Jonah is a curator, while Stephen is an archivist. Both have advanced degrees and enjoy dinners out and going to cultural events. Both Jonah and Stephen enjoy art and have their own studio in which Jonah paints and Stephen designs sculptures. They have both had showings in smaller galleries around town and have had some success in selling their work. They are considering making this their full-time work but are hesitant to give up the steady paychecks the museum provides. Jonah comes from a large family and is close to his three female siblings and his mother. He came out to his family when he was 15 and they have been supportive and open to his relationships. He laughs and says, "they love Stephen, probably more than they love me!"

His father died 12 months ago from a heart attack and the family went through much turmoil during that time. Jonah was close to his father, and while his father always struggled with his weight and his heart, the attack and death came as a shock to the family. Since his father's death, Jonah has been experiencing a lot of worry - he worries his sister's will get sick or his mother will fall and no one will be there to help her, now that she is on her own. He worries that Stephen will get in an accident on the way to the museum and is often found checking the traffic report numerous times a day when he knows Stephen may be traveling. He worries one of them will be fired and not be able to afford their apartment and will have to get rid of the studio. He admits none of these worries are founded on fact and Stephen often tells him he is being silly.

Jonah tells you that he feels agitated a lot and "on edge." Jonah tells you this is pretty unusual for him; he has always been focused, but this new heightened awareness makes him feel out of control and often tires him out to where he finds he cannot muster up the strength to go out to dinner or walk the dog as he feels too exhausted. He also notes there is "so much danger out there" and it is sometimes easier to stay home. At work, he says that he often "blanks out" and is becoming irritable with others on staff, which is unlike him. He has increased his weekly massages to twice a week, hoping that will help with the muscle tension he now feels all the time, but it is not helping.

Jonah tells you that he enjoys drinking socially, but is not concerned about his intake. He smokes pot on occasion. He finds that neither of these things help with this feeling of doom and has stopped both practices, finding sleep his only comfort but even this alludes him at times. He used to sleep quite well, but now finds he wakes up two or three times a night. Jonah notes he has always been a bit of a worrier, but finds that the level of worry he has now feels debilitating and it is causing some issues in his relationship and at work. Stephen is becoming frustrated with his "needless worry about stuff that is never going to happen" and they often get in disagreements now about staying in or going out. Jonah agrees it is ridiculous, but he can't help but think that something bad is going to happen. Jonah is seeking help to figure out what this is all about so he "can get on with living his life."

From an anxiety standpoint:

1. What would be the counsellor's professional role in establishing the therapeutic relationship?

2. What is an example of the development of a Case Conceptualization from Sperry and Sperry (2020) including concepts such as presentation, precipitant, predisposition, perpetuate, protective?

Reference no: EM133681356

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