Clinical case conceptualisation and in-depth review of one case study

Clinical case conceptualisation and in-depth review of one case study

Order Description

This clinical case conceptualisation task has been designed to assess your skills in conducting an in-depth review of one case study USING *BEHAVIOUR THERAPY APPROACH*

to address the key client issues. Must use subheadings relevant to the procedure below

a) Specify the information-gathering activities and counselling skills you would use in familiarising yourself with the client in the first intake session;

b) Identify and generate concrete descriptions of any problem behaviours exhibited by the client;

c) Explain the origins of the identified problem behaviours and the factors which appear to be maintaining those problems;

d) Create a clear plan for how each therapeutic approach would be applied in sessions 2, 3 and 4 of the counselling process.

This plan should explain the purpose and goals of the two approaches plus show how the techniques can be applied to assist the client.


McLeod, J. (2009). An introduction to counselling. Maidenhead: Open University Press.

McLeod, J., & McLeod, J. (2011). Counselling skills. Maidenhead: Open University Press.


Jonathan is 21 years old and has been a student in medicine for the past 3 years. Jonathan has come to see you in your private practice due to difficulties he has been

experiencing in his life for several months.

During the session, Jonathan expresses that he is enjoying his studies less than when he began them and often feels that he is “not cut out for the job”.

When questioned by you, he states: “I just feel that I might not be able to work as a doctor, I still have some interest in my studies but I am not sure whether I want

to make medicine my career”.

Jonathan’s parents are very supportive of his life choices in general even though he believes that they might not be as understanding if he decided to change career


Jonathan’s father used to be a renowned surgeon and studied at the same university as Jonathan. His older brother is a resident in neurology in Princess Alexandra

Hospital in Brisbane.

About three months ago, Jonathan started to question whether or not medicine was the appropriate field for him. To begin with, he told himself that it was a family

tradition and that he was probably well suited to the field despite his reservations.

More recently, he has begun to look at some other degree options and attended a meeting with an academic advisor to discuss a potential reorientation. Jonathan says

that he is “very worried that his family will cut him off” if he changes career path, and that he feels “on edge and cannot concentrate on his current studies as well

as before”.

His emotional distress has been exacerbated by Jonathan “just passing” all his subjects in the previous semester due to the stress and indecision he has been

struggling with over the past few months.

Jonathan confides that he has not told his parents about his exam results as they would be very disappointed in his poor performance and this would lead to arguments

and questions about his work ethic.

Jonathan looks unhappy in the session with you, he finds it difficult to make eye-contact, and looks defeated. In your observations of Jonathan, you note that he is

often teary, bites his nails and struggles to answer your questions clearly.

Jonathan reveals to you that over the past two months he has stopped communicating with his parents. He informs you that his parents have tried to contact him on

several occasions, but that he has refused to respond as he is scared of talking with them about his concerns. Each time Jonathan gets a phone call or an email from

his parents, he feels extremely anxious and he deletes the message without even reading or listening to it.

Jonathan explains that he feels guilty about avoiding his parents, but at the same time, he does not want to have a confrontation with them about how he is feeling,

his academic failure, and his desire to leave medicine.


McLeod, J. (2009). An introduction to counselling. Maidenhead: Open University Press.

McLeod, J., & McLeod, J. (2011). Counselling skills. Maidenhead: Open University Press.


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