counseling psychology

1. CASE REPORT
(Counseling & Vocational Guidance)
MSC.3rd Semester
Tahreem rafique
Session: 2019 to 2021
Roll No: MPSA_ 15
Department: Applied Psychology
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2. Case Report
Identifying data
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Name A.s
Age 23 years old
Gender male
No. of siblings four
Birth Order last
Education Intermediate
Informant Clients own self

3. cont;
• Presenting complaints
He is feeling Anxiety for futures up coming events ,and depression
about past events , mood swings, sleeplessness fear of death and
temple pain every time and restlessness.
• Behavioral Observation
He is Sweating when talk about problems, felling weird ,and his
attention was attention distracted
• History of present problems
A. S wanted to became a doctor but his academic grades did not match
the criteria.. And his family did not supported him. That s why he
hearted and left the study went to abroad for jobs his timing of duty
changed he was failed to take sleep in one night and continuously
failed many up coming nights.. He started thinking if he did no t take
sleep he will be sick and may be die.
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4. Background information;
• Personal history.
A.s is a 23 years old young boy. He was very intelligent student he want
to become the doctor but because of low marks he could not. He went
to abroad for job but after 2 months he came back to Country .now he
is very up set. He is pampered boy.
• Family history:
A. R father is a business man and mother his house wife.
he has two older brother and one sister. He is last child . Their family is
very religious and environment of home is very pleasant. They live in
city. Their family relationships are very good. A healthy environment is
in his home.
• Educational history.
He did his metric in 2014 and intermediate 2016. After it he left his
study.
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5. Duration Presenting Complaints
• 1st month neend ka na aana. Baar baar mood khraab
hona. Ghusaa aana
• 2nd month neend naa aany ki wjaah sy
bimaar hony ka khof ,bht anxiety .
• 3rd month zindaagi main bht kuch khony ki wjaah
depression . neend ka naa Aana, anxiety for
future, bimaaar hony ka khof .
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6. cont;
• Behavioral Observation
He is not behaving well from last three months. He is
experiencing mood swings. He is not like to communicate with
his family and friend. He does not care of his diet. He quarrel
with his family for minor things. he is not taking part in social
activities. He is showing very aggressive behavior. He is not
giving time to his family.
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7. Psychological assessment plan;
• Informal assessment:
1. Observation
2. Records and personal documents
3. Rating scale and interview
• Formal assessment:
1. Back depression inventory(BDI)
2. Back anxiety inventory (BAI)
3. Regensburg insomnia scale (RIS)
4. The brief mood introspection mood scale(BMIS)
5. Death anxiety scale
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8. Summary of case formulation;
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9. Counseling plan;
• Cognitive behavior therapy;
"Cognitive behavioral therapy is a common type of talk therapy
(psychotherapy). You work with a mental health counselor in a structured
way, attending a limited number of sessions. Cognitive-behavioral
therapy treat a large number of mental health challenges. Some of these
include anxiety and panic disorders, depression, substance abuse,
Borderline Personality Disorder, and eating disorders.
• Relaxation;
Relaxation is a state of low tension in the mind and body. People
frequently use specific procedures, called relaxation techniques, to
become more relaxed.
• Breathing;
Relaxation exercises that focus on slow, deep breathing can help people
calm down if they ’Are experiencing anxiety, stress, or panic. It is very
useful to relax the patient. 9

10. CONT;
• Exercise:
exercise is also considered vital for maintaining mental fitness,
and it can reduce stress. Studies show that it is very effective
at reducing fatigue, improving alertness and concentration,
and at enhancing overall cognitive function
• Antidepressant :
these are the drugs of choice in the treatment of anxiety
disorders, particularly the newer agents, which have a safer
adverse effect profile and higher ease of use than the older
tricyclic antidepressants (TCAs), such as selective serotonin
reuptake inhibitors (SSRIs)
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11. Case summary chart;
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12. Case summary;
A.s is 23 years old young boy who is suffering from sleep issues
anxiety and depression .his self esteem and coping skills are
good . Back depression inventory(BDI), Back anxiety
inventory,(BAI)Regensburg insomnia scale (RIS)The brief mood
introspection mood scale(BMIS,)Death anxiety scale have
used to diagnose the disorders. Relaxation techniques
Exercise , healthy diet , Cognitive behavior therapy ,Anti
depressant medicines ,Life style changes have used to made a
counseling plan. These thing will be help the client to cope up
with the disorder
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13. Test references;
Leyfer, OT; Ruberg, JL; Woodruff-Borden, J (2006). "Examination of the utility of the
Beck Anxiety Inventory and its factors as a screener for anxiety disorders". Journal of
Anxiety Disorders. 20 (4): 444–58. doi:10.1016/j.janxdis.2005.05.004. PMID 16005177.
• Richter, P; J Werner; A Heerlein; A Kraus; H Sauer (1998). "On the validity of the
Beck DepressionInventory.A review". Psychopathology. 31 (3): 160–
8. doi:10.1159/000066239. ISSN 0254-4962. PMID 9636945. Key references:
• Mayer, J. D., & Gaschke, Y. N. (1988). The experience and meta-experience of mood.
• Journal of Personality and Social Psychology, 55, 102-111
• Godet-Cayre V, Pelletier-Fleury N, Le VM, Dinet J, Massuel MA, Leger D: Insomnia and
absenteeism at work. Who pays the cost? Sleep 2006, 29: 179–184. PubMed Google
Scholar
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14. THANKS
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