Gretel, a 10-year-old girl, has behavioral problems like yelling, arguing, and threatening suicide. She experienced neglect from her birth mother and stepmother. Her treatment plan involves cognitive behavioral therapy to address her depression, harmful thoughts, and family issues stemming from her mother's death. Therapeutic interventions include psychoeducation, cognitive restructuring, behavioral experiments, and thought journals to build coping skills and improve her mood, relationships, and self-esteem. Progress will be measured by assessments of her depression and thoughts as well as improved family dynamics and peer relationships.

1. Case Presentation Treatment Plan (CP-TP) FOR GRETEL
STEVEN
School of Behavioral Sciences …University

2. Case Presentation Treatment Plan (CP-TP) for GRATEL
Introduction
Gretel Gerstenhagen, a 10-year-old Austrian girl who attends the Gingerbread Learning
Academy and lives at home with her fraternal twin Hansel, her father, and her stepmother
following the untimely death of their biological mother who abandoned them a day before their
third birthday, is the subject of the case. Their mother was bedridden throughout her pregnancy
and ill for the first two years of the children's lives; they were only permitted to visit their mother
at her bedside for brief periods. Their father was a skilled carpenter who traveled frequently in
response to the demand for housing across the region.
After their mother passed away, their father hired a ua who mistreated them and withheld
parental love, leading to their development of various illnesses and physical deformities as a
result of poor parenting. After learning about the mistreatment, he fired the au and decided to
move from Australia to the United States, where he was able to remarry despite the wife's dislike
for the children.
After moving, they enrolled in the Gingerbread Learning Academy, where Gretel and Hansel
were enrolled in the third grade. Unfortunately, Gretel soon developed unseemly behaviors, such
as being irate and argumentative at home, in class, and in the Gingerbread Afterschool Program
when she felt insulted. She incorrectly blamed her brother when home duties like cleaning the
playroom went undone; at school, she accused peers of being responsible for mishaps on the
playground. She began to rage at her stepmother at home, grumble under her breath at her
teacher in class, purposefully leave her seat when the class was supposed to remain silent. And
the teacher made the decision to ask the father to discipline the children or transfer them to a new
school. Sadly, Gretel poses a threat of killing herself.
Problems
a problem or circumstance that is deemed undesirable or harmful and that must be resolved
1. behavioral problems
 yelled at her stepmother at home
 loudly angry at perceived insults
 argumentative at home
 wrongly blamed her brother
 blamed classmates for incidents on the playground
 Stealing
 muttered under her breath at her classroom teacher

3.  being out of her seat during classroom quiet time
 Threat to kill her self
2.Descriptive-Diagnostic Approach
 juvenile diabetes
 short fuse
 a rosy-cheeked
 blue-eyed girl
 curly blond hair
3.parent-child relational problem
 harsh discipline
 diminished mother-child relationships, and single parenting
 loss of privileges
 low self-esteem
 Sadness
 Weariness
 avoidance and neglect
 Hunger
 anxiety
 helplessness
 Major depressive disorder, family disruption brought on by the death of the mother,
intense conflict, an affair, joint custody, and being the target of (perceived) unfair
prejudice and persecution (provisional) are all conditions that could be present.
Goals for Change
The purpose of change management goals is to offer a strategy for assisting individuals who
will be impacted by the change. By doing so, they will be able to gather the necessary assistance,

4. deal with any change resistance, and acquire the knowledge and skills needed for the change's
implementation.
1. Being aware of the links between cognitive biases, unhelpful fundamental beliefs, and serious
depression (CBT).
• Lessen and maybe eliminate negative thoughts about oneself and other people that are habitual.
• Encourage more people to participate in non-depressive activities to reduce avoidance
behaviors.
• To reduce conflict and depression symptoms, strengthen the family system's realistic relational
schemas..
2. A parent's death causes a family disruption
• Recognizing how losing a parent affects how you see the world, other people, and yourself.
• Get rid of the false basic notions related to parental death guilt.
• Reduce family dysfunction to lessen its detrimental effects on the client's parent-child
connection.
3. The imagined target of negative prejudice and persecution (provisional)
• Recognize the potential impact of discrimination on one's unfavorable perceptions of oneself,
others, and the world.
 Dispel faculty basic beliefs related to discrimination and persecution.
Increase resiliency to cope with perceived discrimination.
Therapeutic Interventions
Different therapeutic interventions can be used in different contexts and take on different shapes.
The phrase refers to behaviors or procedures that enhance another person's psychological, social,
or emotional wellness in the context of psychology.

5. Significant depressive disorder
 The counselor will educate clients on the relationship between mood and avoidance
behaviors, harmful self-talk, and actions.
 Psycho-education on appropriate behavior will be provided by the therapist.
 The client will be aware of and take part in behaviors that support good manners.
 The client will review the "treatment notes" that were kept for each session between
sessions.
 During the counseling session, the client will identify her harmful assumptions,
inadequate coping strategies, and unhelpful fundamental beliefs using the cognitive
conceptualization diagram.
 Using the pleasure/mastery scale, the client will identify adaptive behaviors during
the session.
 To resist negative automatic thoughts related to fundamental beliefs, the client will
keep coping cards and a weekly thought log.
 To rewire their core beliefs, the client will use behavioral trials. The client will
arrange self-care, exercise, and social outings on a weekly basis.
 The client will get in touch with the counselor once per week to report on the results
of the tasks they were given for that week.
 The client will recognize and take steps to avoid relapsing.
 As needed, the counselor will offer booster sessions to help clients avoid relapse
and recover from it.
2. Demise of a parent causes family disruption
 The therapist will offer psycho-education around parent loss.
 The counselor will provide teens with Bibliotherapy, The Orphan Help Book.
 The client will use a thought journal to engage in cognitive restructuring of "guilt."
 Using Socratic inquiry, the client will process their sorrow and the loss of their family
system.
 To help the client cope with the loss of a parent, the counselor may suggest family
counseling.

6.  The therapist will suggest grief "teen" group therapy to the client.
3. being the target of persecution and unfavorable prejudice (provisional)
 Therapist will educate client on psychologically on the CBT triad (emotions, thoughts,
and behaviors) in relation to perceived prejudice.
 To help the client comprehend the causes, behaviors, and effects of perceived
discriminatory occurrences, the counselor will cognitively conceptualize them.
 Through the use of Socratic questions, the counselor will work with the client to uncover
"normative" prejudiced perceptions that lead to the solutions to problems.
 The counselor will use Socratic inquiries to assist the client recognize unhelpful
underlying beliefs and automatic thought patterns about themselves, other people, and
the world.
 Using a thought record, the counselor and client will work to cognitively restructure
unhelpful thoughts and basic beliefs as necessary.
 The client will employ behavioral experiments to rewire their core beliefs and unhelpful
thoughts.
 The counselor will conduct activities that promote mastery and pleasure as well as
psycho-education on how to tolerate distress.
 The client will recognize and use techniques for coping with discomfort.
Outcome Measures of Change
 Clients report less unhelpful ideas and actions, as well as more enjoyable and
skill-building activities.
 Beck Depression II pre- and post-test results.
 The counselor's observation of indicators of improved mood, symptom
reduction, and talk about changing default thoughts, presumptions, and basic
beliefs.

7.  Client reports that family disruption has decreased.
 Clients experience greater parental love and care as well as enhanced sibling and
classmate relationships.
 Customers report feeling more valued.
 Clients report feeling more distress with perceived unfair discrimination.

8. References
1. Beck, J. (n.d.). Essentials of CBT: The Beck approach. Course Manual. Beck Institute.
2. Murdock, H. L. (2017). Theories of counseling and psychotherapy: A case approach (4th
ed.). Pearson.
3. Rubin, A. M., & Switzer, L. C. (2015). Diagnosis & treatment planning skills: A popular
culture casebook approach (2nd
edition). Sage.
4. Hansel and Gretel’s Gretel