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500 words case study on GAD using GAD protocol.
Introduction: This brief case study outlines the treatment of Generalised Anxiety Disorder (GAD) using a low intensity GAD protocol and a five Areas assessment model.
The five areas Cognitive Behavioural Assessment model: The five areas assessment model (Williams 2001a) has been developed as part of an NHS commission to provide a jargon free and accessible model of CBT for use in busy clinical settings. The approach has been found to be acceptable to a wide range of health care practitioners and their patients (Williams & Whitfield, 2001). The model provides a clear structure of range of problems and difficulties within five domains which include, life situation, altered thinking, altered feelings, altered physical feelings and altered behaviour activity levels. The five domains are interdependent and show what individuals thinks about the situation affects how the feel emotionally and physically and also what they do. The model provides a clear structure to help identify clear clinical targets for change.
GAD Protocol: The GAD protocol is based on the cognitive model of generalized anxiety by Dugas (2004). This model examines the intolerance of uncertainty, positive beliefs about worry, negative problem orientation and cognitive avoidance. The treatment is aimed at creating a greater tolerance for uncertainty; re-evaluate the usefulness of worry, problem solving training and imaginal exposure. The GAD protocol is divided into four 40 minutes long session delivered both over the phone and face to face.
The Client and the referral: A 68 year old male (Jack) referred by her GP to Primary Care Psychology for help managing anxiety.
Presenting problem: Pt reports suffering from generalised anxiety. Worrying all the time, it takes him ages to make a phone call and arrange to see friends, wake up worrying about minor silly things, like worry about my family, wife, simple things like buying stamps.
Background
Introduction: This brief case study outlines the treatment of Generalised Anxiety Disorder (GAD) using a low intensity GAD protocol and a five Areas assessment model.
The five areas Cognitive Behavioural Assessment model: The five areas assessment model (Williams 2001a) has been developed as part of an NHS commission to provide a jargon free and accessible model of CBT for use in busy clinical settings. The approach has been found to be acceptable to a wide range of health care practitioners and their patients (Williams & Whitfield, 2001). The model provides a clear structure of range of problems and difficulties within five domains which include, life situation, altered thinking, altered feelings, altered physical feelings and altered behaviour activity levels. The five domains are interdependent and show what individuals thinks about the situation affects how the feel emotionally and physically and also what they do. The model provides a clear structure to help identify clear clinical targets for change.
GAD Protocol: The GAD protocol is based on the cognitive model of generalized anxiety by Dugas (2004). This model examines the intolerance of uncertainty, positive beliefs about worry, negative problem orientation and cognitive avoidance. The treatment is aimed at creating a greater tolerance for uncertainty; re-evaluate the usefulness of worry, problem solving training and imaginal exposure. The GAD protocol is divided into four 40 minutes long session delivered both over the phone and face to face.
The Client and the referral: A 68 year old male (Jack) referred by her GP to Primary Care Psychology for help managing anxiety.
Presenting problem: Pt reports suffering from generalised anxiety. Worrying all the time, it takes him ages to make a phone call and arrange to see friends, wake up worrying about minor silly things, like worry about my family, wife, simple things like buying stamps.
Background