Case Conceptualization

Powerful Essays
Rational Emotive Behavioral Therapy
Case Conceptualization of Michael
Noelle Pauling
Liberty University

Abstract
This is a case conceptualization of a client referred to a Residential Treatment Facility by Family Court for treatment and evaluation of intellectual, academic, and behavioral performance. The client presents with several issues. In the client interview, the counselor hypothesizes that client has difficulty with anger, aggression, and low frustration tolerance. The client’s current behaviors are affecting his home and educational environments. The client’s early experiences will be explored only as it relates to current behavior and beliefs. During the therapeutic process, the client and the counselor will explore his inability to respond appropriately when frustrations occur. Exploration would include disputing irrational thoughts and beliefs, and exercising more appropriate positive replacement behaviors. This case conceptualization will create a hypothesis of the client’s aggressive behavior. Using Rational Emotive Behavior Therapy framework, the counselor will explore the client’s issues and create a treatment plan with goals that pertain to the client’s presenting issues. This conceptualization will also include support that will show the benefits the client should gain with application of this theory.

Rational Emotive Behavior Therapy Case Conceptualization of Michael Michael is a 14-year-old African American male. He has been referred to a Residential Treatment Facility (RTF) for an evaluation of intellectual, academic, and behavioral assessment. While in the treatment facility, Michael must undergo therapy to address his presenting problems. Michael presents himself as a very well dressed and engaged young man. Despite the fact that he is court-ordered to be in a treatment facility for an undetermined length of time, he was cooperative during the interview. During the interview, the counselor speaks with Michael and



References: Banks, T., & Zionts, P. (2009). REBT Used with Children and Adolescents who have Emotional and Behavioral Disorders in Educational Settings: A Review of the Literature. Journal of Rational Emotive Cognitive-Behavior Therapy , 51-65. Bernard, M. E., & Diguiseppe, R. (2006). REBT assesstment and treatment with children. Rational Emotive Behaviors approaches to childhood disorders, theory, and practice , 85-113. Fives, C. J., Kong, G., Fuller, J. R., & DiGuiseppe, R. (2010). Anger, Aggression, and Irrational Beliefs in Adolescents. Cognitive Theory Research , 199-208. Harrington, ,. N. (2007). Frustration intolerance as a multidimentional concept. Journal of Rational-Emotive & Cognitive-Behavior Therapy , 191-211. Levinson, M. (2006). Anger management and violence prevention: A holistic solution. et Cetera 187-199. Minor, J. (2007). Why I use REBT in my private practice and personal life. et Cetera , 320-323. Murdock, N. (2009). Theories of Counseling and Psychotherapy. Upper Saddle River, NJ: Pearson. Shanahan, S., Jones, J., & Thomas-Peter, B. (2010). Are you looking at me, or am I? Anger, aggression, shame and self-worth in violent individuals. Journal of Rational Emotive Cognitive Behavior Therapy , 77-91.

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