TREATMENT PLAN FOR
GENERALIZED ANXIETY DISORDER
Susan is a 35-year-old woman who works as graduate assistant. She searched help for her physical problems: light-headedness, nausea, and difficulty in falling asleep, then was referred for psychotherapy. Her physical state is shaking, sweating, and fidgeting in her chair during the day. Her psychological state is distressed and tense every time, worried about almost everything, and sometimes feared for no apparent reason. She gets distracted and angry easily. She describes that there is many things she should accomplish and complains about being unable to form effective working and personal relationships. She reports that she was always nervous, had much more anxiety in adolescence, and got worse in late adolescence when parents divorce. Also, she recently broke up with her boyfriend and become more worried. My literature review on Generalized Anxiety Disorder (GAD) showed that Cognitive-Behavioral Therapy (CBT) is the most effective technique in the treatment of GAD, therefore I will use CBT in the treatment of Susan. There are some other factors that will affect my treatment plan: patient and problem characteristics. Susan will have psychosocial treatment because her symptoms don’t require medicine. I don’t expect that she resist to the therapy, therefore it can be a therapist-directed therapy. It will be a task focused and a supportive therapy. She will join a short-term individual therapy in outpatient setting. Basic goals of the treatment are to teach her the role of maladaptive thoughts in behavior, recognizing when she engage in maladaptive thoughts, replacing her maladaptive thoughts with more adaptive ones, modifying maladaptive behaviors and getting physically relaxed. In therapy, I should be educative to teach these to her and directive to create a change on her. Since a good therapeutic relationship is a very important part of CBT, I should also be empathetic and supportive to her feelings like...
References: Dugas, M. J., Freeston, M. H., Ladouceur, R., Léger, E., Langlois, F., Provencher, M. D., et al. (2003). Group cognitive–behavioral therapy for generalized anxiety disorder: Treatment outcome and long-term follow-up. Journal of Consulting & Clinical Psychology, 71, 821-824.
Ladouceur, R., Dugas, M. J., Freeston, M. H., Léger, E., Gagnon, F., Thibodeau, N. (2000). Efficacy of a cognitive-behavioral treatment for generalized anxiety disorder: Evaluation in a controlled clinical trial. Journal of Consulting & Clinical Psychology, 68, 957-964.
Siev, J., Chambless, D. L.. (2007). Specificity of treatment effects: Cognitive therapy and relaxation for generalized anxiety and panic disorders. Journal of Consulting & Clinical Psychology, 75, 513-522.
Borkovec, T. D., Newman, M. G., Pincus, A. L., Lytle, R. (2002). A component analysis of cognitive-behavioral therapy for generalized anxiety disorder and the role of interpersonal problems. Journal of Consulting & Clinical Psychology, 70, 288-298.
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