In the case of Conor who is a 62-year-old British mixed race requirement who has been reporting palpitations, dizziness, and experiencing breath shortness after experiencing proximity to the dentist or barber. Conor uses Zanax and needs to use the dentist tablets including the psychologist. As Conor comes from a working-class background, having a good childhood and being adored by his parents, looking after the children and struggling to meet the daily end, discusses limited in the earlier times. Conor should work on articulating and praising frequently in the progress by being intact and focusing on the discussion on the childhood trauma such as the inappropriate touch by the uncle and lying on the same bed and not discussing with anyone.
The first step is to observe and evaluate the case. Conor seems to be scared and suffers from anxiety, and high palpitation, and faces problems when someone is close to him. He is also seen with sexual abuse history and feels traumatized when someone gets too close to him. The second would be a therapeutic session to ensure a clean observation and focus on the self-conscious approach, which needs an observation along with training the supervisors (Zhukov, 2019). Examining since when Conor started experiencing palpitation, shortness of breath and anxiety when someone is too close and maximum time by which he becomes normal. Conor thoughts and behavior when someone is too close and how he works to overcome his negative thoughts.
Constantly meeting and setting up goals would help to determine how to test Conor's case, what went wrong, and how to provide effective treatment, and management and following the effective plans by identifying the required programs and approaches when treating Conor (Weightman, 2020). Managing his anxiety by understanding how badly Conor is behaviour such as sweating profusely, unable to speak, feeling uncomfortable and how best to distract him, keep him engaged and ways to overcome it.
Identifying behaviour and asking leading questions
As a therapist, the first task is to facilitate an important step through creating smarter approaches, including viewpoints and experiences which Conor suffers from. Interviewing, knowing about the past, and asking the leading question can help to determine what Conor suffered from (Vincent & Norton, 2019). Asking more about the past history, his shortcomings and identifying his behaviour would help to determine what he going through?
Conor case assessment can be determined through past reports, pre-existing records, and considering records (Ahmad, et al., 2021). By identifying records, as the therapist, one could evaluate what Conor is going through and what is trigger point (Geraets, et al., 2019). Asking leading questions, such as how he feels, how he responds and by what he feels normal.
Conor situation can also be evaluated through the self-survey reports, when evaluating the strengths and weaknesses. Issues or triggers and asking question such as if someone is close to him, how he feels , why so and how he tries to manage such situation.
In Conor's case diagnosis happens with the ICD-10 including conditions and requirements. Conor is seen with a traumatic childhood and he gets phobic anxiety as someone gets closer to him. Anxiety is seen in him with the growing palpitation and as someone gets closer he gets nervous and there is a shortness of breath. Conor needs to be evoked in the predominantly and with the well-defined situations or objects that need to be evaluated with the characteristics endured with dread. In this case, Conor has been facing phobic anxiety due to which Conor faces the problem in physiological and behavioral problems along with having the severity of mild unease to terror, therefore Conor symptoms are seen with palpitations or feeling faint, and even could be experiencing dying, losing control, or going mad. Conor anxiety is seen regarding the situation can also be threatening or problematic.
Conor case needs to be evaluated from the problem perspective and determine predispositions, and precipitants by assessing Conor attitudes and beliefs, behaviors coping strategies, and roles (Vincent & Norton, 2019). Conor's requirements follow the psychological formulation and assessing the considering attitudes and beliefs, by determining his trigger points and what can be done to minimize the issues (Weightman, 2020).
Conor case needs to be evaluated with modalities in the therapeutic session for pain relief, modulation, reduction the inflammation, and improve circulation and the healing process (Roberge, et al., 2022). Therapeutic modalities follow the physiotherapy required in the decades in the Conor case exercise, manual techniques, educating him, and supporting in the modalities (James, et al., 2020).
Magnetic therapy is the type of therapy that would make the body exposed and follow a particular form of energy in the frequency magnetic field by following the weak electrical and work in different forms. By including magnetic therapy and following the electrical current that can be produced in the required cellular permeability and ability to reduce swelling, Conor can work with the individual to regulate painful stimuli and reduce pain, improve blood circulation, and prompt muscle relaxations. In Conner's case, his history not only provides a leading susceptibility that requires problems but also identifies the perpetuating factors that need to be maintained in establishing itself.
In the view of the psychodynamic view along with the humanistic views, it requires the complete requirements of opposes, in the significant contributions and following the platforms in approaching the perspectives differently. Perpetuating factors include distress before work in the medical procedures that would anticipate the distress and work on the medical requirements, and follow fear or anxiety during the procedure (Ahmad, et al., 2021). Anticipatory distress in the Conor case should be evaluated on the self-report measures, distress and include the developmentally appropriate and involve in the measures to follow the specific and anxiety in the fear requirements (British Psychological Society Division of Counselling Psychology, n.d.). Psychodynamic includes the therapeutic work in the transference and countertransference, and includes the orientation, involving the activity and motivational forces (dynamics) in the mind (psyche), at the same time having the thoughts and therapeutic approaches including psychoanalysis. In the large number of requirements contributing to the broad practice requirements in psychodynamic therapy, following the intensive/’pure’ requirements including the “psychoanalysis”, having the less intensive/'pure', in the many-layered understanding of the client and working in the usual understanding of here or himself (British Psychological Society Division of Counselling Psychology,2005). In Conor's case, more intrapsychic and interpersonal communication can help to provide treatment for neuroses (Burke, Richards & Timulak, 2019). Object relations and integrating the relationship significance in psychodynamic therapy includes the self, others, and therapists and having the active session. The psychodynamic perspective requires abstinence, catharsis, couch analysis, and interpretation of the unconscious conflict, transference & countertransference (Hanley, et al., 2013). Internal conflicts require emotional suffering and providing the requirements of the patients by fulfilling the humanistic views in maintaining the requirements and including unhappiness (James, et al., 2020).
As per the community values of the practice, not only it is the social process of learning but also creates different practices in the common interest. People need to evaluate the different build innovations and extend the period in sharing ideas, including solutions and work on the different innovations (Frederiksen, et al., 2021). Philosophical CoP, All people are unique having unique, including the complex, and cannot be separated by context familial, social, and cultural influences. As everyone requires individual subjective experiences globally, human experiences follow the equally valid, having a relational nature and human beings needs the best abilities. Psychologist and client relationships follow the needs including the rethinking and context of the organization settings, and learning requirements following the community practice includes the organizational settings. The coP follows the UK requirement in austerity by having economic and social depression (Woolfe, 2012, p.73). The definition of CoP (Woolfe,2012) has mentioned the present state of affairs including the professionalism in the power of the professional groups and following to define, and manage the own standards came under the challenge.
Conor therapy should follow and include individual social participation, creating social communities and making them participate in the group of knowledge, within the community practice (Athanasiadou, 2012). The community of practices needs to include the different aspects interconnected in the practices, by including the valuable practices (Ahmad, et al., 2021). Negotiation of learning requires the community practices need effective changes and practices by working in the negotiation following the requirements (Ashley, 2010).
Isolation for Conor would need learning/change requirements and following the opposite abstract formulation requirements in the co-ordinate perspectives and challenging (British Psychological Society Division of Counselling Psychology, n.d.).
Personal intervention in Conor's case needs palpitations, dizziness, and shortness of breath when he is close to the dentist or the barber
Miss out the appointments and face severe dental pain which needs to be treated for the infection problem.
Needs to be treated for the anxiety problem and needs to the tormenting him.
Imaginable exposure:It is the exposure technique that is treated with Conor's past experience of the trauma and includes ways/techniques through which Conor would be treated (Roberge, et al., 2022).
In vivo exposure:In exposure therapy, Conor should be treated by the vivo technique by evaluating real-life situations which can work in different approaches and having day-to-day situations as the way to treat the trauma (Burke, Richards & Timulak, 2019).
Written account:Conor should be evaluated from the perspective of the trauma he has experienced (British Psychological Society Division of Counselling Psychology, n.d.).
Impact statement:CPT technique is the requirement in the explanation and needs to believe in the traumatic event and occur with the impact on life (Ahmad, et al., 2021). Conor's concerns and requirements can detail the impacted life and how there has been a traumatic experience (Cooper, 2021).
Cognitive restructuring strategies:By adopting the CBT techniques not only individual cognitive restructuring strategies can be rectified but also a change in thoughtfulness can help to provide better helpful thoughts (Fogarty, Hevey & McCarthy, 2019).
Due to Conor's tragedy and trauma, he has been experiencing difficulty in facing multiple people, but he is not able to handle multiple things, places, and people (Hanley, 2013). There have been traumatic experiences and functions, but instances involving the undisclosed sexual conduct by his uncle or facing any traumatic experience can make the individual feel uncomfortable. For the person, it would be any traumatic experience and feeling of avoiding any harmful act that can make the person experience a stressful experience (Geraets, et al., 2019).
Conor treatment should include coping skills not only the issues would be maintained but at the same time the problematic beliefs and capabilities treated with confidence and include the coping skills as required and followed with the function (Mayer, 2019).
Adopting trust and building on the disruption can sense safety and create difficulty in the trust of others (James, et al., 2020). Conor belief should include safety to trust anyone and include the past, most people, and choice of the trustworthy in creating a better people chance (Lindegaard, et al., 2020).
Conor challenge is to help him identify the patterns and determine the real individual self (Kasket, 2013). In the case of Conor not only it is important to overcome a traumatic event but also to discuss the experience, memories, and what he has experienced which can also be treated by discussing it. Conor should be made to speak out and discuss the events (Kasket & Gil-Rodriguez, 2011). Conor's case also shows how they're on the bad person, in the good people in evaluating how the bad incident would happen (Lindegaard, et al., 2020).
The Conor problem can be handled in the therapeutic by identifying intensity-related emotions and handling shame and what all are guilt problems (Manafi, 2010).
Conor needs to handle the different aspects and ways how he has been experiencing the trauma and how he can handle the experiences, characteristics, and emotional problems (Mayer, Vanderheiden & Oosthuizen, 2019). Conor's problems are evaluated by the suffering he is facing like the chronic difficulties (palpitation, anxiety, shortness of breath), which can help to handle the blame or verbally when disclosing the different problems (McAteer, 2010). Conor can be therapeutic in how to validate the experiences and how to offer understanding and acceptance in the healing process (Orlans & Van Scoyoc, 2009)
Commitment work- Conor's case can be intervened after evaluating his past history, what he went through and what all his symptoms are. What are his trigger points and how best the person can be handled like recommending him to talk and determining the specific problems or issues (Milton, Craven & Coyle, 2010). As a result of the consistent PTSD symptoms and how the person can evaluate the ongoing trauma beliefs and related benefits can help to overcome any specific problems or issues (Orlans, 2013).
Suicide risk: Conor has been facing ongoing traumatic experiences and an inability to handle things, such as missing out on an appointment with the Dentist as he would be too close makes me sweat profusely and even he has stopped taking sessions. Dialectical Behavior Therapy (DBT) can help to reduce the self-harm inclinations and make him overcome the undergoing trauma treatment (Swanepoel, 2013).
Coping skills: Conor's best remedy is to work on his strength and identify coping skills such as how he can be distracted and minimize getting hurt (Strawbridge & Woolfe, 2010). Conor strength can be on the basis of managing his intense emotions through identifying emotional suppression and behaviors (Rizq, 2005).
Attend to the therapeutic relationship.
The therapeutic relationship can work in assisting the individual in evaluating the therapy in the changes in the or for the life better (Fogarty Hevey & McCarthy, 2019). The relationship can make anything essential, which can make the treatment share thoughts (Vincent & Norton, 2019). In the treatment plans not only it is essential thoughts, having the set beliefs and emotions which can make Conor safe and secure and supported in a safe, open, and nonjudgmental atmosphere that would make the affected individual who can work at ease (Woolfe, 2012).
The therapeutic intervention plans are a good therapeutic relationship and require showing empathy and creating genuineness, having a social relationship that can make it acceptable and distinguish from unacceptable behaviors (Frederiksen, et al., 2021).
The outcome of the Conor, the case is identifying trigger points and evaluating ways to manage them. Identifying what happens such as palpitation, shortness of breath, and anxiety, and providing him with quick meditation, a positive effect that can help to manage his situation work (Geraets, et al., 2019).
Conor outcome can be treated through CBT and Behavior therapy as Cognitive therapy would overcome any negative cognition, that contributes to anxiety. Behavior therapy can help to determine what impacts Conor's behavior and reaction in a situation and what are his triggers anxiety ways. Conor therapeutic includes intervention, such as providing him with remedies to talk, walk around and identify his own emotions and ways to manage himself (Frederiksen, et al., 2021). For example, Conor sitting for the dentist appointment would feel anxious but if he is repeatedly told about positive things, the importance of oral hygiene, and how best it can be treated. Therapeutic ways in Conor's case would include modifying behaviors such as the person's well-being and providing friends and family (Lindegaard, et al., 2020).
As a therapist, one needs to identify Conor's anxiety and overcome irrational predictions and negative distortions by providing him with accurate and positive thoughts. Whenever he has an appointment with a Dentist provide him realistically, calming statements in the situation where his anxiety would soar (Fogarty Hevey & McCarthy, 2019). Conor outcome can be treated through repeated exposures, by identifying an increasing sense of control in the situation and minimizing his anxiety. Through the identifying relaxation technique, like making Conor experience progressive muscle relaxation techniques and making him practice a deep breaths. Talking out to friends, and family and also being surrounded by people would make Conor feel better to discuss and self-evaluate (James, et al., 2020).
In the final stage of the outcome, Conor should be evaluated on the basis of the random closeness of the person and his reaction and how best he can handle the situation (Lindegaard, et al., 2020). For example including more checkpoints can trigger Conor and evaluate if the outcome of the treatment is final or not. Each step needs to be evaluated by identifying how Conor is experiencing anxiety and how he is using relaxation techniques to minimize it. Without feeling distressed determining what all Conor is experiencing and what all is his modal behavior is and identifying the final outcome (Weightman, 2020). Encouraging Conor to adopt a healthy lifestyle, exercising techniques to reducing stress, and cultivating a good relationship and reducing stress (Vincent & Norton, 2019).
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