II. Treatment Plan
3. Strategies I would use in the therapy session
First, in the given vignette, enough information is available to make a "working" diagnosis as an Adjustment Disorders with Anxiety. This subtype is used because the predominant manifestations are symptoms such as nervousness, worry, or anxiety of separation from recent attachment figure. Also, the development of his anxiety symptoms in response to an identifiable stressor, the breakup with his girlfriend of two years, was occurring just recently. Second, I decided to diagnose him with Attention-Deficit/Hyperactivity Disorder Combined Type. However
For him, this psychotherapy will be a process of eliminating emotional turmoil, self-doubt and while encouraging self-knowledge, self care skills and general personal growth. Although many of the problems he suffers from have been there quite long period of time from the past, the therapeutic approach I would employ focuses primarily on the present and how these problems are manifest in the his current life with concrete and practical CBT techniques. I firmly believe that we cannot undo the past but we can change the present, and it is in the present that psychotherapy is most helpful.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.