Pages

Monday, March 18, 2013

CLINICAL CASE REPORT


CLINICAL CASE REPORT
Problem Description
Roberto is a 14-year ESO attends second grade in a public high school (IES). It is a new student at the center. Since arriving has had difficulty adjusting to their classmates. Is introverted, sensitive and somewhat insecure.
For several months manifests intense anxiety, prevents attendance intermittently staying home, do not go to the exams, and is frequently isolated from their peers. Also usually feel: chest tightness with difficulty breathing, nausea, muscle tension, headaches, digestive problems, etc.. Also, usually expressed as negative thoughts and disturbing: "I have fear suspend", "If I go to class, I will come anguish", "You're going to laugh at me all my colleagues", "I can not concentrate before exams "etc. Currently has two continuous weeks without attending the institute.
The tutor along with other teachers exposed to the address of the disturbing situation that was going through the student. Meeting the team of teachers and the school management's claim that the school psychologist who takes over the case.
The psychologist is suspected that students can suffer a situational specific phobia, advises parents and the school management to be treated as soon as possible by a clinical psychologist, to put confirm this hypothesis, and if so, put regimens for treatment. A few days later, the teen is taken by his parents to psychological consultation.

Therapeutic intervention plan
The therapeutic intervention plan, which gave solution to this childish behavior disorder, had one hand performances: identify, assess student needs to organize interventional response levels: psychological, educational psychology, and educational.
To accomplish this task, the clinical psychologist had the cooperation and involvement of qualified professionals (psychologist, special education teacher specialist, etc.), The school management, faculty, classmates and other classrooms, and family (mother, father, brothers, etc..).
Therapeutic intervention plan was developed over ten consecutive weeks, with two follow-Evaluative performed at two and six months. Let each of its parts in detail.

Participants
Therapeutic intervention plan was designed for a single format. It involved the patient aided by the interdisciplinary team. There was a bond of trust between them that allowed therapeutic intervention to flow without resistance.

hypothesis
Three hypotheses were Plan therapeutic intervention taken into account:
1. The responses from the academic anxiety before exams and expressing the student, are linked to lack of coping resources and experience intense stress.
2. The responses of test anxiety hinder the processes of attention and concentration, school performance and academic competitions.
3. Anxiety responses peers behaviors reinforce isolation and hinder social and academic competence.

Objectives
It was necessary that the patient would increase the skills and competence levels: cognitive, emotional and behavioral. Doing so could cope positively with anxiety it was conditioning and prevented face attendance and testing examinatorias. At the same time the changes in his behavior made ​​possible an improvement in their self-esteem, academic performance and social relationship between peers.

 SOCIAL ANXIETY DISORDER TEST

No comments:

Post a Comment