List all pertinent and known identifying information.
Describe all pertinent and known history.
Depression, sexually abused, started at age 12. Has used self-harm in an attempt to regulate her emotions. Family
Conflicted relationship with mother. Foster care from age 12 to 18. Uncle that is 12 years older than Violet, whom began sexually abusing her at age 12. Substance Abuse
Unknown at this time
Developmental and Social
Violet was raised by her mother, whom she had a conflicted relationship with, until she was 12 years old. She entered foster care from age 12 to 18 years old. During her time in foster care her Uncle (12 years her senior) would take her out to eat along with giving her money. At age 12 her Uncle began an incestuous relationship with her. Unknown how long the sexual abuse continued. Since becoming an adult she completed a career college and is employed for the first time as a dental assistant. Violet has been unable to have a healthy relationship with a man or women and is dependent on her relationships. She has received a total of six restraining orders since becoming an adult. Course of Treatment
List two target behaviors and two interventions.
Frequency and Duration of Target Behaviors
At least six times, continues till the man or women get a restraining order. Ongoing through adult life. Possibly started after sexual abuse at age 12. Severity and Number of Relapses
Very severe. Has a total of six restraining orders.
Unknown how often, Violet says she uses self-harm to regulate her emotions. Interventions
Rational Emotive Behavior Therapy- Violet needs to learn how to function on her own, without a man or women. She needs to take validation in her own life not through others. Cognitive-behavioral therapy intervention
Goals and Objectives
List two long-term goals, two short-term goals, and one objective to work towards each goal. Long-Term Goal
Become independent and form a healthy dating relationship. Come to terms with the sexual abuse from her past and no longer have the need to self-harm to regulate emotions Short-Term Goal
Have no sexual relationships of any kind, begin behavioral therapy to deal with past and change/correct the negative thinking and behaviors Objectives
Short term Objectives:
Refrain from any sexual relationships until treatment is complete or therapist says it is ok to start. Attend support group for sexual abuse. Begin Behavioral therapy to correct negative behaviors.
Long term Objectives:
Become independent and maintain only healthy personal relationships. Continue positive decision making and be content with the way you see yourself and do not be concerned with others opinions of you. Discharge
and Termination Plans
Describe the discharge and termination plan for the client.
Because of the extent of sexual abuse Violet will most likely need to continue some form of therapy for many years. Upon completion of the behavioral therapy Violet must work slowly back into building healthy relationships. Termination Plan
No termination plan she is here of her own free will.
Dryden, W., & Daniel, D. (2008). Rational Emotive Behavior Therapy: Current Status. Journal of Cognitive Psychotherapy, 22(3), 195-209.
Sacks, S. (2004, May). Rational Emotive Behavior Therapy. Journal of Psychosocial Nursing & Mental Health, 42(5), 22-31.