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Psychology
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Topic:
Formulate a wellbeing plan for a case study, with recommendations to online wellbeing support “
Essay Instructions:
Formulate a wellbeing plan for a case study, with recommendations to online wellbeing support “
A formulation of a client narrative, demonstrating use of theory in practice, with recommendations to support wellbeing. This should be strategically focused, showing you know how to choose online interventions/options for a particular person, tailoring your output to the particular needs of the case study.
You will be provided with a template upon which you may base your plan, and an example plan based on a ‘client history’.
You will need to provide a rationale for each of your recommendations.
You will need to provide at least references to support your recommendations.
Step 1 : Download the Wellbeing Plan template.
Wellbeing Plan
A wellbeing plan documents the steps you might take when supporting someone who needs your help. You do not have to provide the level of support that a qualified therapist might do, but you need to be able to identify appropriate route towards support for those you may work with.
To complete this wellbeing plan assignment, you will need to read the case narrative provided to you, and reflect on your learning on the variety of topics and issues throughout this module.
What to Include:
1. Summary of the person’s issue.
2. Formulation
3. Identify the factors that contribute to the problem.
i. Life experience:
ii. Social:
iii. Psychological:
4. Identify strengths, capabilities, and resilience factors.
i. Personal factors (*within the individual):
ii. Social factors around them:
5. Psychological Needs:
6. Options: Provide two intervention options with a clear rationale and consideration in terms of ethical principles.
Option 1
1. What I might ask them to do:
2. Rationale (*what part of your formulation are you addressing)
3. Ethics (*how you know your suggestion is ethical, choose at least two principles):
i. Respect:
ii. Competence:
iii. Integrity:
iv. Responsibility:
Option 2
4. What I might ask them to do:
5. Rationale (*what part of your formulation are you addressing):
6. Ethics (*how you know your suggestion is ethical, choose at least two principles):
i. Respect:
ii. Competence:
iii. Integrity:
iv. Responsibility:
References (at least 2 references)
Step 2 : Read the Assignment 2 Case Narrative of Sarah. It outlines a case description of Sarah’s experiences.
7PS037 Assignment 2 Case Narrative: Sarah
Sarah is a 42-year-old British woman living in the UK. She works as a school teacher, a job
which she enjoys but finds stressful.
She is married and has two children who are 1 and 6 years of age. Sarah complained of
depressed mood, crying, anxiety, worry, and feeling worthless. She was also having
difficulties sleeping, was tired and her concentration was poor. She was off sick from work
about two months due to her mood, and went to her GP to ask for support. She was
prescribed antidepressants, took them for a few weeks, but found they “did not really
work”.
Around the time Sarah returned to work, her father-in-law experienced a health issue and
moved into the home to live with them.
Sarah described her husband as a good man whom she loved. She did not think that he
offered her enough support, especially with the youngest child and with looking after his
father. When she tried to return to work, she became preoccupied with the risk of making
mistakes. She was also obsessively worrying about a visit from Ofsted (*the UK standards
authority for schools, which assesses the quality of teachers and determines whether a
school is performing well or poorly). She believed that she would fail the assessment. She
felt that this played into her internal low self-esteem.
She said she was struggling with looking after the children, trying to work and dealing with
her worries. Having her father-in-law was the tipping point for when her mood and stress
got worse.
Her days were very similar to each other, with little enjoyable activities. Her day, consisted
of a cycle of getting children to school and nursery, nursing her father-in-law, and attending
to household chores. During brief times on her own, she would become preoccupied both
with a sense of failure (about poor performance at work) and resentment (of having to look
after everyone else). Neither she nor her husband seemed to have time for each other, and
they spent less and less time together. Sarah had some good friends and seeing them was
one of the few pleasurable points in her week.
Sarah’s mother had died when Sarah was a teenager. When her mother became ill, Sarah
moved in with an aunt and rarely saw her mother. Her aunt was a caring and very religious
person, feeling prayer was important to their welfare. Sarah’s father left the family home
shortly after her mother died, and had very minimal contact with Sarah. Sarah thinks that
her aunt probably resented having to look after her and Sarah developed the belief that she
was ‘burden’ to others and was not really worthy or loveable. During her early adulthood,
Sarah developed the idea that she might prove her worth by selfless service, as a wife and
mother or teacher, or both – ‘If people need me then this makes me worth something.’
Step 3 : Complete a formulation of Sarah’s issues. You may use the CBT template from Week 3 to aid you. You may wish to complete more than one about different aspects of the story.
Step 4 : Re-watch the following session: Week 7: Building a Wellbeing Plan. It outlines how to complete a wellbeing plan, and how to think through the issues you see.
Step 5
Complete a wellbeing plan for Sarah.
Essay Sample Content Preview:
Well-Being Template
Your name
Subject and Section
Professor’s Name
Date
Case Summary
Sarah, a 42-year-old British school teacher residing in the United Kingdom, reports being stressed secondary to her working conditions, family commitments after divorce, and recent changes in her home. She even says she suffers from depression, anxiety, feelings of worthlessness, poor sleep, fatigue, and impaired concentration. After two months of sick leave and a trial with anti-depressants, Sarah resumed work but continues grappling with the additional stressors arising from caregiving for her husband's father, who recently developed some health complications and relocated to live with them.
Formulation
Sarah's problems arise from current life stressors, social relationships, and psychological disorders. Their grandmother has raised them and has endured adverse situations such as loss and abandonment, which makes her believe that she is a burden and only deserves to be helpful by serving others.
Contributing Factors to Sarah's Current Mental State
Firstly, the life experiences that Sarah went through a while back played a huge role in her current problems. The lack of parental care throughout her teenage period by the early demised mother, plus little communication with her father later on, made her feel neglected. Moreover, neglected by her mother and raised by an aunt who demonstrated regret in catering to Sarah's needs, Sarah grew up with a deep-seated belief that she was a nuisance, good for nothing but to offer her services to others.
Next, in the social domain, Sarah is subjected to high job demands, pressure, and expectations that are unhealthy for her well-being, and she receives minimal support from her husband in the areas essential for family care, such as children and her father-in-law.
Finally, psychologically, these experiences have produced low self-esteem, work, and family-related anxiety, as well as depression that includes mood swings, fatigue, and poor concentration.
Strengths, Capabilities, and Resilience Factors
Despite Sarah's cruel experiences in life, Sarah demonstrates a great sense of responsibility and resilience, as she shows that her position as a mother, a wife, and a teacher matters to all the other stakeholders in her life. Sarah also shows that she understands the events in her life and interprets these rationally, allowing her to ask for emotional support and seek the help of a physician. Furthermore, Sarah knows that she still has good social support from her friends and her loving ex-husband and that the only issue is that the support is inconsistent and fluctuates over time.
Psychological Needs
Sarah’s psychological needs are regulation of self-esteem, self-defeating thoughts and emotions, and feelings of worthlessness. She must address anxiety about work and family finances, find means to bring order into her life and include pleasure in her schedule. Providing strategies for improving emotional nurturing and communication in her family is also equally important.
Treatment Options
Option 1: Cognitive Behavioral Therapy (CBT)
Things to Do
I recommend that Sarah regularly go for therapy with a professional cognitive behavioral (CBT) therapist. The sessions should include the following activities: 1) Initially, Sarah shall recor...
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