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Cbt Session Reflection

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Submitted By sharon1963
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Session Reflection
Module 1
Student No. 1361995 Background
Chloe is a 15 year old female, who was referred to our service following a history of self-harm, low mood, and poor school attendance. An earlier assessment carried out via RCADS, SDQ’S and interview, revealed substantially high levels of Depression, Panic and Separation anxiety. Chloe resides with Mother, twin sister and older brother in a deprived borough of East London. Mum’s long term partner, is also actively involved in Chloe’s life, but does not live within the family home. Chloe has never had any contact with her biological father. School advise that there have been recent and historic referrals made to social care from them, around their suspicions of parental fabricated illness, none of which have been substantiated.
Formulation
The formulation used follows the 5 p’s principles (Dallos & Johnston,2006) which become a blueprint to identify what is going on. A predisposing factor that was identified was Chloe’s experience of Generalised Pain disorder from around 6 years old, which resulted in several months of absence from school.
Despite the pain reducing at the onset of secondary school, Chloe’s attendance at school has been sporadic. Incidents of bullying and name calling, during year 8 appear to have triggered Chloe’s perpetuating negative view of self. As well as viewing ‘everyone’ as ‘untrustworthy’ and ‘out to hurt her’. Due to Chloe’s negative bias, she has become socially isolated, which appears to maintain her depressive thoughts and self- harming coping

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Session Reflection

behaviour. Further perpetuating issues are around Chloe’s negative view of the world as being ‘unsafe’. These negative thought processes trigger panic and anxiety response when she is outside alone. Therefore, Chloe appears to spend her days, sleeping, watching TV, which is having a

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