Psychology After Reviewing the \"Vignette Miles \"Case

Psychology

After reviewing the "Vignette Miles "case study, using the five axis of the DSM-IV-TR, it is clear as Axis I provides anxiety because he has been distressed after the holidays due to financial set backs. His financial situation has been gradually deteriorating during the past six months, and he has been feeling a great deal of anxiety. Miles demonstrated tolerance, loss of control, and denial. This also included trying often to cut down going out but to no avail. Axis II and Axis III shows no symptoms. However, Axis IV provides marital problems and legal involvement. His work as a tree cutter is seasonal, and his income varies from month to month. The child support payments for his two children have recently been increased, and his new wife of two years has no job. She is unwilling to work outside the home. Miles reports that his marriage is otherwise good, but he worries that their future together would be limited by inadequate income. They stopped going out to dinner and movies. They seldom socialize because of lack of funds. He denies and suicidal ideation. On Axis V provides 70 during his time of dysfunction, which confirms he has been depressed. Therefore, in treating Miles, I would choose the psychoanalytic theory as part of the CBT process so that we would concentrate on the functional consequences of thoughts and beliefs rather than on analyzing their content or truth value.

The psychoanalytic theory concentrates on the mind and cognitive perspectives. Psychoanalytic theory sees that behavior is caused by a deeper part of the self, which is the unconscious. Instead of relying on genetics and the environment as the biological perspective does, Psychoanalytic theory describes that behavior was due to the id, ego, and superego which is a part of the self. The id would be the unconscious desires (Hirsch, 2010). Miles in other words, needs to go to a social event such as with cook-outs and public events that are free to the community so that he would feel less anxiety. Going out and seeing things will make the situation seem not so much as a burden. When a person sits at home thinking about all of things are going on in life, anxiety will build up and consume the person, which may cause them to go into a depression state. Along with that that, I would use Beck Cognitive Therapy within the CBT process by trying to get him to change his negative thoughts into positive in order to steer him away from the depression. "He believed that the way we perceive and how we interpret situations shape our emotions and behaviors. If the therapist can change these and make them more rational, personality disorders might well be relieved. The therapeutic approach Beck developed describes specific cognitive distortions that characterize various neurotic conditions and outlines how the general principles of cognitive therapy can be used to treat these conditions, as well as to treat depression" (Magnavita, 2012). Miles should be taught how to handle stressful situations at work and at home, and how to recognize cues that might spur him to be depressed.

In the short goals, we will ask him to find something that is important to him and identify why it is important. Secondly, the therapist will reflect on the client's personal life and performance at work and home life so that the client begins to transition his thoughts of importance, which gets the patient to express something of importance in their life without focusing on the negative. In the short-term goals, the therapist will express to the client his marriage and work are important and that they are working towards a goal at home and work even though the patient does not get a sense of accomplishment within his mind (Corsini & Wedding, 2008).

The long-term goals will be to dealing with the functional consequences of thoughts and beliefs rather than on analyzing their content or truth value. This approach is all about action. Secondly, we will working on making mindful decisions about what is important in Miles' life and what he is going to do in order to live a valued life. Thirdly, this plan involves helping patients choose the values they hold dear, setting specific goals, and taking concrete steps to achieve these goals (Corsini & Wedding, 2008).