WORKSHEET NUMBER: 4
SUBJECT: CLASS: ISSUE DATE:
TOPIC: CH 4 & 5 - THERAPITIC APPROACHES SUBMISSION DATE:
Case studies related to chapter 4 - Psychological Disorders.
Read the following case studies very carefully & answer the questions below.
➔ Identify symptoms portrayed in the case.
➔ Name the Clinical Diagnosis for the client according to DSM. Write the Diagnostic criterias?
➔ Suggest a Therapy(s) & Technique(s) that would be most appropriate to treat the symptoms.
1) Morris has been referred to you for psychotherapy following a suicide attempt. When you interview him he is very teary. He speaks slowly
and looks down at the ground as he speaks. He reports difficulty in falling asleep and staying asleep for the past month. Morris states that he
hasn't had much of an appetite and has lost 15 pounds. He reports that things he used to like just don't seem enjoyable anymore, and he
thinks that life is not worth living. Morris doesn't expect things to improve in the future, which is why he tried to kill himself.
2) Jack graduated from high school and got a job working in a video store. After working for about 6 months Jack began to hear voices that
told him he was no good. He also began to believe that his boss was planting small video cameras in the returned tapes to catch him making
mistakes. Jack became increasingly agitated at work, particularly during busy times, and began "talking strangely" to customers. For
example one customer asked for a tape to be reserved and Jack indicated that that tape may not be available because it had "surveillance
photos of him that were being reviewed by the CIA". After about a year Jack quit his job one night, yelling at his boss that he couldn't take
the constant abuse of being watched by all the TV screens in the store and even in his own home.
3) Hannah, age 55, was in a major car accident 20 years ago during a cross country trip. Ever since, she has been unable to drive on major
highways. Although she does drive, she goes to great lengths to travel only on back roads and scenic routes. She is able to go where she
wants but it often takes her much longer to get there than it should.
4) A 10th-grade girl from Chennai experienced severe weight loss of 19 kg in nine months, along with amenorrhea(absence of menstruation),
and compulsive exercise. Initially functioning well, she stopped badminton in 9th grade due to increased schoolwork and began home
workouts via a fitness app. After a fallout with her best friend, she started discarding food and developed obsessive-compulsive behaviors
related to exactness and order. During the pandemic lockdown, she increased physical exertion through household chores. She engaged in
secretive food disposal, calorie counting, frequent weighing, excessive water intake & exercising during classes. She eventually stopped
playing football when friends noticed her weight loss. Her condition worsened with slowed movements/speech, irritability, and outbursts.
Parents initially delayed intervention until urged by relatives. Psychiatric medication was tried but discontinued after three days due to
sedation. On re-consultation, she was still exercising in the waiting room. At admission, she weighed 26 kg with a BMI of 10.6, and was
hospitalized for nutritional rehabilitation.
Chapter 5 - Therapeutic Approaches
1) Explain the essential features of psychotherapy. Why is the therapeutic relationship important?
2) Describe how behavior therapy uses principles of conditioning to treat phobias or addictions.
3) Design a role play script showing a therapist using systematic desensitisation for treating a fear of public speaking.
4) Create a chart showing different types of therapies (e.g., psychodynamic, behavioural, humanistic) and their goals, techniques,
and key concepts.
5) Discuss with a family member or friend about their views on the use of medication vs. therapy. Record both sides and write a
short paragraph analysing the pros and cons.
6) Imagine someone in your community has returned from a mental health rehabilitation center. What kind of support would they
need to re-adjust to daily life?
7) How does cognitive therapy help in restructuring negative thought patterns? Provide an example.
8) What are the ethical concerns involved in psychotherapy? How can confidentiality be maintained?
9) __________ is a behaviour therapy technique used to eliminate phobias through gradual exposure.
10) In __________ therapy, the emphasis is on bringing unconscious conflicts into awareness.
11) In psychoanalysis, 'free association' is a technique used to:
(a) Monitor diet (b) Interpret dreams (c) Uncover unconscious thoughts (d) Alter behaviour
12) The role of unconditional positive regard is highlighted in:
(a) REBT (b) Cognitive Therapy (c) Client-centered therapy (d) Behaviour therapy
13) Rehabilitation of the mentally ill focuses on:
(a) Curing all symptoms (b) Preventing all relapses (c) Integrating individuals into society (d) Punishing maladaptive
behaviour