Case for Satir Human Growth Model Case Conceptualization:

Case Example:

"Beth" is a 24-year-old, heterosexual, Caucasian female who is currently serving a sentence at a Correctional Institution for Women. Her current time stems from a parole violation and records indicate that she has one month to serve out. Beth has several issues that are at the basis for her referral from the institutional Psychiatrist. First, she has a history of suicidal ideation and severe self-mutilation. Secondly, she presents with fluctuating mood symptoms and features of Borderline, Histrionic, and Antisocial Personality Disorders. Beth was referred to the institution's Licensed Clinical Social Worker for integrative treatment with a focus on trauma, crisis management and the reduction of self-mutilating behaviors. Additionally, the therapist has scheduled a family session with Beth and her parents dealing with home placement and reentry concerns.

Treatment and Medical History

Beth reports a severe trauma history that included childhood rapes, sexual molestation, physical abuse, and neglect. She also has experienced several deaths that were the focus of previous treatment including the death of a child last year (born while she was incarcerated). In addition, Beth has been involved in various community treatment programs related to the termination of rights of her children. Furthermore, previous treatment has focused on prominent mood symptoms, severe cutting/self-injury, attention-seeking behaviors, drug abuse and addiction and issues related prostitution. Moreover, Beth has been in various types of treatment since age eight, carrying diagnoses of Bipolar Disorder, Attention Deficit Hyperactivity Disorder, and Substance Use Disorder. Her previous medications include mood stabilizers, antipsychotics, antidepressants, and stimulants.

Beth reports a long history of medical issues, primarily related to the neglect of her medical needs. Her current concerns are related to "aches and pains related to a bad back". She currently is not taking medicine other than Tylenol. Additionally, the medical staff is not receptive to Beth's concerns because she has a history of 'manipulation' and 'drug seeking behaviors' per her case notes.

Family History

Beth reports an unstable family dynamic both past and present. Her family includes the following: A mother whom struggles with opioid misuse. Beth states that her mother was very neglectful throughout her life, especially in her early years. Beth also reports a father, who is a double amputee and a Vietnam veteran. She does not have regular contact with them. Beth says that her childhood was spent in group homes, inpatient treatment facilities, or behavioral centers. She has not had contact with her parents for several years. Beth has recently been approved visitation with her parents at the correctional institution and scheduled to meet with her therapist and parents to discuss home placement and reentry issues.

1. Related Historical Background (family history, related issues, previous counseling, medical/mental health history, etc.)
2. Client/Family Strengths and Diversity Strengths and Resources Personal: Relational/Social: Spiritual: Diversity: Resources and Limitations Identify potential resources and limitations available to clients based on their age, gender, sexual orientation, cultural background, socio-economic status, religion, regional community, language, family background, family configuration, abilities, etc. Unique Resources: Potential Limitations:
3. Describe struggles with mastering developmental tasks in one or more of these stages:
4. Typical style for regulating closeness and distance in couple/family:
5. Interactional Patterns Problem Interaction Pattern (A B): Start of tension: Conflict/symptom escalation: Return to "normal"/homeostasis: Hypothesized homeostatic function of presenting problem: How might the symptom serve to maintain connection, create independence/distance, establish influence, reestablish connection, or otherwise help create a sense of balance in the family?