Scribd Logo
Upload

Welcome to Scribd!

  • 419 views

    Prolonged Grief Disorder - CaseStudy-CK-2023 PDF

    Uploaded by

    Can Do
    1. Vipin, a 21-year-old engineering student, has been struggling with prolonged grief disorder for 2.5 years since losing his father to Covid-19. He has isolated himself, stopped attending college, uses alcohol to cope, and has accumulated academic failures. 2. During counseling sessions, Vipin opened up about feeling solely responsible for his father's death after pressuring him to go out during lockdown. He is plagued by guilt and memories. 3. The counselor helped Vipin process his grief and guilt. Breathing exercises and focusing on fulfilling his father's dreams and caring for his family were recommended to improve his mental state. Vipin showed interest

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Prolonged Grief Disorder - CaseStudy-CK-2023 PDF

    Uploaded by

    Can Do
    419 views7 pages
    1. Vipin, a 21-year-old engineering student, has been struggling with prolonged grief disorder for 2.5 years since losing his father to Covid-19. He has isolated himself, stopped attending college, uses alcohol to cope, and has accumulated academic failures. 2. During counseling sessions, Vipin opened up about feeling solely responsible for his father's death after pressuring him to go out during lockdown. He is plagued by guilt and memories. 3. The counselor helped Vipin process his grief and guilt. Breathing exercises and focusing on fulfilling his father's dreams and caring for his family were recommended to improve his mental state. Vipin showed interest

    Original Title

    Prolonged Grief Disorder- CaseStudy-CK-2023.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1. Vipin, a 21-year-old engineering student, has been struggling with prolonged grief disorder for 2.5 years since losing his father to Covid-19. He has isolated himself, stopped attending college, uses alcohol to cope, and has accumulated academic failures. 2. During counseling sessions, Vipin opened up about feeling solely responsible for his father's death after pressuring him to go out during lockdown. He is plagued by guilt and memories. 3. The counselor helped Vipin process his grief and guilt. Breathing exercises and focusing on fulfilling his father's dreams and caring for his family were recommended to improve his mental state. Vipin showed interest

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    419 views7 pages

    Prolonged Grief Disorder - CaseStudy-CK-2023 PDF

    Uploaded by

    Can Do
    1. Vipin, a 21-year-old engineering student, has been struggling with prolonged grief disorder for 2.5 years since losing his father to Covid-19. He has isolated himself, stopped attending college, uses alcohol to cope, and has accumulated academic failures. 2. During counseling sessions, Vipin opened up about feeling solely responsible for his father's death after pressuring him to go out during lockdown. He is plagued by guilt and memories. 3. The counselor helped Vipin process his grief and guilt. Breathing exercises and focusing on fulfilling his father's dreams and caring for his family were recommended to improve his mental state. Vipin showed interest

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 7

    CASE STUDY – 2

    (Prolonged Grief Disorder)


    Date: 09-03-2023
    CASE HISTORY

    SOCIO-DEMOGRAPHIC DATA
    Name : Vipin
    Age : 21 years
    Gender : Male
    Marital Status : Unmarried
    Education : Pursuing B.Tech (Third Year)
    Religion : Hindu
    Residence : Hyderabad
    Socio-Economic Status : Upper Middle Class
    Language : Telugu, English
    Informant : Younger Brother
    26 Years
    Unmarried
    Very intimate & concerned
    Sound mind
    Reliability & Adequacy : Highly reliable

    REFERRAL: Self

    CHIEF COMPLAINTS
    According to the Informant:
    • Not interacting with anyone and not even coming out of his room
    • Uncontrolled anger
    • Sleep is reduced and taking very less food that too daily once
    According to the Client:

    • Not interested in the life


    • Not able to sleep
    Predisposing Factors: Lost his father due to Covid-19
    Precipitating Factors: Hopelessness
    Perpetuating Factors: Memories of his father
    Protective Factors: Respects his mother & tries to listen to her
    Mode of Onset: Acute
    Course of Illness: Continuous

    HISTORY OF PRESENT ILLNESS (HOPI)

    Vipin is 21-year B.Tech 3rd year student losses his father 2.5 years back due to covid-19 and
    not able to come out of that situation and failed to attempt exams and failed for two years and
    used to consume alcohol to forget the grief and added smoking to it as part of habit.

    He’s not even coming out of his room for almost 2 years and not interacting with anyone
    except his mother

    NEGATIVE HISTORY
    No history of any mental illness

    FAMILY HISTORY
    • Loss his father due to covid-19 and he loves his father most.
    • No psychiatric illness in the family.
    • Nuclear family with one younger brother & widowed mother.

    FAMILY TREE

    PERSONAL HISTORY
    • Birth Order: younger child
    • Prenatal and Natal: No information available
    • Childhood: Normal childhood.
    • Psychosexual History: None
    • Religious Background: Hindu
    • Education: Pursuing B.Tech
    • Marital history: Unmarried
    • Socio-Economic Status
    No Financial Issues

    PREMORBID PERSONALITY
    • Very sensitive & over thinking
    • Started drinking to forget the pain of losing father.
    • Feeling like becoming introvert

    MENTAL STATUS EXAMINATION

    Movement and Behaviour


    • Posture: Leaned
    • Grooming, Hygiene and Dressing: Neatly dressed, maintained hygiene and well
    groomed.
    • Body - Built: Fair
    • Age Appropriateness: Looked age appropriate
    • Level of Consciousness: Not Focussed
    • Facial Expression: Not Interested
    • Rapport: Average
    • Eye Contact: Not Maintained
    • Came alone or with someone: Elder Brother
    • Attitude towards Counsellor: Little cooperative
    • Any Abnormal Motor Activities: Elation of mood

    Speech/ Language
    a. Volume: low
    b. The speed and tone: low
    c. The length of the answers to the questions: Short
    d. Appropriateness of the answers: Relevant
    e. Reaction time: decreased
    f. Productivity: Normal

    Thought and perception


    a. Stream: Blocking Thoughts
    b. Form: Normal
    c. Content: Worries
    d. Possession: Withdrawal

    Cognition
    a. Orientation: Oriented to time, place and person - intact
    b. Attention/ Concentration: Not focused
    c. Memory:
    i. Immediate: Intact
    ii. Recent/ Recent past: Intact
    iii. Remote: Intact
    d. Intelligence: Good

    Judgement
    • Social: Impaired
    • On test: Intact

    Insight:
    3/6 – Awareness of being sick
    (Awareness of being sick, blaming it on external factors)

    Verbatim

    Session 1 Date: 09-03-2023


    Client Name: Vipin Time: 18:00 Hrs

    Purpose: To assess current behavior and mental state of client and to build rapport.

    T: Hi Vipin, good evening!


    C: Good evening, sir
    T: Hope you’re comfortable here
    C: Fine
    T: How was your day and what’s your daily routine?
    C: I’m third year CSC student, usually go to college everyday but now-a-days not really
    interested to go or to meet any one
    T: May I know the reason
    C: I really don’t know, after my dad’s death I’m not able to face any one or not really
    interested to meet anyone all I wanted is be alone.
    T: Whom you love & care most in your family from childhood?
    C: My father, he’s my hero
    T: Other than your father?
    C: My mother and brother both are really lovable and they cares for me a lot, but I’m
    suffering them with my behaviour may be.
    T: Have you ever think about your mother’s situation of losing her husband and worrying
    about you
    C: That’s really killing me, and I’m not able to forget any memory of my father and I
    can’t live without him
    T: Ok let’s do some breathing exercise
    C: Is it really helpful
    T: Yes, these kind of techniques helps to overcome grief
    C: Ok
    Impression: Not Interested in the session & feeling sad.

    Session 2 Date: 11-03-2023


    Client Name: Vipin Time: 02:00 Hrs

    Purpose: To introduce basic techniques to overcome grief and improving behavioural


    patterns.
    - Client showing interest in therapy

    T: Hi Vipin, good afternoon!


    C: Good Afternoon, sir
    T: How you felt these two days, any change?
    C: No sir, but I have few doubts and want to share few things personally
    T: Please go on, and you can share anything here with me.
    C: Actually I have asked my dad to take me out in lockdown for some useless thing, he
    denied many times concerning the outside situation of covid, but I have forced my dad
    and that triggers covid to him and leads to death
    I’m the reason behind my dad’s death sir, i’m the only reason. (Started crying)
    T: It’s okay Vipin, I can understand your pain. situations are like that, don’t feel guilt of what
    happens. Whatever happens is done, please focus on what should be done in future
    C: I don’t have any future sir
    T: Think about your mother & brother, how they’re worrying about your future
    C: That’s killing me sir, I’m a big pain in the family now
    T: Your never pain for them, at least think about your father, what he thought of you and
    dreamed about you.
    C: I’m his best friend sir, we used to have lots of time together. All that memories are
    making me hopeless.
    T: Make those memories your strength, feel your father with you and full fill his dreams and
    take care of your family.
    C: Sure sir, will definitely try to do
    T: First quit alcohol and go to college
    C: Yes, sir definitely and also will practise the breathing exercise too.
    T: let’s do some breathing exercise
    C: ok
    Mindfulness meditation exercise session
    Impression: Rapport built and Client shows interest in therapy.

    DIAGNOSTIC FORMULATION

    Vipin is 21-year B.Tech 2nd year student approached counsellor along with his elder brother to
    overcome the grief due to Loss of his father 2.5 years back due to covid-19 and he’s not able
    to cope up the situation and not interacting with anyone and started being alone and
    consuming alcohol and avoids college and accumulated backlogs.

    Provisional Diagnosis
    The client is diagnosed with Prolonged Grief Disorder. Which affecting his social life and
    causing emotional pain, e.g. sadness, guilt, anger, denial, blame, difficulty accepting the
    death.
    Code: Prolonged Grief Disorder (6B42 as per ICD 11)

    Points in favour:
    • Not able to meet any one
    • Disturbed sleeps
    • Always being sad and feeling emotional pain

    Point in against:
    • N/A

    PLAN OF ACTION

    Recommendation
    After this session, the patient's general feedback related to his feelings and how he was feeling
    overall and after mindfulness meditation exercise was recorded.

    Patient was further advised and recommended to a senior Clinical Psychologist for the
    insights and to carry out further psychological intervention related to her case. Recommended
    therapies as per now are Cognitive behavioural therapy, Grief therapy, mindfulness and
    positive psychology.

    You might also like