The specific format for a case study can vary greatly. In some instances, your case study will focus solely on the individual of interest. Other possible requirements include citing relevant research and background
information on a particular topic. Always consult with your instructor for a detailed outline of your assignment. The following format is often used in undergraduate courses for
psychotherapy case studies.
1. Case History
1.1. Background Information
The first section of paper will present client's background. Include factors such as age, gender, work, health status, family mental health history, family and social relationships, drug and alcohol history, life difficulties, goals and coping skills and weaknesses.
1.2. Description of the Presenting Problem
In the next section of case study, describe the problem or symptoms that the client presented with. Describe any physical, emotional or sensory symptoms reported by the client. Thoughts, feelings, and perceptions related to the symptoms should also be noted. Any screening or diagnostic assessments that are used should also be described in detail and all scores reported.
1.3. Your Diagnosis
Provide diagnosis and give the appropriate
DSM-IV code. Explain how reached diagnosis, how the clients symptoms fit the diagnostic criteria for the disorder(s) or any possible difficulties in reaching a diagnosis.
2. InterventionThe second section of paper will focus on the intervention used to help the client. Summarize two or more possible treatment approaches elborately.
2.1. Psychoanalytic Approach
Describe how a psychoanalytic therapist would view the client's problem. Provide some background on the psychoanalytic approach and cite relevant references. Explain how psychoanalytic therapy would be used to treat the client, how the client would respond to therapy and the effectiveness of this treatment approach.
2.2. Cognitive-Behavioral Approach
Explain how a cognitive-behavioral therapist would approach treatment. Offer background information on cognitive-behavioral therapy and describe the treatment sessions, client response and outcome of this type of treatment. Make note of any difficulties or successes encountered by your client during treatment.
2.3. Humanistic Approach
Describe a humanistic approach that could be used to treat your client. Provide information on the type of treatment you chose, the client's reaction to the treatment and the end result of this approach. Explain why the treatment was successful or unsuccessful.
Tips:
• Do not refer to the subject of your case study as "the client." Instead, use his or her name.
• Remember to use APA format when citing references.
• Read examples of case studies to gain and idea about the style and format. The following case studies can provide insight on how to write up a case history: Case Studies
Suggested by Professor Mallika Bannerjee, Department of Psychology, Calcutta University, Esteemed Editorial Board Member of Psybernews
