CBT Therapy Case Study - Worry

Worry

Background

Chris* is a 37-year-old Senior Manager in the Agriculture industry. He lives in his own home in Knutsford with his dog. His parents divorced when he was 12 years old following his dad having an affair. 

Following this he was sent to attend boarding school due to both parents working a lot. His mum has recently completed treatment for breast cancer. He has a good group of friends and an active social life with plenty of hobbies. 

He would like to meet a partner, but his anxiety impacts his dating life. He is financially secure. He is not sure he is in the right job for him, but change makes him anxious, he has been with the same employer for 16 years.

Presenting problem

Chris came to me via his Private Medical insurance AXA. He was looking for a local Therapist that was AXA Approved, offering CBT Therapy that also offered appointments in person. 

He described struggling to cope in pretty much every area of his life due to overwhelming worry and anxiety. This was impacting him at work, with his family, in his dating life, and in day-to-day functioning. 

Although his symptoms had worsened since his mum’s cancer diagnosis, he describes having been anxious and a worrier his whole life, it’s all he’s ever known.

Assessment

This was Chris’s 2nd experience of therapy. He had recently had a course of sessions with a local counsellor. Although he liked her, he felt like his anxiety wasn’t improving, and therefore was keen to try CBT Therapy for Anxiety. 

He had been on Sertraline 100mg medication from the GP for a couple of years. Chris’s worrying existed in every area of his life. There are too many of these worries to list them all, as he literally spent hours every day worrying. 

Here are just a few of the stream of worries we identified in the assessment:

Example worries:

Chris listed the following symptoms he was experiencing:

We jointly identified the following target areas for treatment

Treatment

CBT Therapy strategies were used across the course of 12 treatment sessions booked once a week at the cost of £1200. Following this he has decided to continue with 1x a month review sessions for the next few months to keep him on track and moving forwards. He is doing PAYG at £110 a session.

Outcome

* This is a fictionalised client that takes little elements from many clients I’ve worked with over many years to demonstrate an example of a client’s problems I work with and what therapy offers.

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