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Process Report
CPP Case study 2014/15

Susan is a 41 year old project manager. She works for a bank in the city. Susan works long hours and receives double the national average salary for this. She lives on her own in her own flat. She
has a turbulent on/off relationship with her partner. Although there has been no violence, there are frequent disagreements and arguments, often about their future together. They often go weeks
without speaking to each other after an argument. Susan socialises about three times a week with colleagues after work, drinking between 4 and 8 units of alcohol each night out. Her weekends are
spent hung over, sleeping too much, doing chores and watching TV. Occasionally she sees her friends she first met at university (most of whom are now married and have children) she also meets up
with her sister.

For the last year Susan has been experiencing a low mood, tearfulness, problems sleeping, difficulties concentrating and has noticed that she is eating more and has gained weight. She says that she
has not been happy for the last four years. Susan reported having similar difficulties at the age of 17, this episode lasted six months. She also had similar problems when she was 21 (lasted a
year) and when she was 28 (lasted two years). She has never had counselling or therapy before, but has been prescribed anti-depressants in the past.

Both Susan’s parents live in London. Her younger sister lives in London with her husband and two small children. Her older brother lives in Israel. Susan was born in the UK and the family lived in
London. Her parents moved to the UK in their twenties from Israel. The family was brought up with the Jewish faith. Her parents are orthodox Jews and attend the synagogue regularly. Susan, although
describing herself as Jewish, does not hold any religious beliefs. Susan reports an unhappy childhood. Her father was cold emotionally and put great pressure on the family to perform well
academically and be successful. Her mother seemed to focus on her husband’s needs rather than the needs of her children. This left all three children becoming very close to each other when younger.
Because of the pressure at home when her brother was old enough he moved out of the family home and settled in Israel; Susan was 17 at the time. Also at this time Susan struggled with her A-Levels
and despite getting enough points for university she was disappointed with her results. Susan enjoyed student life in Manchester and enjoyed studying for her degree. Towards the end of her studies
she became quite anxious about the final exams and she believes this contributed to her getting a 2:2. She moved back home and shortly after wards her father’s business failed and he became
bankrupt. Her mother had to get a job as a teaching assistant. When Susan was 21 her sister got married and a few years later had her first child. Susan had temporary jobs after university but then
started a graduate scheme in the city. Shortly after starting work she met a young man through a family friend and got engaged. After five years the relationship ended as Susan found out that he
had been having relationships with other women. Susan brought her flat and moved out of home when she was 30. Five years ago Susan met her current partner at work and started a relationship with
him. She has never introduced him to her parents as she believes they would not approve; her partner is Black British
1.PROCESSREPORT: Transcribe the session, work through the interview of how James is working with the client.
(a) We want the ANALYSIS( why is the THERAPIST saying what he is saying
(b) Also about the COMMUNICATION SKILLS e.g James said bla, bla, bla—–(put the context there)
(c)Say the DIFFERENCE between SUSAN and JAMES in the CASE STUDY e.g GENDER DIFFERENCE. RELIGION DIFFERENCE, etc, (say how it could have impact on the work)
PLEASE YOU CAN FOLLOW THIS FORMAT
1.INTRODUCTION: State want you want to do, it is about the PROCESS . councelling section (the role play)

2. EVALUATION: e.g What are Susan,s Problem, Why, Susan has come for Therapy(e.g, She feels worthless and why did she feel worthless.
, They have come from early life experiences( so you might want to put something down about this.)
What is the THERAPY(PLEASE note the THERAPY is CBT, and what CBT is going to do,EXPLAIN CORE BELIEF
Write about how that is happening in the ROLE PLAY.
Why is the THERAPY CHALLENGING her BELIEFS.
IMPACT: Has it meant how that she is now exploring alternativess (YOU WILL DISCUSS THAT)
ALSO BE AWARE of the THERAPY RELATIONSHIP: (is he working ethically? etc, is he looking at the body language,i.e(do they look at each other etc)

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