Ms. W is a 34-year-old woman, twice divorced, who comes to the outpatient clinic at the insistence of her boyfriend. She acknowledges being de-pressed but says that she was reluctant to seek help because she doubted it would do any good. For as long as she can remember, Ms. W has suffered from what she describes as a continuous depression. She feels that life is a series of hopeless struggles and disappointments, but she has never seriously contemplated suicide. She occasionally experiences hypersomnia and is modestly obese due to an excessive and uncontrollable appetite. Ms. W has been dating her current boyfriend for more than 2 years and knows she wants to marry him but is nevertheless often stricken by doubts and worries. Her boyfriend broke up with his previous girlfriend the year before, but Ms. W continually suspects that they are still involved. She of-ten drives by their houses to see whether she can catch them together and continues to do so even though the former girlfriend moved to another state. Once, after discovering an old love note in the closet of her boy-friend’s bedroom, Ms. W was depressed to the point that she was unable to get out of bed for a week. She refused to discuss the note with him and remained very despondent for sometime thereafter. Ms. W cannot understand why her boyfriend loves her because she considers herself unattractive and dull. She is often unable to enjoy their time together, even when they do things that she has been looking forward to. She gets the most depressed or anxious at these times, asks to go home, and then feels terribly guilty. She knows that if her boyfriend were not persistent, the relationship would have ended long ago. Ms. W describes her relationship with her father as ambivalent. He punished both his children severely with a belt until they reached puberty, and, when he was drunk, he sometimes insulted and degraded her (e.g., calling her a “stupid slut” or “a waste of sperm”). Between drinking episodes, he could be very loving, affectionate, and remorseful. Ms. W was never quite sure whether what her father said when he was drunk was the alcohol talking or whether he was displaying his true feelings. It was apparent to her, however, that he preferred her older brother and regretted that he had a second child. Her father died of a heart attack when she was 17. From ages 12 to 14, Ms. W had a sexual relationship with An uncle. The episodes occurred once or twice a week and progressed from her sitting on his lap through cuddling and fondling to masturbation and oral sex. It ended when he attempted intercourse, and she screamed in pain and fright. She always protested against these experiences but would eventually give in to his pleas, rationalizations, arguments, or threats of exposure. She was par-ticularly fearful of what her father might do or say if he knew. However, she also felt ashamed and guilty (“I could have said no, but I never did”). She never told her parents. Ms. W was an average student with no history of disciplinary or drug problems at school. Her school counselor suggested that her academic performance was considerably below her potential, but the patient felt that she was “at best a C student” and “got the grades I deserved.” She had a few close friends and numerous interests. She was attractive, but shy and insecure, and had no serious boyfriend until she became engaged to be married at the age of 1 7. The marriage was called off 2 months before the wedding when she discovered that her fiancé was having an affair. She was willing to forgive him, but he wanted to end the engagement anyway.

will write a 3 – 5 page report on a counseling/therapy case.  The report should include:

A summary of the case information including client’s age, sex/gender, diagnosis, medications, presenting problem and course of therapy.
Discussion of issues related to the case (interfacing with multiple systems/professionals, medication, treatment compliance, insurance, etc.).
i attached the treatment plan that i came up with to help and attached a intake form summary example of the order and how it should look like and the case study about Ms W.