Initial Concept Mapping of Client’s Concerns

Reason for referral: From Father’s perspective:

 “overthink even small incidents”
 cried due to difficulty regarding grades
 about to shift course and transfer school

Clinical Intake Client’s Perspective:

 has many questions (“tama o mali”)
 small things become big deal
 isolates self – no communication with friends because there was a
problem
 always fights with girlfriend (eventually broke up)
 has many thoughts that are not important or needed
 “may thoughts ako na hindi ko gusto, kapag hindi ko masabi nagiging
Started this anxious na ako”
quarantine along
 low confidence
with his
 zero in terms of social interaction
maturation and
curiosity.  repeats thoughts – “pakatotoo ka sa sarili mo”; researched OCD
 pag may gusto akong gawin, gusto kong intindihin lahat.
(i.e. on LGBT – hindi ko maintindihan kaya iisipin ko ng iisipin)
 overthinking – hindi maka-function, hindi maka-focus
 gets distracted easily
 negative outlook – i.e. take jokes on Reddit negatively
 parang “galit sa sarili”
 “kailangan maging concern ka, humble, making, makisama”
(hindi ako ganon, mayabang ako, may sarili akong mundo)

Goals for Psychotherapy:


“Bakit ako ganito” (understand self)

“Paano ko maayos sarili ko – thoughts and emotions” (eliminate negative
thoughts; stop overthinking; have more positive emotions)
___________________________________________________________________________________
 HISTORY
Weird,
mongoloid,
bading Bullied in High Social
School Difficulties

School
concerns
Gets Break-up
distracted with
easily girlfriend

Current concern/s:
Overthinking

Ruminating, obsessing

Resulting to

Worrying what he has to say and Worrying about what other people think about
when he has to speak. him – thinks he should do something to make sure
people see him in a certain way.

Cannot function
properly
Ends up not talking Vague sense of self;
to the person feeling of trying too hard

Depressive
and anxiety
symptoms;
Suicidal
attempts
PROBLEM CLARIFICATION:

1. Describe the problem in general. (i.e. My house is a disaster, it’s a pig sty!)

2. Who is usually involved in the problem? (i.e. Me, my family, and my home)

3. What specifically happens? (i.e. I walk into the laundry room and see the mess. The clothes are all over the
place and everything is out of order. I get feeling really angry and overwhelmed because no one but me does
the laundry.)

4. When and where does the problem generally happen? (i.e.This usually happens most at the end of a long
work week and usually at the end of the day.)

5. Clarify and define terms in your problem description to make them clear and precise:

i.e. Disaster – my laundry room is messy

Pig sty – same as above

6. Rewrite the Specific Problem

(i.e. My laundry room is untidy, and I would like it to be more orderly. My family doesn’t help me enough
with the laundry.)
What distracts me? How did I react How did I react How did I react to Aftereffects
to what to what what distracted me?
(Is it a thought? What distracted me? distracted me?
thought is it? Is it an
object? Describe the (What did I think (How did I feel (What did I DO about (What happens as
object as it is.) about it? What about it? What it? What actions did I a result of me being
are my thoughts were my take?) distracted?)
about it? emotions and
how intense were
they?)