Case Summary

By:

Pam Santos
Janice Tiambeng
 REASON FOR REFERRAL

Pia was referred for hypnotherapy by her mother due to

several conduct issues since she was 13 years old. Her
behaviors include lying, stealing, damaging other people’s
property on purpose, bullying and cheating. The pattern is
repetitive with stories of showing aggression toward others,
serious violations of rules and social norms at home, in
school, and with peers and manipulation. She also shows no
remorse on all her wrong doings.
SHORT BACKGROUND OF THE CASE
Name: Pia
Age: 20
Sex: Female
Language: Tagalog
Nationality: Filipino
Civil Status: Single
Sexual Orientation: Heterosexual
Occupation: 3rd Year Nursing Student
Religion: Roman Catholic
Spiritual Orientation: Non-practicing Catholic, does not believe in God
Living Environment: lives with her parents, 3rd child, 2 brothers and 2 sisters,
Socio Economic Status: lives in Laguna, middle class family

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Summary of appraisal measures used and results
INTAKE INTERVIEW
“dun ako nakakahanap ng
technique sa stealing hehe
and also nag eenjoy lang
talaga ako makapanuod ng
ganung show”
“ang saya lang makanuod
ng ganon po”
“uhm, kasi diba ate ang
weakness kapag may pake
ka sa sasabihin ng iba? Ako
walang pake so wala akong
weakness”
“Gusto ko nun eh, Nag
eenjoy ako kapag may
nakikita akong maganda
kaya kinukuha ko nalang”
SSCT DAPT H-T-P
Loves her parents but Hands inside the pockets Over emphasize of sun and
shows hostility to her - antisocial clouds
siblings - Her source of power
She doesn’t want to get Head was enlarged Red rooftop and
married and get - Fantasy in the source of satisfaction combination of red and
committed to one person white house
- nothing
Doesn’t care about other Mouth line single Mango Tree
people - Passive-aggressiveness -love and care
She wants to be a Waistline very tight, looks like Drew her parents
successful musician being corseted - Happy family
someday
-can be seen as narcissistic
Here are Pia’s behavior that can be considered unlawful and against proper
conduct:
 
1. Stealing
2. Driving without license
3. Driving while drunk
4. Pinching, hitting and pushing other people

She also has these other inappropriate behaviors like:

1. Manipulating other people to have sex and cheat during exam.

2. Flirting a lot of boys for the sake of having gifts
3. Lying to her parents about the gifts that she received

Pia also shows no remorse in her wrong doings. Pia started to have these
behaviors since she was 13 years old. All of these are possible criteria for Anti-
Social Personality disorder

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CASE CONCEPTUALIZATION

Pia is a 20-year-old female referred by her mother to understand and find solutions her
improper behavior. Her long history of conduct disorders started when she was 13 years
old. She is a person who consistently shows no regard for right and wrong and ignores the
rights and feelings of others. Pia often violates rules and norms, lies, behaves violently or
impulsively, and manipulates people she thinks is inferior than her. Because of these
characteristics and behavior, Pia can't fulfill responsibilities related to family, work or
school. She tends to antagonize, manipulate or treat others harshly or with callous
indifference. She shows no guilt or remorse for her behavior

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 CASE CONCEPTUALIZATION

 
Signs and Symptoms

Pia is showing typical behaviors of antisocial personality disorder. She causes

discomfort or distress to others through socially unacceptable behavior and by
being deceitful, impulsive, aggressive or irritable, reckless, irresponsible, and
remorseless. Antisocial personality disorder is a mental health condition in which a
person has a long-term pattern of manipulating, exploiting, or violating the rights of
others. This behavior is often criminal. Pia also shows other symptoms like being
good at flattery and manipulating other people's emotions, breaking the law
repeatedly, disregard the safety of self and others, have problems with substance
abuse, lie, steal, and fight often

Interpersonal Styles

- Attitude towards parents and sibling

- History of Stealing

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CASE CONCEPTUALIZATION
Precipitating Factors
 
-Relationship with family including parents and siblings
-Attention Seeking

 
Protective Factors
 
- Support of Parents
- Financial stability
- Pia’s strong qualities
-Good health and above average intelligence
 
Perpetuating Factors
 
-Chronic stealing and lying
-Pia’s relationship with her family members
-Communication amongst all members.
 
Predisposing Factors
 
-Birth Order
-History of mental illness in mother’s side

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PSYCHOTHERAPEUTIC PLAN

The plan was to help pia change her irrational thinking and

manage her conduct disorder so she can slowly learns to
appreciate the people around her. Some studies have suggested
that cognitive behavior therapy can help in managing some
symptoms of ASPD.
Problem Identified Terminal Objective Specific Objective

Pia’s history of stealing To increase pia’s awareness To help pia overcome her
started when she was 13 about stealing and fully stealing problem and make
years old. She enjoys understand the consequences her understand that stealing
watching CCTV footages of of her actions. is bad.
individuals who’s shoplifting
because she wants to know
more techniques on how to
steal
 Specific plan of action
Disputing irrational beliefs of pia
Use rational emotive imagery to help pia understand
what’s the worst thing that could happen to her when she
doesn’t stop stealing.
Pia must do some deep breathing exercises when she
wants to steal something in order to help her calm and
control herself before doing something.
Pia should practice meditating everyday so that she can
have time to think and also one way to make her calm
throughout the day
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“How can you say that stealing is not bad? What 4 weeks
is the definition of bad for you?”
(2 sessions)
“I want you to vividly imagine the time when 4 weeks
you were trying to stole something and then (2 session)
you get caught and you will be imprisoned"
"Whenever you’re ready, let’s take a deep breath, as Daily
you inhale and exhale and inhale and exhale and
inhale and exhale, breathing in all the way up from
the abdomen you feel more relaxed”
“slowly at the count of three I want you to close your eyes, 1
2 and 3 close your eyes. let my voice guide you, feel the
Daily
chair beneath you, know you are safe. Feel the noise beside
you, know that it’s just you and me. Know that you are safe
with me, Now I want you to imagine a safe place at the count
of 5 I want you to go to that safe place, a place where you
think you can relax, a place where you think you can be
yourself, a place full of happy people and your loved ones. A
place where you can make all your loved ones proud, a
place where you can express your joy and do whatever that
makes you happy, whether a beach, a garden, a cloud, or
whatever you imagine.”
“People and things do not upset
us. Rather, we upset ourselves
by believing that they can upset
us”

�
- Albert Ellis

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Thank You!
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