Therapeutic Video Case: Perinatal Mood and Anxiety Disorders
Therapeutic Video Case: Perinatal Mood and Anxiety Disorders
Perinatal Mood and Anxiety Disorders
For this session, focus on solution focused brief therapy, narrative, and/or feminist therapy modalities to engage with the client.
Solution Focused Brief Therapy: This type of therapy focuses on the here and now and breaks down each issue into small steps where solutions can be identified and implemented. It is a goal-directed and collaborative approach to change that is performed through observation of a client’s responses to a series of precisely constructed questions.
Narrative Therapy: This type of therapy allows the client to tell a story then reflect.
Feminist Therapy: This type of therapy focuses on societal, cultural, and political causes and solutions to issues faced by women or minority groups.
A very depressed 36-year-old African American woman named Mindy is referred to outpatient therapy five months after giving birth to her third child. She states she has two boys and the newest is a girl. She talks with a flat affect when describing her lack of interest in being a mother. She also expresses concern over recurring thoughts of seeing herself drop her baby, and cries as she discusses it, stating, “I would never hurt my baby. Why do I keep having images of dropping her down the stairs or in the bathtub? It is so distressing.” It has been difficult for her to get out of bed in the morning, and showering/hygiene has been poor. She presents to the appointment wearing leggings, an oversized shirt, very messy hair, and house slippers. She reports her husband is upset because he wants things to get back to “normal.” She also expresses fear of letting others hold the baby, as she has similar images of dropping the baby during transfer to the other person.
She reports no complications during pregnancy or delivery, but states she was much more emotional this pregnancy but is unsure why. She reports she is breastfeeding and that this is the only piece of motherhood she feels she is coping well with. She cries more as she discusses missing her life before the third baby, and how her other two children were such good babies. She states, “This one . . . she just never sleeps. I can’t get any rest. I am so tired.” She struggles a great deal to transition to taking care of three children versus two and expresses she is a failure and things are never going to be “normal” again. She has decided not to return to her job as a financial advisor and, instead, has decided to stay home full time.
Her husband does accompany her to the clinic, but she reports to the session alone, leaving him and the baby in the waiting room.
Vitals:
136/78
98.2
20
74
99%
5’9”
178 lbs
Review the PMAD Fact Sheet (PDF).
Contact your Partner
Identify a time that both of you can meet online to record your video session. Allot about 60 minutes for discussion with your partner and the recording of the video.
Your partner groups were assigned in the first few weeks of the course. You will keep the same partner group throughout the entire semester. During the video session, you will both practice the assigned skills for this week, which are based on your readings, handouts, other weekly materials, and any additional resources provided. You will take notes during the session so you can complete a SOAP note.
During Your Meeting with Your Partner
Every practice therapy video session should include skills you used in prior weeks in the current video; don’t forget the skills you previously learned.
In your practice session, role play the case study with your partner using empathy and other skills you have reviewed this week. Your partner becomes the client. You play the role of the therapist.
Each partner will record a 15-minute video for the week using Zoom (see instructional video on how to record video at the beginning of the course). Provide a brief description (verbally) of the patient situation at the beginning of the video. (You do not need to read the entire case; simply state the title and one sentence as a summary.)
Video Recordings Need to Have the Following Components
The recording should show both you and the client during the entire session.
Both of your faces and body language should be shown.
Attire should be appropriate and professional.
Set up the room as if it were a therapy office (that is, chairs; quiet, private space).
The recording needs to be clear and audible. Ensure there is no background noise when you are recording.
The lighting of the room needs to be appropriate; that is, it should illuminate the faces of the client and the therapist.
After the Video Recording
After your recording is complete, follow these instructions to create an unlisted YouTube video. You will need the YouTube video URL for this assignment. Submit your YouTube video URL. The best way to do this is to copy and paste the hyperlink URL for the YouTube video into a Word document. Your faculty will access your video via the link. Do not upload a video file (mp4).
Then complete the SOAP Note and Reflection Template (Word) and turn it in to the assignment dropbox.
Please refer to the Grading Rubric for details on how this activity will be graded.
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