Case Conference (I) - Sept. 6

Case #1:
Demographics: 21yo, Caucasian, senior, Hx/Ed;
Presenting Problem: 1) walk in, anx (4d w/o slp), std tching, 2) past Sx/A, int w/ BF
Additional clinical observation/judgment: internalized pressure, the "perfect child," low SE
Intervention: 1) Beh: deep breathing, progressive muscle relaxation, - not buying; 2) Cog: thought stopping/substitution; 3) self-care, metaphor; 4) exploration of consequences and options.
Input from the group: 1) impact on current life; 2) siblings?, 3) proceed on her own pace.

Case #2:
Signs of Asperger's (Clinical judgment): 1) nonverbal cues; 2) misinterpretation or being misinterpreted; 3) contextual factors; 4) interactions "here and now" and in the waiting room; 5) absence of emotional connection; 6) social interaction; 7) behavioral pattern; 8) rigidity (roommate); 9) minimal contact; 10) no spontaneous talking; 11) lack of friendship; 12) unusual interest.

Case #3:
20yr, soph, P/I; spn/intS
Presenting problem(s): anticipated separation; tears; concealment; identity
Intervention: common ground, both...and; assertive communication; future orientation; growth opportunities; insight (past vs. present; similarity vs. difference); validating feelings
Input: Self religious beliefs; GF orientation; safeZone (Training, most st); icebreakers; new directions (G/ST alliance, more activist); same-gender partner benefits

Feedback: open, non-defensive stance regarding knowing vs. not knowing.