How might Rhiannons problems be understood from a cognitive-behavioural perspective? (b) Which cognitive-behavioural therapy interventions might follow from this understanding?
vignette-based question
Instructions: read the vignette and answer the questions below.
Word limit: your answer should not exceed 1000 words in total.
Rhiannon is a 57-year-old woman who was dismissed from her job as a healthcare manager in a learning disabilities residential service approximately 18 months ago. She claims she was unfairly treated by her company and was blamed for an incident involving a resident: a resident assaulted Rhiannon but he was also injured when Rhiannon and a colleague restrained him. The incident was reported in the local newspapers. Rhiannon successfully pursued for a case of unfair dismissal three months ago, although she has not returned to work. She spends most of time in her own home because she is fearful of how people might react to her. When she does leave her home she goes to towns where she is unlikely to see people she knows. In the past year she has shoplifted on several occasions and was cautioned by the police three months ago: she has not shoplifted since. Rhiannon has sought psychological therapy because her husband is worried about her. He reports that their marriage has been strained in the past (some ten years ago) after Rhiannons father passed away and she went into a depression but they worked through their problems. He describes Rhiannon as acting out of character in shoplifting and he cannot understand this behaviour; she rarely leaves home, now, and she is obsessed with cleaning. Since her dismissal from work she has lost considerable weight, her sleep is impaired and she finds no enjoyment in any day-to-day activities. Her GP has prescribed anti-depressant medication, although she does not feel these have helped her symptoms. She feels that she can no longer return to her career, and that her future is very uncertain. Rhiannon reports that the only way to manage her anxiety is to keep busy by cleaning the home.
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