Case conceptualization, worked out.
Anonymized vignettes — initials only, composite cases. Each shows presenting concern, history, multi-modality formulation, and a phased treatment plan. Built for grad students and early-career clinicians who want to see how the modalities you're learning actually translate into a plan.
Mood
Major depressive disorder, recurrent, moderate
High-achieving professional in a third depressive episode; perfectionism and overwork mask collapsing functioning.
Bipolar II disorder
Recurrent depression with prior hypomanic episode missed by prior providers; psychotherapy adjunct to mood stabilizer.
Postpartum depression with anxious features
First-time mother at 4 months postpartum; tearful, intrusive harm thoughts toward infant, sleep-deprived, partner overwhelmed.
Major depressive disorder, late-life onset
Widower 14 months; first depressive episode; medical comorbidities; cognitive complaints requiring differential workup.
Anxiety
Generalized anxiety disorder
Graduate student with chronic worry, somatic tension, and a belief that worrying prevents bad outcomes.
Obsessive-compulsive disorder, contamination subtype
Contamination OCD with 4-hour daily ritual time; reassurance-seeking from family; minimal insight at intake.
Social anxiety disorder
First-year college student avoiding classes, presentations, and dining halls; LSAS at 84.
Panic disorder with agoraphobia
Recurrent panic attacks for 18 months; avoidance has shrunk her radius to a 3-block neighborhood.
OCD, moral/religious scrupulosity subtype
Compulsive confession, mental review, and reassurance-seeking from clergy; misframed by past providers as 'spiritual struggle.'
Trauma
Post-traumatic stress disorder (single-incident)
PTSD after a serious motor vehicle accident 14 months prior; avoiding driving, intrusive imagery, sleep disruption.
Prolonged grief disorder
Three years after loss of adult child; pervasive yearning, avoidance of reminders, identity disruption.
Complex PTSD
Chronic relational childhood abuse; pervasive shame, affect dysregulation, attachment disruption, dissociation under stress.
Personality
Neurodevelopmental
Attention-deficit/hyperactivity disorder, predominantly inattentive (adult)
Late-diagnosed ADHD after child's diagnosis; presents with executive overwhelm, shame, and burnout.
Autism spectrum (late-diagnosed adult), with burnout and anxiety
Late-diagnosed adult autistic client in autistic burnout after masking through demanding career; secondary anxiety and identity reckoning.
Eating
Substance
Couples
Relational distress (no individual diagnosis)
Classic pursuer-distancer cycle escalating since first child; not yet contemptuous; both engaged.
Relational distress post-infidelity disclosure
Disclosed affair 8 weeks ago; both want to repair; betrayed partner cycling between rage, grief, and intrusive imagery.
Adolescent
Health
All cases are composite and fully anonymized. Initials, ages, and details are illustrative — no actual client information is represented.