By: Brittany Johnson

BLACK SWAN CASE STUDY

http://www.youtube.com/watch?v=hVO6VGqfWwQ

BLACK SWAN. “I WAS PERFECT”

Diagnosis• Obsessive

Compulsive Disorder• Paranoid

Schizophrenia • Eating Disorder

Symptoms: 1. Obsessions = being

perfect2. Compulsions = scratching 3. Paranoid Schizophrenia =

hallucinations and delusions of things getting in her way of being perfect.

4. Eating disorder = very thin, competitive occupation, vomiting when anxious

SYMPTOMS AND DIAGNOSIS

• Cognitive Behavioral Therapy• Identifying triggers and coping

mechanisms• Spirituality/wellness groups• Relaxation• Expressive Art Therapy• Leisure Education• Self Esteem and Body Image

TR INTERVENTIONS

• Client will develop five new useful leisure activities and skills by the end of the 12 week treatment.

• Patient will participate in at least 1 group activities a day and 1:1 with the therapist for the first six weeks of treatment.

• Patient will identify three new coping skills that can be utilized to decrease triggers and obsessive thoughts from occurring.

• Client will establish 4 new social contacts in group activities of in the facility before impatient treatment ends.

• Client will enhance body image and self esteem by drawing hers positive qualities of self once a week.

• Client will participate in expressive arts therapy of her choice twice a week in group or individual settings.

• Client will fill out Leisure Attitude Measurement and Life Satisfaction Scale at the end of each week to track progression of treatment plan.

• Client will move to outpatient treatment at the end of 12 weeks if goals are met. • Client will participate in CBT three times a week to decrease negative thoughts,

behaviors and actions

GOALS AND OBJECTIVES