One of the aims of this case report is to demonstrate that cognitive behavioural therapy, can bring a change in client's presentation, a reduction in the symptoms experienced and can also provide the client with skills which will assist in coping with similar difficulties should they arise in the future, within a limited time frame.
The treatment of this client has been adapted to meet his particular needs
and it was based on relatively recent research on low self esteem.
It took place within counselling service that can only offer a maximum of 9 months psychological treatment (including an interview, assessment, treatment plans and relapse prevention).
2 Client history
The patient is a 22 year-old-man from a small catholic town in Spain. He moved to London, with his parents and younger brother when he was about 10 years old. His parents are of coming from a strong religious background.
He was evidently a regular church goer and grew up under firm religious guidance. Things started deteriorating drastically when (at the age of 19) his mother discovered some gay porn magazines hidden away in his closet as well as pictures of himself with other men.
Soon after this discovery and after he admitted that he was gay, he was asked to leave the family home. At that point he became homeless, lonely and gradually depressed.