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Simulated Client
Paper details:
Add sources related to CBT and SFT but they must be from the past five years. The paper is below. Could you please ensure the directions are followed precisely and include an introduction that is a mini formulation? Focus less on cancer and more on comparing CBT and SFT and how they relate to the client telling his family he wants to stop treatment.

***DIRECTIONS****
provide a brief
(one to two pages) introductory statement that should include identifying information, such as
the presenting problem(s), client circumstances, strengths, difficulties, and relevant history.
Develop two different clinical formulations drawing on two of the theoretical frameworks we
have reviewed this semester. Include at least 10 references to relevant literature and research.
Compare and contrast:
o How does each framework deepen or enrich your understanding of your client?
o What does each framework suggest in relation to clinical interventions and
strategies?
o Which of the two frameworks do you find most relevant and useful? How and
why?
o What research evidence can you find, if any, that supports the use of this approach
with this client? What are the strengths and limitations of the evidence?

**Identifying Information outline
White male, 68 years old
Married & has an adult son
Stage III esophageal cancer
Has has systemic therapies (chemo & radiation), and surgery
Asserts he is capable of making his own medical decisions
Has had a history of medical treatments

Presenting Problems
Wants to focus on pain management rather than treatment
Wants to walk with his dog more often
Wants to discuss with his family the concept of stopping treatment and focusing on pain management instead

Strengths
Has a family he can rely on
Is confident in his own decision-making skills
Wants to spend (healthier) time (he has remaining) with family

Risks or Barriers
Familys reaction
Did not identify other supports outside of his family
Did not mention career (impacts finances)

Suggestions & Possible Solutions
Group therapy
Family therapy (End of life discussion, CBT)
Grief counseling