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Clinical Case Studies
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Application of CBT in an Inpatient Setting

Case Illustration of an Adult Male With Anxiety, Depression, and Axis II Symptoms

Evelyn Abramovich

Nova Southeastern University

The following case illustration demonstrates the utility and scope of the cognitive-behavioral modality in treating coexisting Axis I and Axis II symptoms in an inpatient setting. The client, who is referred to as "Jim," presented for treatment in an acute state at an inpatient hospital. He complained of severe anxiety and depression and reported suicidal ideation with intent. After being stabilized, he was transferred as an inpatient to an intensive psychosocial rehabilitation program within the hospital where he began individual psychotherapy. Over the course of therapy, it became apparent that Jim was also exhibiting symptoms of dependent personality disorder, as well as features of other Axis II disorders. Based on Beck’s cognitive model, treatment was modified to account for the presence of the Axis II symptomatology. Therapy centered around helping Jim attain a sense of autonomy, reconstruct his maladaptive cognitive patterns, establish interpersonal relationships, and build a stronger support network

Key Words: Beck’s cognitive model • cognitive therapy • cognitive-behavioral therapy • dependent personality disorder • generalized anxiety disorder • major depressive disorder • inpatient

Clinical Case Studies, Vol. 5, No. 4, 305-330 (2006)
DOI: 10.1177/1534650104267643
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