When presenting a case during supervision, please follow the structure below to ensure clarity and efficiency. Aim to keep your presentation under 10 minutes, using the following six sections: Introduction, Assessment, Intervention, Results, Therapist Reflection, and Feedback/Questions. Focus on clinically relevant information and end with a clear question or reflection to guide the discussion.
1. Introduction (1 min)
Name, age, origin, education, occupation, place of residence, current situation, reason for consultation, phase (assessment, intervention, or follow-up), number of sessions completed.
Alan, 25 years old, originally from Colombia, no higher education, Glovo rider, living in a shared flat in Badalona. Migrated 2 years ago, limited financial resources, initially sought support due to depression. We are currently in the intervention phase, and this is the eighth session.
2. Assessment (2 min)
Identified problems (omit anecdotal, non-clinically relevant data), clinical history, and therapeutic goals.
He presents with a depressed mood, feels socially isolated, and uses alcohol to regulate his mood. Reports difficulty completing daily tasks (has received warnings at work). He had two previous depressive episodes in Colombia during adolescence. Has a conflicted relationship with his mother. Main goals: improve mood, build a support network, and reduce or eliminate alcohol consumption.
3. Intervention (2 min)
General treatment plan and interventions used in recent sessions.
We are working on a behavioral activation program for depression, aiming to replace dysfunctional behaviors (e.g., isolation, rumination, alcohol use, self-criticism, procrastination) with more functional ones (e.g., social connection, physical activity, self-acceptance, task completion).
4. Results (2 min)
Overall response to intervention, progress made, and next steps.
He showed positive progress in the early sessions (improved mood, increased activity, reduced alcohol use), but now seems to be plateauing. My plan is to reinforce the behavioral activation strategy: taking action to improve mood rather than waiting to feel motivated. However…
5. Therapist Reflection (3 min)
Describe your therapeutic alliance. How do you feel about the patient? What do you hope to achieve with them? Anything challenging or confusing?
I believe we have an authentic, trusting provider-patient relationship; however, I have some apprehensions that he resents that he must see me. I feel real empathy and concern for him, but also some frustration when he doesn’t show up. I would appreciate the group's ideas on how to re-engage him in the therapeutic process. I am having difficulty distinguishing between genuine fatigue or a lack of effort.
6. Feedback & Questions (4 min)
Areas of difficulty (e.g., missed sessions, poor response to treatment, need for referral, new challenges) and request for suggestions. What kind of help or perspective are you seeking from the group?
He cancels sessions at the last minute and struggles to complete the tasks I suggest, although we have built a strong therapeutic alliance. What would you recommend/do in my situation? Any strategies for rebuilding momentum without creating a harmful dependency? I’m also considering whether pharmacological support might be needed.
