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Supervision

Last updated: September 7, 2025 at 11:26

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 five sections: Introduction, Assessment, Intervention, Results, and Feedback. 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 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, 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. Feedback (4 min)

Areas of difficulty (e.g., missed sessions, poor response to treatment, need for referral, new challenges) and request for suggestions.
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 suggest? I’m also considering whether pharmacological support might be needed.