Facilitating Effective Self-Management
Client Information
Name: CA
Age: 48 years old
Sex: Male
Gender identity: Cis
Sexual orientation: Heterosexual
Relationship status: Married
Ethnicity: White/French
Religion/spirituality: N/A
Immigration status: 4th Generation
Ability/disability: N/A
Socioeconomic status: N/A
Education: Tertiary with a PhD
Employment: Employed
Substance use/abuse history: N/A
Family of origin characteristics: CA was raised by two parents, a heterosexual couple in an urban setting.
Family of origin concerns: No family history of abuse, substance use/abuse, neglect, or mental illness.
Common Stressors and Crisis History
CA is currently experiencing three major life stressors, where all are related to his marriage. The first stressor is conflict over finances with his wife. CA has been saving a portion of his income to buy a house outside of the city in order to raise his children in a more friendly and safer space. However, his wife has a higher appetite for fashion and expensive things. She spends most of her money on things that CA notes as ‘wastage’. This has been the cause of several fights with his wife. Secondly, as a physician, CA sometimes works till late or is called to work at odd hours. He feels he is not around his family most of the time. His wife has also complained a number of times. The third stressor is the diminishing sexual intimacy between CA and his wife. He notes that he is mostly too tired for sex after work, and his wife is growing less interested in sex since she had their third child. These personal crises have made CA highly stressed.
Cognitive Distortions
One cognitive distortion that CA demonstrates is catastrophizing. Catastrophizing is arbitrary referencing, where the client dreads or thinks of the worst scenarios and outcomes in times of crisis (Corey & Corey, 2021). CA has developed fears since his wife is growing less interested in sexual intimacy with him; she is seeking sexual satisfaction outside their marriage.
Resilience Strategies and Self-Care Action Plan
Lifestyle Changes
The recommended therapeutic lifestyle changes for CA include daily physical and mindfulness exercises and creating space to spend time in nature with his wife and kids. Mindfulness-based exercises have been found to improve reactiveness in times of challenging experiences (Yang et al., 2018).
Mindfulness
Mindfulness involves training the individual to intentionally remain focused on the present experiences rather than focusing on the past or the future (Corey & Corey, 2021). Mindfulness training significantly impacts the ability to be flexible and learn to adapt how an individual engages and disengages their emotion regulation (Alkoby et al., 2019). The recommendations for including mindfulness in the self-care plan for CA will include taking time each day to care for himself, the use of guided meditation, and understanding that it takes time to achieve regulatory choice flexibility; therefore, he needs to be patient and consistent with mindfulness every day.
Crisis Management
Recommendations to help CA manage future crises include:
Learning how to be emotionally and behaviorally resilient. The specific emotional and behavioral components include learning to regulate his emotions and seeking support from friends and family to counter future crises.
Recognizing and countering signs of crisis and stress. The emotional, cognitive, and behavioral components of this goal can be achieved through improved emotional regulation, improved coping strategies, and utilization of professional support services.
Other Recommendations
Other recommendations for CA include creating a quiet space in his home where he can relax and take time to talk to his wife about his plans and why the plans are important. Other suggestions include improved social engagement and taking a short mindfulness course, which has been found to improve mental health coping strategies (Galante et al., 2018).
References
Alkoby, A., Pliskin, R., Halperin, E., & Levit-Binnun, N. (2019). An eight-week mindfulness-based stress reduction (MBSR) workshop increases regulatory choice flexibility. Emotion, 19(4), 593–604. https://doi.org/10.1037/EMO0000461
Corey, M. S., & Corey, G. (2021). Becoming a helper (8th ed.). Cengage Learning.
Galante, J., Dufour, G., Vainre, M., Wagner, A. P., Stochl, J., Benton, A., Lathia, N., Howarth, E., & Jones, P. B. (2018). A mindfulness-based intervention to increase resilience to stress in university students (the Mindful Student Study): a pragmatic randomized controlled trial. The Lancet Public Health, 3(2), e72–e81. https://doi.org/10.1016/S2468-2667(17)30231-1
Yang, E., Schamber, E., Meyer, R. M. L., & Gold, J. I. (2018). Happier Healers: Randomized Controlled Trial of Mobile Mindfulness for Stress Management. Journal of Alternative and Complementary Medicine, 24(5), 505–513. https://doi.org/10.1089/ACM.2015.0301/ASSET/IMAGES/LARGE/
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Question 
research at least one peer-reviewed journal article published within the last 10 years that includes specific strategies for stress management, mindfulness, or strategies to enhance resilience. Refer to the information in the Scholarly, Peer-Reviewed, and Other Credible Sources links to an external site. And the Library OneSearchLinks to an external site. Tip sheets will assist you in identifying peer-reviewed articles.
Facilitating Effective Self-Management
To successfully complete this discussion, include each of the following in your initial post, using the headings provided for you below in boldface to organize your work. Cite your textbook and any other scholarly sources you may use to defend your decisions. Minimally, include the following information denoted below. You are welcome to include additional information about the client.
Client Information
Name
Age
Sex
Gender identity
Sexual orientation
Relationship status (if applicable for the client’s age)
Ethnicity
Religion/spirituality
Immigration status (1st generation, 2nd generation, etc.)
Ability/disability
Socioeconomic status
Education
Employment (if relevant)
Substance use/abuse history
Family of origin characteristics (raised by a two-parent heterosexual couple, two-parent gay couple, single parent [specify gender and sexual identity], rural, urban, suburban, affluent, low income, etc.)
Family of origin concerns (substance use/abuse, physical abuse, sexual abuse, neglect, parent or other family member with mental illness, etc.)
COMMON STRESSORS AND CRISIS HISTORY (One Paragraph)
Describe the major life stressors your client is experiencing and crises they have experienced.
Summarize the ways that experiences with crises are affecting your client emotionally in accordance with the information presented in your textbook.
COGNITIVE DISTORTIONS
Identify at least one cognitive distortion, as discussed in the textbook, that your client demonstrates.
RESILIENCE STRATEGIES AND SELF-CARE ACTION PLAN
Lifestyle changes: Identify at least two therapeutic lifestyle changes as discussed in the textbook that you recommend for your client.
Mindfulness: Describe recommendations for including mindfulness in the self-care plan.
Crisis management: Create at least two recommendations for managing future crises. Be sure to specify the cognitive, emotional, and behavioural components involved in managing crises.
Other recommendations: These may include suggestions such as exercise, yoga, relaxation training, nutritional recommendations, social engagement, and so on. Be sure to cite scholarly sources to justify your recommendations.