Psychotherapy A Case Study of Mario


Psychotherapy:A Case Study of Mario


Treatmentof psychological problem involves several stages. The initial stageis the recognition and acceptance of the victim that he has a problemthat need to be addressed. Many people suffer from the challenge ofvoluntary counseling mostly because of the stigma associated withmental disorders. Another group of people associated psychologicaldisorders to another external factor. The level of self-esteem of aperson will determine the extent of help the person would receivefrom a psychotherapy program (Jacobs, 2012). For a given program tosucceed, there is a need for trust between the therapist and theperson being through the program. In most cases, the therapists applyan interactive verbal relationship before identifying the bestprogram to undertake. It is also to important to consider applying the various taxonomy models present in counseling, but this is mostlydetermined by a specific client’s needs. The objective of anychosen psychotherapy program is helping the client in accepting thelife challenge and controlling his life. The most paramount factor inhandling any psychotherapy client is to identify the needs and alsodevelop mutual trust. This sets the background for the study ofpsychotherapy and its application in the society is paramount.

CaseStudy of Mario

Inthis case study, the client suffers from loneliness caused byseparation from his family members. The client also has a challengeto cope with his illegal immigration status in the United States. The resulting effect of the stated challenges facing the client isindulgence to alcohol that lands him at mercy of psychotherapyprogram. The following is the analysis of the various steps andrequirements for the program to be adopted in treating Mario.


Forany given psychotherapy program to be successful, there is theimportance of obtaining personal information related to the client.This will help in identifying the root cause of the psychologicaldisorder, and thus analyzing the most important therapy program. Itis important to have a brief history of the client for the past fewyears. In other cases, the client would be asked to provide a briefhistory of their life since childhood. All these are meant toidentify and relate the problems with the life of the client. Thecrucial thing for a therapist is to ensure that the client is free toshare the information without any form of coercion. One of thepersonal information required is the name, age and marital status.Once the client has provided the given information, it is now thework of the therapist to inquire about the family background (Jacobs,2012). Information related to family is important so as to relate theclient’s needs and probably with those of the family.

Mario’smarital background and family information would be important in thedesigning of the best therapy program. Normally, the background of aclient influences the life in later life. It is for this reason thatMario’s information would be required. In other given scenario, theclient challenge might also be a challenge running in the entirefamily, and, therefore, it would be important to obtain theinformation relating to the family. Abraham Maslow developed a theoryof motivation in the life of a person (Seligman, 2004). Through thestudy of the theory, it is important to relate it with theintrapsychic taxonomy model of counseling. The intrapsychic taxonomytheorem explains the relationship between the body, mind and spirit.For a normal human being, the three components are interrelated andwork in a coordinating manner. The taxonomy should be adopted in thecase study of Mario since he has varying physical and psychologicalneeds. The aspect of loneliness explains the need for connection withhis family members. He is also deprived of his basic human need forsex since he is a married man (Jacobs, 2012).

PersonalBiases and Limitations

Mariohas the problem with accepting his immigration status since he did itin an illegal way. This poses as a challenge to his therapy, as hishas turned to alcoholism as a way of escaping the realities of life.It is, therefore, important to closely relate his challenges to thereal life and also his background. The authorities have the approachof treating the problem of alcoholism in Mario little do they knowthat he has other psychological problems. In spite of his associationat the Catholic Church, Mario has the problem of interacting withother people. This poses a great danger to the effectiveness of thetherapy to be adopted (Seligman, 2004).


Thereare several goals to a given psychotherapy program adopted. However,the most important goal or objective is to help the client embracecontrol of his life. Secondly, it would be paramount to consider thegoal of reinstating the client to his former life before he left hiscountry. Reinstatement procedure involves the study of all thebehavioral changes and factors causing them and thus identifying thepossible solutions (Jacobs, 2012). In the event that the client isreluctant to a given therapy program and specifically the goals,further psychoanalysis procedures would be appropriate. This willhelp the client identify the importance of having positive motives inlife. If there is only allowance of one goal to the client, the mostimportant goal to be adopted would be helping the client have controlof his life. This is important as it would encompass the adoption ofself-realization program and also would incorporate psychoanalysis(Seligman, 2004).


Themost paramount factor in any given psychotherapy is the understandingand trust between the therapist and the client. When this happens,any given theoretical approach would perfectly fit a given client.The origin of the many approaches to counseling is from Sigmund Freudin his psychoanalysis theoretical approach to counseling (Jacobs,2012). All other approaches have been founded on his concepts. Themost effective model of therapy would be client-centered therapy. This is a theorem that was developed by Carl Rogers (1951, 1977), andis influenced by the client’s perception towards growth andself-development. It helps the therapist to develop an appropriateenvironment for the client’s interaction. It is based on threefactorial components positive regard, empathy, and genuineness. Thethree components provide the foundation for the necessary program tosuit the client. This approach is most important because itencompasses the aspect of individual responsibility to their life(Seligman, 2004). It helps the client to identify that he has thecontrol over his thoughts and life at large. It emphasizes on thegoal of self-recognition and control.

Inadopting the client-centered approach to counseling, the next step isto identify the best technique of counseling to apply. The besttechniques to apply in this therapy are non-directive therapy thatenables the client to speak their mind freely. Secondly, it is anactive listening for the part of the therapist. The number ofsessions would be determined by the perception of the client to thetherapy program (Jacobs, 2012). However, it is paramount to setenough time to interact with the client and develop trust so as toenhance the therapy program. A psycho-educational program is meantfor advanced stages of counseling. It is for this reason that a givenclient would not be recommended for any program of that nature, notunless the situation worsens (Seligman, 2004).

Therapeuticprogress and success

Developmentof self-centered approach and control to a client’s life is thebest measure of progress and success. The therapist should noticechanges like the client’s self-initiative programs. It is animportant measure as it is founded on the client’s needs.

Themost paramount factor in handling any psychotherapy client is toidentify the needs and also develop mutual trust. This sets thebackground for the study of psychotherapy and its application in thesociety is paramount. Mario’s future should be closely checked toavoid further cases of indulgence to drugs (Jacobs, 2012). It is alsoimportant to offer additional therapy on handling other forms of lifechallenges other that the stated ones. In a nutshell, therefore, thesuccess of Mario is a correlation between two variables thetherapist’s efforts and Mario himself.


Jacobs,M. (2012). Thepresenting past: The core of psychodynamic counseling and therapy.Maidenhead: Open University Press.

Seligman,L. (2004). Diagnosisand treatment planning in counseling.New York: Springer.