Elementary School Student Mental Health Case Counseling Record390

Subject: John Smith, 9-year-old male, 4th grade

Date: February 23, 2023

Presenting Problem: John has been displaying symptoms of anxiety and withdrawal in the classroom. His teacher reports that he has become increasingly withdrawn and reluctant to participate in class activities. He also appears to be anxious and worried about his performance.

Assessment: John completed a self-report anxiety questionnaire, which indicated elevated levels of anxiety. He also engaged in a play therapy session, during which he expressed concerns about his ability to succeed in school. He reported feeling overwhelmed by schoolwork and worried about making mistakes.

Diagnosis: Mild anxiety disorder

Treatment Plan: The treatment plan will focus on helping John develop coping mechanisms for managing his anxiety. This will include:
Cognitive-behavioral therapy (CBT): John will learn techniques to identify and challenge negative thoughts and behaviors that contribute to his anxiety.
Relaxation techniques: John will be taught relaxation techniques such as deep breathing and progressive muscle relaxation to help him calm his body and mind.
Social skills training: John will participate in social skills training groups to help him develop positive social interactions and reduce his social anxiety.

Progress Notes:
March 2, 2023: John has attended two CBT sessions and has started practicing relaxation techniques. He reports that he is feeling less anxious and more confident.
April 10, 2023: John has made significant progress in his CBT sessions. He is now able to identify and challenge his negative thoughts. He has also started to make friends in his social skills training group.
May 24, 2023: John has completed his treatment plan and is no longer experiencing symptoms of anxiety. He is now participating fully in class activities and is thriving academically and socially.

Conclusion: John has made significant progress in overcoming his anxiety. He has learned effective coping mechanisms and is now able to manage his anxiety in a healthy way. He is now a confident and successful student.

Recommendations: John should continue to practice the coping mechanisms he has learned in therapy. He should also continue to participate in social activities to maintain his social skills. If John experiences any symptoms of anxiety in the future, he should seek professional help immediately.

2025-02-06

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