Client Demographics:

• Diagnoses:

  • F33.0 Major depressive disorder, recurrent, mild

  • F41.1 Generalized anxiety disorder

  • F90.2 Attention-deficit/hyperactivity disorder, combined presentation

• Presenting Concerns:

  • Processing grief and loss related to infertility after cancer treatment.

  • Workplace challenges requiring boundaries and support.

  • Co-occurring symptoms of depression, anxiety, and ADHD.

Treatment Goals and Objectives

1. Process Grief and Loss Related to Infertility

Goal: The client will process and integrate the emotional impact of infertility to develop acceptance and meaning.

• Objective 1: Identify and externalize emotions related to infertility using Internal Family Systems (IFS) therapy.

• Objective 2: Explore the client’s grieving parts, focusing on their needs, fears, and protective roles.

• Objective 3: Develop a self-compassion practice to support emotional healing.

Interventions:

• Facilitate unblending of grieving and protective parts through IFS techniques.

• Guide the client in creating a dialogue between the Self and grieving parts.

• Assign reflective journaling on grief and resilience.

2. Manage Workplace Stress and Set Boundaries

Goal: The client will develop and implement effective boundary-setting strategies at work.

• Objective 1: Identify specific workplace challenges and emotional triggers.

• Objective 2: Practice assertive communication strategies for expressing needs and setting boundaries.

• Objective 3: Develop self-regulation techniques to manage stress and frustration.

Interventions:

• Use role-playing to practice setting boundaries with colleagues.

• Teach mindfulness-based techniques (e.g., grounding, deep breathing) for emotional regulation.

• Support the client in crafting a personalized boundary-setting script for workplace discussions.

3. Address Symptoms of Depression and Anxiety

Goal: The client will reduce depressive and anxious symptoms to improve daily functioning and emotional well-being.

• Objective 1: Identify and challenge cognitive distortions contributing to depressive and anxious thought patterns.

• Objective 2: Create a daily structure with balanced activities, including self-care, work, and relaxation.

• Objective 3: Develop relaxation and grounding techniques for managing acute anxiety.

1. Interventions:

• Utilize cognitive-behavioral therapy (CBT) to address unhelpful thinking patterns.

• Assign daily activity scheduling to foster a sense of accomplishment and routine.

• Introduce guided imagery or progressive muscle relaxation for anxiety management.

4. Support ADHD Management

Goal: The client will develop strategies to manage ADHD symptoms and improve focus and organization.

• Objective 1: Implement personalized organizational systems for managing tasks and responsibilities.

• Objective 2: Develop and practice mindfulness techniques to improve attention and emotional regulation.

• Objective 3: Explore adaptive coping mechanisms for impulsivity and hyperactivity.

Interventions:

• Teach time management and prioritization techniques (e.g., task batching, Pomodoro method).

• Introduce mindfulness exercises to improve focus and reduce reactivity.

• Use psychoeducation to help the client understand ADHD and its impact on emotions and behavior.

Treatment Timeline

• Short-Term (0–3 Months):

  • Establish rapport and safety in sessions.

  • Begin processing grief using IFS.

  • Teach foundational boundary-setting skills and introduce mindfulness practices.

• Medium-Term (3–6 Months):

  • Deepen grief work and integrate insights.

  • Enhance emotional regulation techniques for depression and anxiety.

  • Implement ADHD-friendly routines for productivity and self-care.

• Long-Term (6–12 Months):

  • Foster ongoing self-compassion and acceptance around infertility.

  • Solidify boundary-setting and workplace advocacy skills.

  • Maintain symptom management and reinforce progress through periodic review.

Potential Adjustments

• Reassess treatment goals if new challenges or priorities arise.

• Incorporate additional modalities (e.g., Acceptance and Commitment Therapy or Dialectical Behavioral Therapy) if needed.