A prescriptive eclectic approach with Ms. Katrina Original Research Article

This article illustrates a prescriptive eclectic approach with Ms. Katrina, a complex and challenging woman, by demonstrating the process of customizing psychological treatments and therapeutic relationships to her specific needs as defined by a multitude of diagnostic and particularly nondiagnostic considerations. Given the wealth of clinical and historical information provided, we would initially concentrate on assessing Ms. Katrinaʹs objectives, preferences, and resources while cultivating a validating and collaborative alliance. We would then systematically select and implement a series of cascading, iterative treatment decisions: setting, intensity, format, strategies, somatic treatments, and therapeutic relationships. Three priorities in this case are the coordination of an intense, integrative treatment involving multiple modalities, formats, and clinicians, the need to actively enlist Ms. Katrinaʹs participation and strengths in her psychotherapy, and the centrality of therapist self-care when treating angst-inducing disorders.