John 5P Clinical Formulation and CBT Based Treatment Plan
TEESSIDE UNIVERSITY
School of Social Sciences, Humanities, & Law
Department of Psychology
Semester 2
2025
Level 5
Clinical Skills in Clinical Psychology
PSY2064-N
John’s 5P Clinical Formulation & CBT Treatment Plan
Hannah Ellen Louise Duffy
S6048230
Extension Hand in Date Agreed 07/02/2025.
1 | Page
Hannah Ellen Louise Duffy
S6048230
,John 5P Clinical Formulation and CBT Based Treatment Plan
2 | Page
Hannah Ellen Louise Duffy
S6048230
, John 5P Clinical Formulation and CBT Based Treatment Plan
Client Background
John is a 48-year-old White British male referred by his GP for concerns about
persistent low mood and anxiety. Employed as a middle manager in a highly
stressful technology company, he recently separated from his spouse, leading to
feelings of disconnection and loneliness.
John reports ongoing struggles with low mood, heightened anxiety, feelings of guilt,
and increased social isolation, which have deteriorated since his late 30s. He feels
inadequate as a father, has difficulty at work, and often resorts to maladaptive coping
strategies such as Alcohol Use and Emotional eating. His upbringing in a working-
class neighbourhood was marked by strict expectations from his father and limited
emotional warmth from his parents, who divorced when he was 10.
Psychological Measurements Utilized During Clinical Interview
Patient Health Questionnaire-9 PHQ-9
To assess John's indicators of Low Mood, the (PHQ-9) Assessment Tool Kroenke et
al. (2001), was administered before any diagnostic or treatment recommendations
were advised.
The PHQ-9 is a widely used tool for assessing depression severity, developed as
part of the PRIME-MD diagnostic instrument by Kroenke et al. (2001). It has
excellent internal reliability (Alpha 0.89–0.91) and shows strong correlations with
other established depression scales across various populations.
John scored 11 on the PHQ-9, showing moderately severe depression, with
symptoms including daily sadness, loss of interest in activities, problems with
emotional regulation, and recurring thoughts of hopelessness.
3 | Page
Hannah Ellen Louise Duffy
S6048230
TEESSIDE UNIVERSITY
School of Social Sciences, Humanities, & Law
Department of Psychology
Semester 2
2025
Level 5
Clinical Skills in Clinical Psychology
PSY2064-N
John’s 5P Clinical Formulation & CBT Treatment Plan
Hannah Ellen Louise Duffy
S6048230
Extension Hand in Date Agreed 07/02/2025.
1 | Page
Hannah Ellen Louise Duffy
S6048230
,John 5P Clinical Formulation and CBT Based Treatment Plan
2 | Page
Hannah Ellen Louise Duffy
S6048230
, John 5P Clinical Formulation and CBT Based Treatment Plan
Client Background
John is a 48-year-old White British male referred by his GP for concerns about
persistent low mood and anxiety. Employed as a middle manager in a highly
stressful technology company, he recently separated from his spouse, leading to
feelings of disconnection and loneliness.
John reports ongoing struggles with low mood, heightened anxiety, feelings of guilt,
and increased social isolation, which have deteriorated since his late 30s. He feels
inadequate as a father, has difficulty at work, and often resorts to maladaptive coping
strategies such as Alcohol Use and Emotional eating. His upbringing in a working-
class neighbourhood was marked by strict expectations from his father and limited
emotional warmth from his parents, who divorced when he was 10.
Psychological Measurements Utilized During Clinical Interview
Patient Health Questionnaire-9 PHQ-9
To assess John's indicators of Low Mood, the (PHQ-9) Assessment Tool Kroenke et
al. (2001), was administered before any diagnostic or treatment recommendations
were advised.
The PHQ-9 is a widely used tool for assessing depression severity, developed as
part of the PRIME-MD diagnostic instrument by Kroenke et al. (2001). It has
excellent internal reliability (Alpha 0.89–0.91) and shows strong correlations with
other established depression scales across various populations.
John scored 11 on the PHQ-9, showing moderately severe depression, with
symptoms including daily sadness, loss of interest in activities, problems with
emotional regulation, and recurring thoughts of hopelessness.
3 | Page
Hannah Ellen Louise Duffy
S6048230
