Constructing a model of change: Clinical commentary on a complex case Original Research Article

In this clinical case commentary, attention was placed on the selection of the optimal targets and order of interventions for a 51-year-old male who meets criteria for four Axis I disorders: posttraumatic stress disorder (PTSD), major depression, somatization disorder, and obsessive-compulsive disorder (OCD). A theoretical model of what was learned in the context of trauma was developed to aid conceptualization of the interrelationship among the patientʹs symptoms. A model of change was presented, emphasizing cognitive-behavior therapy delivered in the context of a well-being therapy approach.