Client Case
Presenting Issues
Leila was referred to therapy by her school counselor after teachers noticed she was becoming increasingly quiet, skipping group activities, and showing signs of emotional distress. Her parents shared that she had been coming home in tears, avoiding social situations, and expressing feelings of being “not good enough.”
Background Information
A 15-year-old sophomore, Leila had always been a high-achieving student. But as academic demands increased and friendships became more complicated, she began internalizing stress. She spent most of her time alone, overthinking her every move, and doubting her worth. Her parents were loving but unsure how to help her open up.
Assesment
During the intake process, Leila exhibited signs of social anxiety, low self-esteem, and emotional suppression. She had difficulty identifying her own feelings and struggled with perfectionistic thinking. A strengths-based assessment revealed creativity, empathy, and a strong desire for connection — all qualities she had buried beneath fear and self-doubt.
Treatment Plan
Goals
- Increase self-confidence and self-awareness
- Develop tools for managing anxiety in social settings
- Build emotional expression skills
- Reconnect with activities that bring joy and a sense of identity
Intervention Strategies
- Cognitive Behavioral Therapy (CBT) to challenge self-critical thoughts and build positive self-talk
- Narrative Therapy to help Leila separate her identity from anxiety and reframe her story
- Self-Compassion Training using guided meditations and affirmations
- Creative journaling and expressive activities to support emotional expression
- Encouragement to set personal, low-pressure social goals (e.g., joining a club, starting a project)
Frequency and Duration
Weekly sessions for 3 months (12 total). Mid-point parent session to support progress at home
Results
- By Week 4: Leila identified her “inner critic” and began using a journal to track and challenge negative thoughts
- By Week 8: She initiated joining a school art club and began contributing in small group activities
- By Week 12: Leila reported feeling more like herself — more grounded, confident, and willing to speak up in class and with friends. Her teachers and parents also noted positive changes in her mood and engagement.
Leila
Client
I used to feel like I was invisible, or like I didn’t matter. Now I know my voice counts. Maxine helped me see that I can be myself and still be strong. I don’t feel so scared all the time.
Case Details
Name
Leila (pseudonym)
Counseler
Maxine Williams
Symptomps Encountered
Leila struggled with low self-esteem and constant self-criticism, which led to social anxiety and withdrawal from her peers.