Case Studies

1. High-speed road traffic accident resulting physical and psychological trauma

Thriving Minds Ltd provided case management and occupational therapy input through rehabilitation company acting for a major leading motor company.

The client was involved in a high-speed road traffic accident. He was a passenger, his close friend-the driver was killed in the collision. The main issues with this case was to deal with the soft tissue damage, post traumatic stress symptoms and the clients history of previous alcohol and drug addiction, which was been exasperated by the accident.

What we did:

Thorough assessment and a rehabilitation plan involved appointing specialist professionals and agencies from the NHS and private sectors. This involved psychotherapy and trauma counselling and a referral to an addictions team.

Occupational Therapy input introduced goal setting and problem solving techniques relating to day-to-day activities and returning to work.

Introduction of Cognitive Behavioural Therapy (CBT) skills to enable a change to positive thought patterns and related behaviour.

The result:

This case involved 4 months of intensive input.

The client was able to return to work part time through a graded programme, which was negotiated with the workplace.

Lead a manageable quality of life and rebuild family relationships and social networks.

Receiving regular help with addictive behaviour and positives coping mechanisms.

Receiving monthly trauma counselling.

Regular reviews enabled small problems to be solved as they occurred.

2. Work related stress

Thriving Minds Ltd was referred this case from the human resources (HR) department of a leading firm of chartered surveyors.

The client had been suffering from work and social related stress. Although still at work, it had been noted by his line manager that the client’s productivity levels had decreased and his sickness absence record had increased significantly over a period of 6 months.

What we did:

On assessing the client, a 3-month Occupational Therapy programme was developed, which aimed to teach the client to manage his stress levels.

Worked through rehabilitation techniques including diary writing, relaxation, time management skills, life coaching and cognitive behavioural therapy (CBT) skills.

A standardised workplace assessment and analysis completed.

The result:

The client has successfully returned to full time work with the support of his occupational health department and line manager, who are aware of the clients stressors.

Improved leisure/relationships/work balance.

Personal action plan to recognise early stress symptoms.

3. Unable to leave the house due to anxiety

Thriving Minds Ltd was referred this case from a concerned relative.

The client presented with a history of anxiety and depressive related symptoms, which had resulted in the client becoming agoraphobic and unable to leave her home. Engagement with this client took some time to develop, however, once the client had overcome her fears to let us help, a programme of rehabilitation began.

What we did:

This involved an intensive 3-month programme of graded exposure to the outside world.

Challenging irrational thoughts through cognitive behavioural therapy (CBT) skills and lots of emotional support.

Setting weekly goals, for example walking to the front gate, walking to the local shop, with support then alone.

This was carried out in conjunction with medication received from her doctor.

The result:

After 3 months the client was able to go to her local shop unaccompanied.

The client was able to be a passenger in a car for local trips and appointments.

She continues to work on extending her boundaries with the help of motivational work.

4. Family finding it difficult to cope with their schizophrenic son

Thriving Minds Ltd was contacted by the son’s mother as she found the local NHS services unable to offer them the appropriate support in her rural area.

The client had been diagnosed with schizophrenia 3 years ago at the age of 18. Despite medical and psychological NHS interventions, he was struggling to maintain a lifestyle and daily structure to enable him to stabilise his mental health.

What we did:

This case took 6 months to complete as it involved the whole family-the mother, father, sister and her son.

Family therapy techniques were used with each member to help bring an understanding to her son’s needs and affect the illness was having on the whole family.

Some interventions included education on schizophrenia, individual expectations, goal setting, family meetings, how to control breakthrough symptoms and relapse prevention planning.

The process was completed in conjunction with the family’s doctor and community mental health services.

The result:

To date the client has maintained his mental state for the last 6 months and become medication compliant.

The client has developed a daily routine and has started to work on employment skills with a local agency and working part time in a sheltered work project.

The client has been able to join the family on a short break away.


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