Case discussion

Case discussion

Case discussion

Let’s discuss the cases

Shared reflection not only moves the cases forward but also strengthens professional identity.

What cases to bring

How can you tell if a case is worth bringing to a case discussion? The following questions will help you determine if a group professional reflection might be currently useful for your client's case.

Quick decision

  • Stuck?

  • Uncertain about the next step?

  • Too involved – or staying too distant?

  • Not understanding the logic?

  • Want feedback, a fresh perspective?

  • Suspect a diagnosis? → MUST BRING IN!

If you answered yes to any of these questions, it might be worth bringing in the case.

Feeling stuck – in me or in the process

  • Do you feel like you're not making progress, that the process is stuck?

  • Is something repeating itself, but you can't clearly see what's sustaining it?

  • Do you feel unable to connect with the client, or is something blocking you?

If you're uncertain about your professional direction or emotional involvement, it's worth bringing it up.

Dilemma – several possible paths

  • Have you thought of different approaches but aren't sure which one is right?

  • The client's behavior is mixed, and you're not sure what to focus on?

  • Do you feel like you need to choose between several directions?

If you're facing a strategic decision, group reflection can help.

Emotionally involved – or detached

  • Has the situation become too personal for you (e.g., similar life story, sympathy, irresistible desire to help)?

  • On the contrary: do you find it hard to connect with empathy, or do you feel withdrawal and resistance?

  • Do you sense that your own reactions might blur your clarity?

The group's support can add a lot to self-reflection.

Unusual pattern – professional curiosity

  • Is the case somehow enlightening or exciting, and you want to understand it better from a professional point of view?

  • A diagnosis or symptom type that you rarely see?

It’s worth bringing it up even if there's no problem, just to enrich the group's shared thinking.

Diagnostic doubt (consult required!)

  • Do you feel like a diagnosis is taking shape, but you're not sure exactly what it is - or have several possibilities come to mind?

  • Is the client's behavior extreme, contradictory, or hard to interpret, and you're unsure if it's a unique personality trait, a life situation, or already at a disorder level?

  • Something feels 'off', but you can't quite pinpoint it, and it starts to cause you uncertainty or anxiety?

Checklist

  • Are there behaviors or reactions that I can't quite place?

  • Does the client quickly change moods, topics, or styles, and this confuses me?

  • Is it difficult to follow whether they are grounded in reality or not?

  • Do I feel something strange or dissonant after the sessions that I can't explain?

  • Did a DSM/ICD diagnosis come to mind, but I'm hesitant to say it out loud because I'm uncertain?

  • Do their reactions feel too extreme compared to the situations?

The group can help organize symptom patterns, find diagnostic directions, and decide if testing, psychiatric evaluation, or a change in approach is needed, for example.

Stuck

Stuck

Stuck

General

Person-centred

Dynamic

CBT

Dilemma

Dilemma

Dilemma

General

CBT

Emotional difficulty

Emotional difficulty

Emotional difficulty

General

Person-centred

Dynamic

Curiosity

Curiosity

Curiosity

General

Suspected diagnosis

Suspected diagnosis

Suspected diagnosis

General

CBT