Constructing a model of change: Clinical commentary on a complex case

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 m eets criteria for four Axis I disorders: posttraumatic stress disorder (PTS D), major depression, somatization disorder; and obsessive-compulsive disor der (OCD). A theoretical model of what was learned in the context of trauma was developed to aid conceptualization of the interrelationship among the patient's symptoms. A model of change was Presented, emphasizing cognitive- behavior therapy delivered in the context of a well-being therapy approach.