Therapy Process: A Reflective Account from Therapist’s Perspective

A case report is presented providing an account of therapy process and describing the therapist’s reflection on the process
of therapy. It draws attention to the course of building hypothesis and clinical formulation, the core nucleus of any therapy.
The paper highlights the change in therapy goals in different phases of therapy with the introduction of new information.
It also underlines the fact that hypotheses in the formulation need to be constantly updated and checked against the ever
changing information as therapy progresses. The importance of single case design is invaluable in the presentation of therapy
process as it is more closer to clinical practice then group experimental design. Although attention to therapy process issues
is important and there is no dearth of clinical material in India but there are very few published studies reporting therapy
process using single case design. In the present paper, an attempt has been made to provide the account of therapy process
and to share the reflections on the process of building hypothesis & formulation.