When Treatment Stalls: How to Unlock Stuck Cases with Multidimensional Analysis

When Treatment Stalls: ¿How to Unlock Stuck Cases with Multidimensional Analysis? Carolina has 8 years of experience as a clinical psychologist. She works primarily with anxiety disorders and has helped hundreds of patients regain their quality of life. But there's one case that keeps her up at night. Lucía, 34 years old, came in 14 months ago with generalized anxiety. Carolina applied CBT rigorously: cognitive restructuring, gradual exposure, relaxation techniques, between-session assignments. Lucía is cooperative, does her homework, understands the concepts. But the symptoms persist. Some weeks she improves, then relapses. The pattern repeats over and over. Carolina has reviewed the case in supervision three times. She's tried adjustments to the approach. She's considered whether there's something Lucía isn't telling her. Nothing. The case simply won't progress. If you're a therapist, you probably recognize this situation. That patient who "should" be better but isn't. That case that