Panel exam — Victor — Suspicion at work and a complaint that won't rest
49-year-old man referred after lodging multiple grievances against colleagues he believes are conspiring to push him out.
- 1Meet the panelPreparing
- 2ExaminationQ & A
- 3DeliberationPanel discusses
- 4VerdictYour grade

Your case
📋 Candidate brief
You are about to see Victor Okonkwo, a 49-year-old facilities manager referred by Occupational Health after a third formal grievance against co-workers. His letter notes he is "convinced colleagues are sabotaging his work" but there is no evidence of any plot. You have time for a focused assessment. Victor is guarded and expects you to be on management's side. You should aim to: - Build a transparent, non-defensive rapport - Explore the suspiciousness, grudges, and what triggers them (Sperry: triggering events) - Screen for psychosis and distinguish trait suspiciousness from delusional disorder - Begin to map his self-view and world-view without confirming them
Exam settings
The panel will ask about your chosen theoretical orientation, your conceptualization, treatment plan, and the legal, ethical, and diversity considerations the case raises. Stay in your chosen orientation throughout.
A structured, time-limited psychotherapy grounded in the idea that psychological distress arises from maladaptive thoughts, beliefs, and learned behaviours rather than unconscious conflict. CBT targets the interconnection between cognition, emotion, and behaviour to achieve symptom reduction and durable change.
Balanced. Substantive but supportive. Good default.
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When you're ready, the panel will welcome you and start asking questions.