| Course | IBC 603 Brief Interventions in Primary Care |
|---|---|
| Module | Module 5 |
| Paper type | Case presentation paper |
| Length | About 674 words, 5 pages |
| Format | APA 7 student paper |
| School | Arizona State University |
| Program | Doctor of Behavioral Health |
| Updated | October 2026 |
Free sample paper for IBC 603 Module 5
Sleep, Mood and Blood Sugar: A Brief Intervention Case in Integrated Primary Care
Student Name
Doctor of Behavioral Health, Arizona State University
IBC 603: Brief Interventions in Primary Care
Instructor Name
Month Day, Year
Sleep, Mood and Blood Sugar: A Brief Intervention Case in Integrated Primary Care
Identifying Information and Referral
Rosa (a pseudonym) is a 56-year-old woman who works as a school cafeteria manager. Her primary care physician introduced her to me, the behavioral health consultant, in the exam room after a visit in which her hemoglobin A1c was 9.1% and she said she was "too tired to deal with any of it." The physician asked for help with low mood and sleep that were interfering with diabetes self-management.
Brief Functional Assessment
In a 30-minute initial visit, I used the focused, functional approach typical of integrated primary care rather than a full diagnostic interview (Hunter et al., 2024). Rosa's PHQ-9 score was 14, in the moderate range; a score of 10 or more has been shown to identify major depression with 88% sensitivity and 88% specificity (Kroenke et al., 2001). She denied suicidal thoughts. She has had trouble falling and staying asleep for eight months, spends nine hours in bed but sleeps about five, naps after work and scrolls her phone in bed. Since her mother moved into a care facility, she has stopped walking with her sister and stopped attending her church choir. She checks her blood sugar "when I remember" and skips her evening metformin about half the time.
Case Conceptualization
Rosa's depression, insomnia and diabetes reinforce each other. Poor sleep worsens fatigue and mood; low mood reduces the activity and self-care that help both mood and glucose; and her withdrawal from valued activities removed the routines that once structured her days. Her strengths include a supportive sister, a stable job and a clear wish to "feel like myself again."
Interventions
Motivational Interviewing for Self-Care
Using open questions, affirmations, reflections and summaries, I explored her ambivalence about diabetes care. She said she wanted to be healthy "for my grandkids" but felt overwhelmed. Reflecting both sides helped her choose one change: taking her evening metformin with dinner, using a pill box her sister would help set up.
Brief Cognitive Behavioral Therapy for Insomnia
I introduced two core components: stimulus control, which means using the bed only for sleep, getting up after about 20 minutes awake and keeping a fixed wake time; and sleep restriction, limiting time in bed to roughly her actual sleep time plus 30 minutes, then extending it as sleep consolidates. Pooling 20 trials, Trauer and colleagues found that CBT for insomnia helped people fall asleep roughly 19 minutes sooner and cut wakefulness after sleep onset by about 26 minutes (Trauer et al., 2015). Rosa agreed to a six-hour window, 11:00 p.m. to 5:00 a.m., and to stop naps.
Values-Based Behavioral Activation
Drawing on focused acceptance and commitment therapy, When asked about her values, Rosa named family and music. We linked those values to two small actions: a 15-minute walk with her sister three evenings a week and attending one choir rehearsal before the next visit. This approach also served as lifestyle medicine, since walking supports glucose control.
| Visit | PHQ-9 | Sleep diary (average hours asleep) | Self-care and activity |
|---|---|---|---|
| Initial | 14 | 5.0 | Metformin about half of evenings; no walking |
| Two weeks | 11 | 5.4 | Metformin most evenings; walked twice a week |
| Four weeks | 8 | 5.8 | Window extended to 6.5 hours; choir once |
| Eight weeks | 6 | 6.3 | Walking three times a week; A1c recheck ordered |
Outcome and Collaboration
Over three 20-minute follow-ups, Rosa's PHQ-9 fell from 14 to 6, her sleep improved and her medication adherence rose. I shared brief notes with her physician after each visit. The approach mirrors collaborative models in which coordinated care for depression and diabetes improved glucose, blood pressure, cholesterol and depression together (Katon et al., 2010). If her PHQ-9 had not improved by 50% within eight weeks, I would have discussed medication with her physician or a referral for specialty care.
Reflection
The case showed me how brief interventions work when they are focused and linked. One small change in sleep made the activity and self-care goals easier, and measuring progress at every visit kept both Rosa and her physician engaged.
References
Hunter, C. L., Goodie, J. L., Oordt, M. S., & Dobmeyer, A. C. (2024). Integrated behavioral health in primary care: Step-by-step guidance for assessment and intervention (3rd ed.). American Psychological Association.
Katon, W. J., Lin, E. H. B., Von Korff, M., Ciechanowski, P., Ludman, E. J., Young, B., Peterson, D., Rutter, C. M., McGregor, M., & McCulloch, D. (2010). Collaborative care for patients with depression and chronic illnesses. New England Journal of Medicine, 363(27), 2611-2620. https://doi.org/10.1056/NEJMoa1003955
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Trauer, J. M., Qian, M. Y., Doyle, J. S., Rajaratnam, S. M. W., & Cunnington, D. (2015). Cognitive behavioral therapy for chronic insomnia: A systematic review and meta-analysis. Annals of Internal Medicine, 163(3), 191-204. https://doi.org/10.7326/M14-2841
IBC 603 Module 5 instructions, in plain terms
The Case Presentation Paper is the Module 5 writing assignment in IBC 603, worth 20 points and due at the end of Module 5. It assesses two course outcomes: applying brief, focused psychotherapy approaches for the treatment of common mental health concerns in primary care, and applying lifestyle medicine strategies for maximizing health outcomes. Present a patient case as a behavioral health consultant in integrated primary care would, using approaches from the course such as cognitive-behavioral techniques, focused acceptance and commitment therapy, solution-focused therapy and motivational interviewing. Follow the Canvas instructions for the case and format, use the Hunter and colleagues text and cite in APA style. Protect patient privacy throughout, using a pseudonym and changing identifying details.
Inside the IBC 603 Module 5 example
The sample follows a clinical case presentation structure: identifying information and referral, a brief functional assessment, a conceptualization, interventions, outcomes and a short reflection. The assessment uses a validated measure and notes safety screening. The conceptualization explains how the problems interact, which justifies the choice of three linked interventions. Each intervention is described concretely, with session content and agreed goals, and one is supported by a meta-analysis. A table tracks measured progress across visits, and the outcome section notes collaboration with the physician and a step-up plan if progress stalls. Rosa is a made-up patient, because the assigned cases sit inside Canvas, and margin notes explain the structure. The paper stays close to how a behavioral health consultant would actually document and discuss a case.
Where the marks sit in the IBC 603 Module 5 rubric
Graders scoring the 20-point case presentation look for an accurate brief assessment suited to primary care, a conceptualization that ties the patient's problems together and interventions drawn from the course that are described specifically and applied appropriately. Strong papers include lifestyle medicine, measurement of progress and collaboration with the medical team. Papers lose points when they read like specialty mental health intake reports, when interventions are named without describing what was done, when no outcome measure appears or when the plan ignores the patient's medical condition. Clear organization and correct citations of the course text strengthen the paper. Concrete session content, such as the exact sleep window agreed with the patient, shows applied skill rather than textbook knowledge.
IBC 603 Module 5 help from the desk
Keep the assessment brief and functional, as in a real primary care visit. Use one validated measure and repeat it at follow-ups. Explain how the patient's problems affect each other. Choose two or three interventions and describe what you actually did in session. Include at least one lifestyle medicine target, such as sleep, activity or diet. Show progress in a small table. Note how you communicated with the physician. If choosing among approaches feels hard, the desk can help you match them to your case. Keep identifying details out. Write the conceptualization in two or three sentences before choosing interventions, so each one has a reason. Ask whether a busy physician could read your summary in a minute.
Write yours, or have the desk draft it
This paper is an original model document written by our desk, not a submitted student paper and not an official Arizona State University document. Read it for the moves, then write your own to the instructions in your classroom. If you want one built to your exact prompt and rubric, the first custom sample is free and arrives in 24 to 48 hours.
More IBC 603 and Doctor of Behavioral Health sample papers
- IBC 603 Module 6: Population Health Management Planning Paper: Depression in Adults With Diabetes
- IBC 793 Module 4: PICOT Population Paper: Adolescents With Positive Depression Screens in a Pediatric Clinic
IBC 603 Module 5 questions, answered
Where can I find a free IBC 603 Module 5 sample paper?
The full case presentation paper on brief interventions for depression, insomnia and diabetes is on this page.
What does the IBC 603 case presentation assess?
Applying brief psychotherapy approaches and lifestyle medicine strategies in primary care.
Which brief approaches does IBC 603 cover?
Cognitive-behavioral approaches, focused acceptance and commitment therapy, solution-focused therapy and motivational interviewing.
How effective is CBT for insomnia?
Quite effective: across 20 trials, people fell asleep about 19 minutes faster on average.
What PHQ-9 score suggests major depression?
A score of 10 or more, with about 88% sensitivity and specificity.