CADC-1: A Case Study

of the therapy, the client meets the therapist to describe specific problems and to set goals they

The client met with counselor to complete his Exit plan. The client reported that he will be going to his mother house when he graduates the program. However the client wanted to go to sober living but all of them where full and had a waiting list. Moreover the client will be going with his counselor tomorrow for an assessment to see if he be placed in the King of Kings program.

The client met with his counselor on 05/06/2017 for his one on one session to discuss his treatment plan goals. the client has been on track with his goals and is working on his second step. the client discuss one of the things that his currently working on and that is acceptance. the client explained that he is having a hard time acceptance certain situations and things that happen in his life, and most of the time it result in him resulting to using drugs. the client as well talked about being disappointed in himself for relapsing after two years of being sober. the client reported that he didn't use the tools that were given to him from his last his was in the program, getting a sponsor and learning coping skills. the client reported that

to request that she meet with this writer to discuss her current counseling non-compliance status and how she is refusing to schedule an individual session. Counselor told her that she signed a notice of counseling non-compliance letter and if she failed to schedule an individual session by 1/22/16, she faces possible a discharge from the AMS program. Pt. agreed to schedule an individual session by stating, “I’m going to schedule something tomorrow. I’m sorry. I got a lot on my mind.”

Meeting is arranged for Tuesday, September 20, 2016. Client continues to report not even her coordinator she gave him a copy of her psychosocial and psychiatric evaluation. She also mentions that her coordinator is requesting for client to be removed from his

The client met with his counselor for his 1x1 session to completed his Exit plan. The client has completed and turned in his second step and has went over it with his counselor. the client seems to be interested staying clean and sober and appears to be seeking understand as to how to stay sober. The client has learned to let go of some of his resentment but needs to work in letting the resentment he has against himself. The client reported that he follow through with the King of Kings sober living stipulation as to having to attend three meeting a week there at there program to prove that he wants to go into their sober living program once an open becomes available. the client reported as well that he will be spending more time with his

On 7/11/2015, CM did a visual and had client come to the social service office. CM completed Bi-Weekly ILP Review. In the meeting client appears to be wear out, and tired. She was constantly throbbing her forehead, like if she was having headache. CM inquires what the problem is. Client replies “she doesn’t like the shelter food and sometimes she doesn’t eat” CM advised the client to eat and nourished her body. CM also observed that client is depressed but she continues to refuse medical referral to see a psychiatrist and medical doctor. Client continues to mention her son who is in foster care, and the physical altercation she sustained many months ago here at this shelter. CM mentioned to the client she was a transferred from another shelter due to physical altercation, CM continues to relate to the client she

the client met with his counselor on 01/29/2017 for his weekly 1x1 session to discuss his recovery program and what progress has been made during his time in the program. the client has been in compliance with the program requirements . the client has been attending his group session and 1x1 session, he also has been attending family group with his mother and girlfriend that are currently supporting his recovery. the client has been attending all of his doctor appointments and taking his medication on a regular basis. the client has been attending outside meeting as well, and is now phased up in the program to go on weekend passes. The client appears to be taking his recovery seriously, he talking about attending an AA meeting close to his

CM was out for the period of 5/22/2015 to 6/9/2015. On 6/11/2015, CM met with the client and completed Bi-Weekly ILP Review. Client arrived early for the meeting. She was dressed appropriately for the weather. She appears to be friendly and cooperative. In the meeting the client was very talkative. She mentioned to CM her niece gave birth to a baby girl and she can wait to see the baby. She also mentioned to spoke with her sons last night and everything is well with her family. CM inquires if client participate in the onsite Recreation Activities. Client reported she doesn’t participate in the some of the activities. She prefers to go to Bread of Life for food and socialization.

She met with the on-site psychiatrist on 10/28/2015 and psychiatric evaluation was completed. Client was diagnosed with Axis 1: Learning Disability & F81.9 (Primary), Alcohol use Disorder, moderate, in early remission, dependence – F10.21, Major Depression, single episode, in complete remission; F 32.5 rule out vs. complicated grief in remission and Dysomnia; G47.9. CM tries to refer client to mental counseling and substance abuse program. Client declines referral.

I was among three therapists sent to New Hope Corps transitional home for quarterly face-to-face contact with client. Client has been at the transitional home for three months and all reports are that he is doing well. I met with transition home counselor at the home prior to meeting with client. The transitional home counselor reported that the client had made much progress in his therapy group this quarter. She had reported at previous meeting that client had not wanted to share any of his issues with the group and just sat there until the time was up in group and then left with no remarks. During this quarter, he has begun to open up about his feelings regarding his birth father and his anger toward him. He has talked about his drug use. The transition home counselor began meeting with him individually two months ago and that one-on-one counseling has given him the encouragement to share with the group. The transition home counselor warned me that client would want to discuss his desire to return home as soon as possible. I met with client alone to discuss his progress over the last quarter. He reported that he is feeling good about

This is an instance where counselor’s awareness is implemented in the therapy process. Warren and Mcgee (2013) give an example in the text of a client with an eating disorder who may not want to keep a food journal. They suggest that the counselor does not really understand. The client, in turn, does not show up for the session and leaves a voicemail indicating suicidal thinking. Thus, this is leaving the counselor discouraged about what went wrong (Warren and Mcgee, 2013). By assessing their competence, values, potential impairment issues, and his or her ability to establish a therapeutic relationship counselors can be more aware before taking on referrals of different clients (Warren and Mcgee,

The counselor worked with the client on assessing her situation and developing ways to help her friend without the added stress. The client appeared to struggle internally with making a decision to kick her friend out and he will possibly be living on the street or dealing with the added stress in supporting him. The client seems to believe he has no other support system other than her which is making her decision more difficult. The client was willing to entertain the idea of finding other support systems for him but the counselor is not sure if she will follow through because she appears to be enjoying his company even though this situation is placing a strain on her finances.

This was an effective intervention. The client enclosed to me that she felt that there was a problem and it was her work load, school and wanting to engage with a social worker. She found my card at the college. the client explored that she wanted to engage with a social worker to assist her with the depression. The client was willing to discuss her issues however after introducing an alternative to her; The client began to she shut down “say her family was going to think she was crazy if the client seen a psychologist. The client was very nervous believing if seen by a psychologist; medication would be administered.

Comfort and slice are vital because it allows the client during that time to gather their thoughts and ideas. I need to work on being more effective in the comfort and slice because that will strengthen my counseling skills in letting the client think and evaluate themselves before they communicate again. The second weakness was summarizing during and at the end of the session. I did not do those things and I thought that was not the right way to ending the session, summarizing at the end of the session gives to counselor and client the information into what was being said and discussed. I need to do that in the next session because that will assist me in helping the client understand in a sense to what was all discussed during the session. That will support the client into what the plan is forward. The third weakness was the empathy aspect, I felt and observed that there were some instances in the session to where the client was expressing something that they were going through and I didn’t respond. One example from the session, the client was expression how he feels bad about himself and wants to lose weight, in that instance I should have used empathy and told him that what he’s going through sounds tough. Empathy is important during a session because it is experiencing understanding another person's condition from their