Case Study Of Part 3: Client Progress And Counseling Outcome

In the coaching discussion it was not said that my conduct was not meeting expectations, but not allow myself to be in situations where it appears I’m being insubordinate.

Her religious and family background might be difficult for her to discuss, but I think it will play a big part in helping her understand how all areas of her life effect the way her life is perceived and experienced. The Hispanic culture is typically Catholic and very family oriented, therapist are considered to be outsiders and the church is the first place they go to for help. If she is a practicing catholic, I will ask her if she has reached out to her church for help.

Rational for the Group: The need for conducting a group counseling program for adolescents is crucial because they are in a very critical stage in their life. Group couselling for

Due to a clinicians’ lack of understanding of Hispanic culture, feelings of alienation can result from the patient. Family and social structures are different in Hispanic culture, whereas “professional help may not be sought due to Hispanics considering substance abuse a family problem” (Reif, Horgan & Ritter, 2008). In Hispanic culture it is perceived that family issues remain in the family, thus outside help is frowned upon. When treating clients from this population, clinicians need to include the whole family in the treatment plan and to respect family

The culturally skilled counselor attempting a cross-cultural approach would be cognizant of his/her own tendencies toward personal bias and stereotyping of Santana’s appearance and attitude, as well as the very likely possibility of his client being on the receiving end of ridicule and criticism from others negatively stereotyping him as lazy, uneducated, or a “drug runner” just because he is Latino. Effective management and control of personal biases pave the way for open dialogue and the establishment of a clinical trust or professional bond that ideally leads to the discovery of core issues within the client that can subsequently be addressed.

This clinician would recommend that Jared get enrolled into an outpatient program for his depression and his alcoholism. Jared just completed an inpatient treatment facility and he needs more stabilization to build upon his sobriety. This clinician would also recommend that Jared attend Alcoholics Anonymous (AA) meetings to reinforce the outpatient treatment. The AA meetings will reinforce the church activity that Jared is already attending, as AA is a spiritual program and welcomes everyone regardless of their sexual orientation, religions or lack of religions, or their ethnicity.

In order to effectively execute this therapeutic technique, there are five basic principles of motivational interviewing such as the expression of empathy, the development of discrepancy, the avoidance of arguments, the adjustment to client resistance, and the support of self-efficacy and expression (Easton, Swan & Sinha 2000). Firstly, one must display an understanding and experiencing of the feelings, thoughts, and experience of another from the other person’s perspective ((Moller & Potter 2016b). In relation to an alcoholic client, one must develop a therapeutic and non-judgmental relationship with the client. By the use of active and reflective listening, one can create an empathetic atmosphere by establishing a safe and open environment to facilitate the vulnerability and honesty of the client. By taking the time to understand the client’s perspective, feelings, and values, you will create an empathetic environment that will facilitate the process of motivational interviewing (Easton, Swan & Sinha 2000).

For the professional practice interview, I interviewed Licensed Marriage and Family Therapist, Joe Exnowski. He has been working with my population of interest for the past four years. He works with an array of students dealing with anxiety, depression, stress, and substance use and abuse. In addition, to working with this population across different college campuses, he also works with couples in private practice. I conducted a 15-minute interview in which we had the opportunity to explore the pros and cons about working with this specific population more in particular, in regards to alcohol use and abuse.

It may require much patience, but over time the stigma attached to seeking mental health care can be overcome to build a strong therapeutic relationship can be built on a foundation of trust in which it can be stressed that seeking and utilizing mental health treatment is a characteristic of strength rather than weakness and evidence of love for family. As the client’s personal problems are resolved, the focus can shift to advocacy and substance abuse prevention. Interventions that take the challenges of immigration and disparities of generational acculturation will beneficial for substance abuse prevention in younger Latino/Hispanics (Unger et al. 2009, cited by Wagner et al., 2010, p.

Since Bobby is Hispanic, comes from a poor upbringing, did not finish his education, and is unable to hold a job as an adult; treatment must be dealt with according to his ethics and culture. Information found under the APA Guidelines, Policy Statements, and Resolutions the discussion of proper procedure in ethnic background treatment and diversity (APA, 2010). The recommendation of a Hispanic psychologist will only assist in allowing Bobby to open up to treatment. The cultural similarities will assist in Bobby understanding that his parent’s life style was not appropriate; and if he continues on the same path he will not change the cycle that has caused him so much pain. Any language difference would be more accommodated with a Hispanic psychologist (APA, 2010). At this time Bobby has been able to correspond on an pragmatic level of English that was understandable. The treatment plan laid out for Bobby under Research and Evaluation allows for civil commitment. This will give Bobby time to gain control of the substance abuse and take control of the trauma from his past. The Hispanic intervention will allow for a more comforting environment. This part is important because Bobby suffered from abuse and neglect from his parents (Zalta, et al., 2014). His desire was to please his mother, no matter her requests. Although he now understands that instead of his parent’s protection he was abused and left

Sometimes one may find that difficult times can cause him or her to use a substance. A counselor is working with a client named Miguel. He is a sixty year old Mexican-American. Miguel has been unemployed from a job that he has worked at for twenty years. He has taken pride in supporting his household and helping to pay for his children’s education. His three children now live on their own. The counselor should identify assessment tools that will help the Miguel to overcome his drinking problems, reach a diagnosis, and identify concerns that should be addressed.

Due to lack of information during the intake interview there some assumptions can be made based on other information from Harry’s interview. initial Harry’s family dynamics are strained and broken due to his substance use. This is evidenced because Harry refers does not have close relationship with his former wives, children, and adoption parents. As a recommendation, Harry counseling should include discussion what he can do to reconnect with his relationship with wife, children, girlfriend, and adopted parents, biological parents, loss of occupation.

SPC Yancey this is your June monthly counseling, you have been doing an excellent job taking over for SPC (p) Wehle, and you have taken ownership of each task. Good job working on responsibility as well as being there for the section. I appreciate your willingness to take charge of situations in my absence. You have a good leadership ability, the Soldiers like you and want to work for you. This is a part of your leadership that you need to nurture. While you do take ownership of tasks and missions there is a weakness in your follow through on a given a task. I suggest that you trust but validate every tasks you give the troops. This confirms follow through and appropriate completion. Do not be afraid to make them redo a task if mot completed

This essay is an evaluation of two counselling models applied to a situation where a client has experienced loss and how a counsellor can create a therapeutic relationship with the client using each counselling model. It will also contain other skills a counsellor could use to obtain/maintain a good therapeutic relationship with the client.

There are a number of cultural issues to consider when counseling a student who is Hispanic. A traditional Hispanic family is a close-knit group. The father is the head of the household and the mother is responsible for the home. He also may act as the final disciplinarian of the children. In Isabella’s case, her father has been deported. Given the uncertainty associated with deportation, the family unit is going through a very stressful time. If the father was the sole provider of the family, the family may enter into discussions about returning to Mexico. This may be one of the main reasons for Isabella’s anxiety.