Counseling Case Study
Compiled by Jeannie MacAdams for The Paper Store, May, 2000
Introduction
Marjory Winkler lived the several years of her childhood and adolescence in misery born both of circumstances and her own reaction to them. Her single encounter with a counselor allowed her to discover through the counselor's skillful maneuvering some realities of not only her own life, but that of her mother's as well. Whether Marjory sought additional counseling after this one session is unclear; it is only known that she did not return to this particular psychologist. Regardless of whether Marjory sought additional counseling or not, later reports indicated that Marjory had been able to craft a life for herself after all, one that
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Most life insurance will not pay death benefits for any death resulting from suicide, so it is unlikely that Marjory had the benefit of any life insurance her father may have carried on himself. Rather, it was the financial success of her mother's business that was able to provide what the mother obviously believed would be a great benefit for her disfigured daughter.
Rather than being grateful at all or willing to contribute in any way to the continued success of the business, Marjory felt that the surgery decision - one that affected her directly and truly affected no one but her - was only one more point of lack of control over her own life. She complains that she was not consulted in the decision, that instead of being proud of her new face she felt like "a fraud" (p. 315).
Victim of "Should"
In Marjory's view, everyone but her had something they could claim as their own special talent. Marjory's only particular skill outside of school in her early years was that she could earn excellent grades. Her father was dead and her mother gave Marjory no affection, at least not in a form that Marjory perceived as affection. Everyone was too busy for her, including her older sisters who were continually absent from her life for whatever reason.
Marjory's report
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.
Robbie J. is a 19 year old African American male and at this time he is currently a freshman at Henderson County University. The client has been referred to this office by his school residential advisor and family doctor. The reason behind this is that the client has not been attending his college classes and has been caught drinking on campus by campus security three times in the past two months. His parents have been advised by the school that if the client doesn’t attend counseling sessions he will be asked to leave and not return back for the following academic school year. The client must attend five sessions and also join an A.A. group.
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
The case study of Sara and Amy was selected to develop a counseling plan. This couple is in a lesbian and bi-racial relationship, Sara is Caucasian and in her early thirties and Amy is African American and in her late thirties. This couple has lived together for 1year and resides far away from both of their families of origin. Both are employed, however Sara recently lost a good paying corporate position and now maintains two lower paying jobs with longer hours. This couple is seeking counseling for Sara’s persistent lack of interest in sexual relations with her partner Amy. The purpose of this paper is to assess
Pt. has been in the AMS of DE program for 5 months and 7 days. Pt. has submitted three negative UDS results and he is compliant with the AMS of DE monthly mandatory counseling session. Pt. stated that he pays his TX fees every Saturday, works on his TX plan and takes medication as instructed by AMS Doctor. Pt. attends faithfully to the Clinic for dosing without skipping or missing days. Pt. reported that he maintains a supportive relationship with his brother and younger daughter. Pt. reported that he has not experienced any recent triggers and no relapse in the past 60 days. Pt. stated that he is committed to storing his prescribed take home medications in a secured lock box and placed on the top shelf of his closet. Pt. is a disabled veteran
Melinda was open and responsive throughout the counseling session. Individual answered questions asked by the clinician. Ind stated she was feeling fine but clinician had the impression she was depressed. Ind made a review of what she have learned at Peers and how can she put them into practice in order to achieve her goals. Ind analyzed how past errors and a low self esteem, can lead a person to punish herself by unconsciously doing self-sabotage. Ind shared she got a calendar to organize her time in a way she can stay busy and away from drugs. Ind was tearful when clinician played to be Melinda and confronted her with her behavioral pattern of walking three steps forward and them taking them back. Ind disclosed that Ms. Ann will pick her
This is definitely a difficult situation to be placed in as a counselor. As you stated in your post according to the ACA code of ethics it’s the counselor’s primary responsibility to respect the dignity and promote the welfare of the client but in this situation, it’s extremely difficult. In this case scenario will be hard for the counselor to promote independence and other self-care activities due to her current mental state. So, as a counselor, it could be therapeutic for her to have that time to spend with her grandchildren and transporting them around which could give her some form of purpose but there’s a safety concern to have her engaging in those type of activities. The client stated she is delusional and reports have auditory hallucinations
Pt. was readmitted to the AMS of De on 8/10/16 and has maintained compliance with all aspects of treatment. Pt. currently has Phase 4 and he is requesting to move to Phase 5 in the take home eligibility. Pt. has a strong sense of program affiliation as indicated by accepting AMS of DE medical recommendations, maintaining an excellent dosing and counseling attendance and progressing well in his financial goals. Pt. has submitted 5 negative UDS results since his readmission and he attended one hour individual session in order to develop plans to deal with persona problems and external pressures that may lead to slips. Pt reported that he is employed full-time and resides with his older brother. Pt. demonstrated good work ethic as indicated by
Counselor flagged Pt. to meet with him before dosing in order to discuss his current tx counseling noncompliance and to check his recovery status. Counselor briefly met with him to inquire whether he has used drugs, motivation for tx and finding the reason for failing to attend a mandatory one hour counseling session or AMS group. Counselor advised Pt. to attend one mandatory individual session and group in order to avoid being tapering off. Also, Counselor told him that self-initiate participation in the program is the way to get out of the most out of tx and to be successful. Pt. agreed to participate in group by stating that he is doing a group on Saturday, 11/26/16. Pt. stated, "I cant no longer pay for this tx services and I am thinking
D-The patient arrived a few minutes late to her appointment. Reported stable on her dose and denies the need for a dose increase when offered by this writer. The patient discussed her current living situation as she had recently moved into her appointment in mid-June and was upset that her worker gave her the incorrect information as to what she had to owe for rent. The patient reported, she struggled with paying the rent and had to borrow the money from her grandfather; however, she hopes, it does not happen again. Then the conversation shifted as the patient discussed about her significant other drinking problem as it had affected his employment status and his relationship. The patient also shared that her significant does not see it has
Counseling supervision, the ethical and legal issues, and the multiple relationships that result is a dynamic topic that presents numerous complex issues. The important functions of the supervisory relationship are to teach counseling through a hands-on process, assess, inform, implement, and evaluate the application of theories, ethical and competent practices to prepare the supervisee for their future profession in the counseling field. However, while supervisors play multiple roles in the supervision process, there are situations and times when the boundaries between therapy and supervision are not always clear. During the supervisory relationship it is vital and of the upmost importance that the supervisor model’s ethical behavior and implements the ethical standards of the counseling profession.
Pt. failed to attend his scheduled counseling session on Monday, 12/12/16 at 7:00 am Patient showed up after dosing (8:24 am) reporting that he was unable to keep his appointment for today because he got an emergency. Pt. reported that he cant stay because he needs to go to work but he rescheduled his counseling session with this writer for Wednesday, 12/14/16 at 7:00
Counselor met with Pt. for a monthly individual session. Counselor and Pt. discussed his recovery progress and his treatment plan update on 2/24/16. Counselor started the session greeting him and his one year old daughter, and asking whether he has used any illicit drugs since the last session. Pt. indicated that he used marijuana yesterday, 1/12/16. P. verbalized that the last time he used cocaine was 2 weeks ago. Counselor asked about how he is responding to his current methadone dosage (55 mg). Pt. reported that he has been taking his presribed medications as instructed by AMS Doctor without any negativeside effects, behaviors or resistance. Participant denied having any medication problems at this current time. Counselor encouraged him
Before I returned her call, I did some research to be prepared to answer her questions.
Ms. Macias has been employed with the company since April 8, 2008, with the Communications Department as a PBX Operator. Ms. Nancy Barragan supervises her. She stated her position is the same as Ms. Bacon. The position requires complete knowledge of all departmental functions, where she will take all incoming calls and outgoing phone calls for patients, staff and outside pharmaceutical companies. She is currently assigned to work the first shift which starts at 8:30 a.m. to 5:00 p.m., from Monday through Friday, on Saturday and Sunday,’s off. During that shift, she worked with Ms. Bacon, where Ms. Bacon sat directly across from her in the PBX room at a separate desk.