Counseling Case Study: Robbie J.

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

The American Counseling Association (ACA) is the most sizeable worldwide association for counseling professionals ("American Counseling Association.", n.d.). The American Counseling Association (ACA) is a nonprofit organization ("American Counseling Association.", n.d.). The American Counseling Association (ACA) is based out of Alexandria, VA ("American Counseling Association.", n.d.). It was founded in 1952, by the convergence of four different associations in Los Angeles, Ca ("American Counseling Association.", n.d.).

R Xavier should be interview first before Scott can get the child to deny the lack of supervision.

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

Carey Counseling Center Inc. in Paris Tennessee in the 70’s to offer much needed mental health services to Henry County and Carey Counseling Center Inc. has 5 offices covering 7 counties with services ranging from outpatient therapy, adolescent services and medication management just to name a few (Carey Counseling Center, 2015). The mental health industry is comprised of various organizations. Tennessee has several community mental health offices privately run by organizations such as CCC and both public and private mental health hospitals for inpatient services. The bulk of community mental health funding comes from insurance agencies and grant writing. Legislative policy on the federal, state and local level is a driving force that all

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

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

Counselors need to assimilate cultural ethics or viewpoints into a beneficial agenda when treating American Indian females, and it is essential to intertwine Western therapeutic practices with components of the indigenous customs, theories, and attitude (Chee et al, 2006).

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

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

Prefers problem-solving orientations often centred on discreet issues and outcomes rather than resolving underlying reasons for conflict.

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

You never really realize you’re a victim until it’s all over and a counselor is repeatedly telling you not to blame yourself.

Polly- Writer met with Polly after her appointment with her counselor. Polly continues to complain about her counselor. Polly said she is not receiving the best outcome from the counselor and that she wants to change her counselor. Care manager encourage Polly to either have a discussion with the counselor or talk to her mental health doctor first to make sure if the counselor is following a specific recommendation from the doctor. Polly understood. Care manager informed Polly that I will be leaving the organization at the end of this month so if she needs any help or assistance the office will attend to her. Also I made her understand that she will be assigned to a new care manager. Care manager shared the office number with her.