Counseling Disorders Case Study

Pt. has been in the program for over 3 years and she is currently in Phase 0. Pt. has participated in the AMS of De methadone clinic, she has been able to achieve abstinence from illicit drugs but she is failing to comply with the mandatory counseling sessions. Pt. is now eligible to receive phase 1 take home privileges if she maintains satisfactory attendance and scheduled appointments. Pt. identified her children as a motivational factor to change and to reinforce the importance of remaining in recovery. Pt. was advised to obtain a sponsor and attend 12 Step meetings. Pt. has done in achieving her goal of maintaining financial compliance despite the holiday financial stress. Pt. seemed to accumulate a back balance, but normally pays for late account balance in full upon notice of an administrative taper.

The timeline in Fig 1.2 showing “events, high points and key moments in counseling history” since the beginning of the 20th century both interested and surprised me in several ways. Firstly, I was surprised to learn that, rather than evolving slowly in parallel with the medical profession in general in response to the needs of the mentally ill (perhaps more descriptive of the field of psychiatry), counseling as a profession was in fact pioneered by Frank Parsons, or at least by the vocational guidance movement that he represented (Granello, 2012, p. 14). It is interesting to me that career guidance is still an important part of counseling, (Granello, 2012, p. 18) since Frank Parsons struggled with this personally and identified it as a need in society. On consideration, I realize that it makes a great deal of sense that finding an enjoyable and appropriate career has a huge impact on personal well-being, and therefore one’s mental health. Frank Parsons identified an important aspect of society (lack of education regarding suitable professions) that he felt might contribute to its dysfunction, and wrote a number of books, including “Choosing a Vocation” (Granello, 2012, p. 14). Although at first this seemed to me a surprising initiator of the Counseling profession, it is probably quite a natural one.

Pt. is a good candidate for readmission to the AMS of DE following an initial contact and review of his previous account balance. Patient must understand that he will not be readmitted into the program unless his negative AMS account balance in paid in full. AMS Retention Coordinator will follow up with the Patient by phone 30-90 days post discharge to complete a follow up contact and provide him with any referral recommendations in order to help him continue his

The patient arrived on time for her counseling session. Reports stability on her dose and denies the need for a dose increase when it was offered by the writer. When questioned about what caused her to relapse recently, the patient started to cry as she did in fact regret her recent relapse as she said, " I didn't need that shit.....it didn't do anything for me......I am just tired Charlene, now there is warrant for my arrest and I may be charged with a felony for larceny. I just stressed out because I need to come up with $500 to pay this lawyer to drop the charges to a misdemeanor. The entire cost for the lawyer to represent me is $2500 that I honestly don't have, Charlene." The patient was tearful throughout the session. The writer validated

Pt. was readmitted to the program on 8/10/16 and he has shown good participating during therapy session. Pt. is currently encouraged to meet with the Primary Counselor to discuss and practice new behavior in order to progress to the Maintenance stage of change. As the Pt. has participated in the recovery program and has been able to achieve phase 5 of TX program and maintain 7 months of negative UDS results. Pt. remains in compliance with TX obligations by attending mandatory monthly counseling and making payments in advance despite recent hospitalization. Pt. was hospitalized due to a car accident in Lewes, DE. Pt. also indicated that he stills support his child financially. Pt. indicated that he is currently not working after having a facial

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

-persistent discomfort with his or her sex or sense of inappropriateness in the gender of that sex.

The case study states that Dwight is an experienced counselor, however we do not know if he has the competencies to work in a religious setting. Depending on what his background is, he be could incompetent to work in this setting. Some of the ACA Code of Ethics (2014) that I found that fit my concerns of his competencies are C.2.a, C.2.b, and C.2.c. I would also add in B.4.b, because he is working with a couple later in the case study (ACA, 2014). There is also the possibility of him working with children in this setting.

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).

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.

Taking this course has provided students the opportunity to engage and practice counseling with children, family and adolescents. We have learned about many types of theories that are applicable to any client facing a disorder. Disorders discussed about pertain to children and adolescent which ranged from many. Through practice students were able to apply topics learned in the course and get the feel of how a counseling session might occur. Students were asked to play roles as a counselor or client to experience and gain comfort from both positions.

1-Based on Corey’s reading, some of the personal characteristics of effective counselors that appear adequate in this case would be that an effective therapist have a sincere interest in the welfare of the client. It is very important to respect the values of people and to really care about their situation in order to help them improve their lives. Another personal characteristic is being authentic and honest so we can gain the client’s trust.

The main philosophies of the counseling profession are wellness, prevention and resilience. With these philosophies, counselors will gain the knowledge needed to provide treatment (s) to their clients by working with the client to solve their emotional and personal needs. Mental health counselors have defined their work as “an interdisciplinary multifaceted, holistic process of (1) the promotion of healthy lifestyles, (2) identification of individual stressors and personal levels of functioning, and (3) preservation or restoration of mental health” (Seiler & Messina, 1979, p. 6). In the health care industry, mental health counselors tend to focus more on wellness and holistic philosophies, more so than on whether or not the clients’ issues

As a counseling student, it is very important to formulate a counseling theory tailored to ones’ own personality and beliefs. A counselor may choose a single theory to model when practicing therapy or pick and choose components and techniques from various theories, otherwise known as eclecticism. No theory is considered right or wrong. Understanding the different therapeutic approaches are important to effective counseling, however, counselors must also understand their own personal value, view of human nature, human behavior, counseling techniques and the purpose and goals of counseling. Understanding these components along with the different theoretical approaches will provide the counselor with a 9 knowledge of their own counseling, orientation and is essential to not only the productivity of counseling but the growth of the counselor as well.

This Case study will discuss Louise (The Client) given that the emotional difficulty seems to have begun for Louise since adopting a new child (Peter) due to the death of her husband’s (Robert) sister, Furthermore, a gambling addiction has emerged. The question arises of how each psychological modality, theory or model could help Louise.