DCF Case Summary

Question 1: What principles of supportive communication and supportive listening are violated in this case?

The patient asked this writer if this writer cannot talk to her mother and advocate for the patient to the clinic's TEAM about the urgency of getting her bottles. This writer was willing to talk to the patient mother and will try again, to advocate on the patient behalf to get her bottles. However, addressing the mental health portion, the patient stated she has to figure something out about the transportation barrier as no scheduled has been made with CHR due to her barrier. Please note, the patient is no longer seeing Dr. Kuru as the psychiatrist no longer works for CHR. The patient prescriber for her medication is her

CPSW did a home visit to meet with Ms. Berner and to discuss about her safety plan since the children are moving with her on10/29/16 from the foster provider. Ms. Berner was late for her appointment and CPSW waited a 40 minutes for Ms. Berner. Ms. Berner apologized for being late. CPSW explained Ms. About safety plan. Ms. Berner understood and she signed them. Ms. Berner stated that she will be doing a house arrest for two weeks and the recommendation of her criminal court is to obey law and continue taking her medication on time and seeing her therapist. Also, cooperating with her PO and CPSW. CPSW consulted with the supervisor and she has approved both children to move back with Ms. Berner. Goal 1-2

D-The patient arrived on time for her session. Reports stable on her dose. This writer discussed about tapering off on her methadone, at which the patient is willing to consider doing, but needs more time. She then says, " I might consider doing it next month, but not right now......I was doing it before, but it stopped....just want to take my time." The patient then discussed about having to go to SSA to obtain the payment for the funeral cost. The patient is upset about the small amount she is about to receive. This writer discussed the grieving process of her loss of her husband and also, her mother in law. The patient appeared to be annoyed with her son for not participating in his grandmother funeral arrangement and also, not showing

The writer transport the consumer from Common Ground to her home in Brownstown. The consumer did not want to stay at Common Ground because she want to save her marriage. The consumer report that her sister was recently diagnosis with cancer and died about three week ago and she took her sister death really hard. The consumer admit to drinking and doing a lot of yelling at her husband. The consumer states that she was really close to her sister and her death came as a surprise to the family. The consumer states that she lost her mom and dad a few years ago and her sister the only real family she had left. The writer did advise the consumer to follow up with her outpatient provider to see if they offer grief and loss therapy groups. The consumer

To begin, the counselor described her client and the ethical dilemma that took place. CMB was seeing her client, a 36-year-old white woman, for one and a half years. The client’s reason for attending counseling was to work through family issues, particularly, managing the effects of growing up with an alcoholic father. One day, the client asked CMB if she would take on her sister as a client. Initially, the counselor was hesitant, explaining that she does not normally like to take on new clients who have a personal relationship with her current clients. However, the client pushed, and explained that her sister was going through a very specific situation, unrelated to her own therapy, that would only require short term counseling. Further, the client said that is will not interfere with her counseling experience. So, CMB decided to take on her current client’s sister as a new client.

The following is a case study of a female client name “Verna Marie”. This section presents a brief patient assessment, including a case history of the client considered in the study. “Verna” is a beautiful thick proportioned Hawaiian who is about five feet ten inches tall. She is a sixty-year-old native Hawaiian who was born and raised on the island of Oahu in the state of Hawaii. She is a very humble and wise lady who has very strong family values. “Verna Marie” classifies herself as heterosexual. She has been happily married to her husband “Zane” for almost forty-two years. They were young and in love and tied the knot at eighteen years old. At the age of twenty, “Verna” had her first baby boy. Later down the road they had conceived three boys and two girls all who are within three years apart. Her six children and twenty-eight grandchildren all live in walking distance to her home.

As a matter of fact, it was the telling of my story, and my intense distain for this disease, that has gotten me as involved with Mary’s Aftercare group as I have. While I was telling my story the first time I sat in Mary’s group, two of the male clients figured out from clues within my narrative, that they knew me through a third party. In this case, it did not prove to be detrimental to the group’s purpose. In fact, the one client continues to come to the group, even though he had gotten the Birchfield vs. North Dakota ruling, and Mary suspects it is

She told me that she and the patient’s father had been trying to convince him to take the meds, as they both believed it would be best for him, however, he was not yet convinced. She told me he had recently started doing his own research online, which seemed to be improving his outlook on therapy. I encouraged their efforts and expressed my thankfulness in his self-directed research, as I recognized this as a sign that he had entered the contemplation stage of the transtheoretical model (Hall & Edgecombe, 2014, p. 297), which showed progress. During this conversation, I noticed that the mother was showing concern towards her son, and appeared distressed by the situation. I asked her about her experience as a psychiatric nurse, and she told me that despite her decades of experience, it has been very difficult for her to watch her son struggle, as it is completely different when it is “so close to home”. While validating her challenges and offering supportive comments, I encouraged her to see her nursing knowledge and expertise as a strength to her son’s recovery, as well as her own well-being, through this difficult time. I reassured her that her grief and feelings of helplessness are

The patient was not pleased with the new and again, he was emotional. This writer provided a explanation as to why this is occurring due to this writer current position. However, in the event, should the patient needs an assistance he can request to see this

Question one following the vignette considers the wife’s request to participate in therapy sessions. My response would be to inform the client about the ethical guidelines which bind my actions. I would gently remind them that they are individuals with their own needs. I am employed as Mr. Franks psychologist. I could remind Mrs. Frank that she has a vital role in her husband’s life and will at times be invited into the session when it would benefit them both the most.

Lying on the Couch by Irvin D. Yalom has been both entertaining and interesting from a counseling standpoint in that it provides a scandalous and as was in most of the cases, a look at what could go wrong if ethics in a clinical counseling setting go awry. Following the characters of Seymour Trotter, Earnest Lash, and Marshal Streider in working with their clients and with each other the ethical lessons to be learned become obviously apparent, if not emotionally painful. Although, numerous issues arise throughout the book, there were at least three that will be covered within the context of this writing. In consideration of each of these ethical breaches there will be dialog on the nature of the ethical issue or violation, where the ACA ethical code applies, ramifications of the ethical issue or violation on both parties, and application of Kitchener?s five primary ethical principles that were involved or violated. In addition, the justification offered by the characters in the book for their actions or considered actions, application to the situation in the setting of Clinical Mental Health counseling, and indication of personal response to the situation presented. Understanding that the use of these ethical principles and considerations as they apply in counseling are unequivocally valuable tools in helping a practitioner in working with clients to make comprehensive decisions that will not create conflict within their ethical parameters and are aligned with the laws

Dr. Haviland requested an re-evaluation for patient who is a 18 year old female who presented to the ED with self harming behaviors or self mutilation, and homicidal ideations towards guardians. The patient has been non-aggressive since arrival to hospital. The patient currently reports still having thoughts of self-harm. The patient states, "I want to think positive, however I feel trapped in negative thoughts." The patient reports she does not feel she would be happy at guardians home because of the lack of communication and understanding of her point-of-view with wanting to have a healthy relationship with her two parents. The patient expresses issues with eating in relation to her experience taking care of her mother while her mother's

This analytical research paper will be discussing some ethical issues as illustrated in Stephen Feldman’s video, “Legal and Ethical Issues for Mental Health Professionals”, which this include; the duty to report; the duty to warn; Confidentiality; and Privilege. And also this paper will look into how these ethical issues are implemented by the State of Maryland and the ACA code of ethics. Furthermore, in the paper, there will be a discussion on my view point as to the varying discussions I saw on the video, coupled with what I read from the State of Maryland and ACA code of

The client presented as well groomed. The client was in an anxious mood aeb sharing that her mood today is anxious because she is afraid to not tier up today. The client shared that her mind is racing with thoughts sometimes about leaving the facility to go home or to go to Mexico because she needs to feel that she is living a normal life as she reported. The client reported that she is sometimes catching herself having negative thoughts and racing thoughts and sometimes not, as she reported; it is more according to the mood. The client discussed with the therapist and the other client how she was able to describe why the situation was accruing and how she was judgmental with herself. The client shared that she could practice some of the positive ideas about her returning back home in her mind since she is sometimes able to control the situation but in this situation she is not controlling what her mother will choose.