Formulation of the Client's Problems: A Case Study

Helen Stonewall is a married 32-year-old African American female. Helen was brought into see me because she had to be removed from the middle of the street by the police where she was dancing in the middle of the city street half naked at 2am without having any sense of danger. Just before that she removed from a bar where she was dancing on the table and ignoring the bartenders request to get down. Helen had consumed only two drinks before these acts were committed her medical evaluation concludes that there was no excessive use of drugs. She said, “that she was high on life”.

The effect of addiction have consumed billions of individuals all over the world, not only consume but also killed. Individuals have relied on drugs to fill the void in their life that is missing. The addict is not only hurting themselves from the drug use but their families, friends, and their community. In this paper, it will give a description of a 21-year-old male named Anthony. Anthony started using marijuana at the age of 20, trying to hide the pain from the death of his sister. Eventually, marijuana was not enough to get Anthony the extra high he wanted which Anthony made the choice to try another drug and eventually it

Cognitive Behavioural Therapy – is concerned with helping people form realistic expectations and challenging negative assumptions that have been accepted too readily. Work is given to service users so they can test elements of this intervention themselves between sessions, practice their skills and test out conclusions in their real life situations. This model of intervention is also mixed with client centred counselling, which operates on the thinking that people tend to move towards healing on their own especially if the counsellor;

Constant assessment of the clients’ problems and cognitions is very important in evaluating if techniques are being effective. Often in the beginning there is an extensive interview process that can last several hours. This interview gives the therapist insight into the client’s past, what the current problems are, and client goals. The interview will allow the therapist to set up a structured plan for how the therapy will proceed.

My role as the clinician is quite important. The primary task is to engage the client in identifying cognitive errors, refuting them, and replacing them with more adaptive thoughts. A sound therapeutic relationship is necessary for effective therapy, but not the focus of the therapy. Many forms of other counseling believe that the main reason people get better in therapy is because of the positive relationship between the therapist and client. Cognitive-behavioral therapists believe it is important to have a good, trusting relationship, but I know that is not nearly enough. We believe that the clients change because they learn how to think differently and they act on that learning. Therefore, CBT tries and focuses on teaching rational self-counseling skills. CBT is the teamwork that exists between the therapist and the client. This form of therapy is used to seek ways of learning what their clients want out of life and then helping their clients achieve those goals. The therapist's role is to listen, teach, and encourage, while the client's roles is to express concerns, learn, and implement that learning (Pucci1).

The parents have played a very important role in Daniels life. They brought him up always showing him what's wrong and what's right, what choices to make, and who to trust. Being a parent means that you should always be in control of your children for as long as possible. Daniel was said to be the type that needed guidance even though he came across as a strong and independent. His mother knew this, but even she was scared of what he was capable of. When times got rough the parents backed off and let him make his own choices. That wasn’t the best move to make. The parents might have shown love and affection to Daniel but they truly couldn’t see what was going on. If only they had paid enough attention to Daniel maybe they could witness how badly he was coming off the rails. They could of helped him. Helped him to make the right choices.

The dynamics of the client-therapist relationship in cognitive therapy is a collaborative effort. Cognitive therapists elicit patient’s goals at the beginning of treatment. They explain their treatment plan and interventions to help patients understand how they will be able to reach their goals and feel better. At every session, they elicit and help patients solve problems that are of greatest distress. They do so through a structure that seeks to maximize efficiency, learning, and therapeutic change (Robert & Watkins, 2009). Important parts of each session include checking the client’s mood, a connection between sessions, setting an agenda, discussing specific problems and teaching skills in the context of solving these problems, setting of self-help assignments, summary, and feedback (Robert & Watkins, 2009). The status that CBT has with insurers and funding agencies is a result of concrete and measurable goals, goal-focused processes and clear outcomes-based evaluations/results. Therapy is typically conducted in an outpatient setting by trained therapist in cognitive behavioral techniques. Treatment is relatively short in comparison to some other forms of psychotherapy, usually lasting no longer than 16 weeks.

This means that because of this tragedy, Daniel is filled with guilt and gets sent to jail. This is shown when Daniel blames himself for the “mess” in which he created. Due to this remorse, “[Daniel has] hit the wall again” in attempt to suicide. Daniel feels that “[he] fucked up everything” and decides to suicide in hope that everything will be back to normal. Daniel being affected is also shown when he gets sentenced to go to jail. He gets sentenced to “two years’ imprisonment…with a non-parole period of three years.” Although Daniel deserves the sentence it further proves how an accident could cause someone to go to jail. This further proves that Daniel is one of the victims of the domino effect from the

The practice that assist a therapist in determining a client diagnosis and the proper treatment plan that would resolve the issue surrounding the clinet’s diagnosis is Case Conceptualization and Treatment Planning. The clinet’s treatment plan must be appropriate and relational and this will alow any type of medication and adaptions to be adjusted if needed so that modifications and adaptations can be adjusted as needed (Altman, Briggs, Frankel, Gensler, and Pantone, 2002). The ultimate goal of case conceptualization and treatment planning is to discover complete findings in relation to the client. One approach is Existential Therapy. The human

The client has had a strong support system in the past and is open to creating another one. This is strength because it demonstrates that the client is open reaching out to others in times of need and is a resiliency factor.

David Sheff’s purpose is to illustrate what it is like to live the life of a parent who is not only taking care of is addicted son but who has to learn to take care of himself and the rest of his

It is critical to identify the client’s perception of the event in order to help them. This is what will tell you what the problem at hand truly is. By doing so, the counselor can help the client identify the problem and overcome their issues. I like to use the Cognitive Tree as a metaphor rather than as a guideline of sorts. You need to get to the root of the problem in order to determine how to fix it. If your roots are healthy, your branches will blossom. But if your roots are damaged and aren’t dealt with in a constructive and healthy manner, your branches will wither and perish.

The key concepts of a cognitive behavioral approach have been broken down into a four-stage process. According to Corey (2016), “the specific unique characteristics of behavior therapy include conducting a behavioral assessment, precisely spelling out collaborative treatment goals, formulating a specific treatment procedure appropriate to a particular problem, and objectively evaluating the outcomes of therapy” (p. 349). The behavioral assessment is aimed at gathering as much detailed information about the client’s problem. This part of the process will also focus on the client’s current functioning and life conditions and taking samples of his or her behaviors to provide information about how the client typically functions in various situations. Lastly, the behavioral assessment is narrowly focused and integrated with therapy.

“The goal of CBT is to teach clients how to separate the evaluation of their behaviour from the evaluation of themselves and how to accept themselves in spite of imperfections” (Corey, 2009, p. 279). In CBT the clients are expected to change their current behaviour (normally full of automatic thoughts) to a more rational way of thinking. The clinician will challenge the client’s behaviour in order for the client to understand his or her behaviour and get alternatives to change his/her behaviour. When using CBT, the client’s behaviour changes when they are aware of the abnormal behaviour. This approach allows the client to focus on improving his/her wellbeing. This enhances the client’s awareness of an existing issue and that changes are necessary. The client will develop new coping skills to deal with the situation and develop a new way of thinking from negative (automatic thoughts) to positive (more realistic thoughts). Initially the client may not recognise that a problem exists, but through this process will get

I. Daniel appeared to be dealing with the adolescent stage. Daniel seems to have developed his sense of self worth by mimicking his older brother. Daniels significant relationships, since his brothers incarceration has been derricks old friends (the skin head group). The scene in the principle's office shows that Daniel is trying to live up to what he believes are his older brother's ideals, which he believes are following in the foot steps of Nazis. Hate anyone that is not white and