One-On-One Counseling: A Case Study

There are several different assessments that can be used for victims of trauma to determine the level of stress and if a victim is suffering from Posttraumatic Stress Disorder. The best results will occur if the clinical work is directed at the symptoms expressed by the resulting trauma. When assessing the treatment plan, “the psychic injury caused by the event and its impact on the survivor’s normal life patterns and his or her worldview must be accounted for” (Everstine & Everstine, 2006, p.161). A person

Integrated approach to counseling is when you combined theories to cover the clients’ feelings, cognitive patterns, and behavior (Corey, Theory and Practice of Counseling and Pschotherapy 8e, 2009). Each theory focuses one of these key components of a client but in counseling you need to focus on each of these to fully help a client. The key to integrative counseling is to have multiple theories function in harmony (Corey, Theory and Practice of Counseling and Pschotherapy 8e, 2009).

In a trauma informed agency, it’s important that all staff are frequently updated with the principles of trauma informed care (Trauma-Informed Care: A Sociocultural Perspective, 2014). Such principles would involve a collection of resources, evidence based research, academic findings, reports, and quality approaches used by collaborating agencies (Trauma-Informed Care: A Sociocultural Perspective, 2014). Resources are very valuable to staff when they are needing a new strategy, in the case of their clients not responding effectively to former methods (Trauma-Informed Care: A Sociocultural Perspective,

The setting where counselling takes places is also very important. The counsellor must have an environment that feels comfortable, safe, private and consistent to enable the

Services provided include Individual Counseling for all ages, Personal Growth Counseling, Family Counseling, Group Counseling and Psychological Aspects of Grief. Issues addressed in counseling may include mood disorders, anxiety disorders, emotional impairments, family dynamics, behavioral problems and anger management. I work from a trauma-informed lens and believe that counseling is more effective and measurable when goals are outlined and mutually agreed upon. The goals and techniques of therapy will be based on each client individually according to their needs.

In Jennifer Cisney’s lecture on “Impact Dynamics of Crisis and Trauma,” she outlined four major goals of Psychological First Aid. Above all the material in Module One, I found this specific material most helpful in my practice because it gives me focal points to ensure I am putting the correct focus on Psychological First Aid that I should. We have been learning the critical important of this First Aid to trauma survivors and how if they can be “triaged” correctly by these First Aid components it greatly impacts the person’s recovery.

The goal of training the staff and providers is to create a more understanding environment for the clients. This will be possible because the staff can recognize symptoms of posttraumatic-stress disorder, explore the client’s trauma and coping mechanisms, and decrease the need for medical attention. This goal can be measured by comparing the clients feedback before and after the training occurs. Trauma-informed care also teaches the clinician working with the client the symptoms of secondary trauma, retraumatization, and vicarious trauma to be on the look-out for. Their own self-care and how to handle and cope with the intense information of the client’s story will be discussed.

These workers can assist an individual or group in crisis by providing direct intervention, by identifying alternative coping skills, or by consulting with others. A helper's primary goals in a crisis are to identify, assess, and intervene; to return the individual to his/her prior level of functioning as quickly as possible; and to lessen any negative impact on future mental health. Sometimes during this process, new skills and coping mechanisms are acquired, resulting in change (Sandoval, 1988).

The term “Psychological trauma” refers to damage wrought from a traumatic event, which that damages one’s ability to cope with stressors. “Trauma” is commonly defined as an exposure to a situation in which a person is confronted with an event that involves actual or threatened death or serious injury, or a threat to self or others’ physical well-being (American Psychiatric Association, 2000). Specific types of client trauma frequently encountered by which therapists and other mental health workers frequently encounter in a clinical setting include sexual abuse, physical , or sexual assault, natural disasters such as earthquakes or tsunamis, domestic violence, and school or/and work related violence (James & Gilliland, 2001). Traumatic

In the case study by Ghosh-Ippen, Lieberman, and NCTSN Core Curriculum on Childhood Trauma Task Force (2012), Amarika is an 18-month-old girl who witnessed the shooting of her mother Makisha at a neighborhood park. Her mother survived the shooting, but was in the hospital for some time after to recover. Her grandmother, Marlene Lawrence, cared for Amarika. Mrs. Lawrence reported that Amarika was refusing to eat and having difficulty sleeping. This is when the social worker, Carla, was contacted to provide trauma intervention for Amarika.

One statutory sector that helps Daniel with his ADHD is ‘Add-NI’. This organisation helps Daniel by providing one-to-one counselling. Daniel participates in 8 sessions over an 8-week period. During these sessions the counsellor tries to encourage coping methods for Daniel on how to deal with his ADHD and how to control it.

Goodman, R. D. (2015). Trauma counseling and interventions: Introduction to the special issue. Journal Of Mental Health Counseling, 37(4), 283-294.

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.

When working with clients in today’s society it’s extremely important to take into consideration the specific needs of each individual. Serious contemplation is given to the approaches and methods regarding the client’s need and presenting matters. Trauma appears in many forms in society, even from the 1960’s due to the impact on returning soldiers from war. Since this, trauma has been categorised and widely researched leading to numerous theories. Psychotherapies were one of the first approaches to be founded in the 1970’s, which were the foundations to counselling

When I decided to take the trauma course, I was hesitant at first to take it. I did not know what to expect nor felt I would be prepare listen to stories about traumatic occurrences, despite of the number of years I have worked in the field of community mental health. Therefore, now that we are in week eight, I am delighted to have taken this course. The impression I had at first, has changed my insight concerning what is trauma, as for many years, I did not understand why a person in many instances, could not process their trauma. In a quote by Chang stated, “The greater the doubt, the greater the awakening; the smaller the doubt, the smaller the awakening. No doubt, no awakening” (Van Der Kolk, 2014, p. 22). The goes in congruence with my understanding on trauma and how it has changed during this course. As a result, I feel I am awakening when acquiring more about trauma.