Should The Vignette Consider The Wife's Request To Participate In Therapy Sessions?

b. What special issues of confidentiality may arise in the case? How should David address these issues? Even though David most recently been in a counseling relationship with the husband, he stills have a legal “duty” to the husband, who was originally client..In most circumstances, he can release the husband 's individual counseling records to her upon his written request. However, he may be compromising his ethics and breaching confidentiality by releasing information to the wife that he obtained from the husband or learned during a joint counseling session unless he have written authorization of both or a court order (2005 ACA Code of Ethics, Section B.2.c.)

The patient tells me she is under a lot of stress of late. She has suffered a fracture of her foot in the past year. In addition, she had undergone the surgery for her back with Dr. Banco and tells me that she is still recovering from that. She has been going to physical therapy, which has been helpful. She is working with Dr. Greenspan for her pain medications and they are slowly starting to wean down. She is hoping with her next visit that they can all be stopped. She tells me that unfortunately, very unexpectedly, her father-in-law passed away in May. The majority of this 25 minute visit was spent

Next is Carol while she isn’t a counselor herself she, as all of us do, faced her own personal ethical dilemmas. Some of them are how she would handle the anger over her husband leaving her for another woman, deciding if she is going to try to ruin the career of a man because of her anger, and last is whether to be truthful in the helper/client

Ethical issues come from various concepts in the selection because not all member are not ideal patient for each counseling session. Counselors receive individuals who are mandated to attend counseling in many cases set by a judge or a doctor. In these sessions, there may be aperture of confidentiality, kinship, or individuals who are unable to be polite that may impede treatment those member counseling to be done

1. Describe and discuss ethical frameworks within which counselling and therapeutic practitioners work. Include justification for observing codes of conduct and how professionalism is maintained.

Fourth ethical issue I spotted was the relationship was deepened when Dr. Lowenstein asked Tom to coach her son in football. This is an indicator of a dual relationship that should be prohibited. Football is a contact sport and this created a relationship between Tom and Susan’s son. The relationship escalated as Tom and the son we rolling around in the grass and became close as summer went on. This is an unreasonable distance between client and Susan’s personal life.

Remley and Herlihy (2016) defines confidentiality as an ethical concept which refers to the counselor 's obligation to respect the client 's privacy and in session discussion will be protected from disclosure without their consent (p.108). The receptionist never disclosed what was being discussed in wife A session; however, her inadvertent breach of confidentiality occurred the moment she divulged the fact that wife A is a patient at a mental health facility. An important premise to understanding the ethical principle of confidentiality is base that a counselor respects the client 's right to privacy (Remley & Herlihy, 2016; Quigley, 2007). Premise one states the "counselor honor the rights of clients to decide who knows what information about them and in what circumstances" (p.110).

Today, MSC visited Maria at her residence for a face to face visit. When MSC walked in Maria was having a snack at the table. Maria waved and greeted her staff. MSC said, Hello, How are you?" She stated that she needs to talk to MSC in private after she finishes her food. MSC spoke wither Medical Direct Care Counselor Marie Rose. She stated that Maria has been doing good. He is cooperative at times, but requires redirection. Maria stated that she is medically stable and her behavior has improved over the past few months. She is communicates her wants and needs effectively. Maris continues to go to all of her medical appointments and enjoys attending program. Maria goes on all community inclusions and makes suggestions on places she would like to go. She struggles with balancing money, staff continues to assist her in budgeting.

D.D. is a 50-year-old, African American male presenting with a number of anxiety and depressive symptoms. The client reports that he came to counseling for “extra support and someone to talk to.” D.D. has been struggling with mental health issues since he was young. Since the age of 15 he has been hospitalized on and off for “hearing voices.” In the early 1980’s he was diagnosed with schizophrenia and prescribed Risperdal to treat the symptoms. Since then, D.D. has been in a variety of mental health settings, including hospitals, day programs, and outpatient treatment. The client has an extensive alcohol and drug use history that he believes impacted his Schizophrenia. In the early 1980’s the client would use alcohol every day “to avoid the voices,” drinking “anything he could get his hands on.” He was also heavily involved with drugs at that time and regularly used marijuana, PCP, cocaine, and heroine. In 2000, the client was sentenced to eight years in jail for four bank robberies. While in jail, D.D. received mental health treatment and alcohol and drug treatment, which was greatly beneficial. When the client was released from jail in 2008, he was drug and alcohol free and was taken off of Risperdal.

In this essay I am going to look at the importance and purpose of the initial consultation between the client and the therapist and what happens during this preliminary session. I will also cover the ethical definitions that will need to be explored and established, to ensure the safety and wellbeing of both the client and therapist.

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

There are many people that will start saying that they might have a chronic illness and go to a doctor and get a medical card to purchase the Marijuana. Marijuana should be prescribe only to people that are suffering a serious chronic illness. Client who is addicted to alcohol and narcotics should not be prescribe Marijuana because they are already suffering from an addiction and prescribing Marijuana is adding another addiction to their current problem. If a client is using alcohol and narcotics on top using marijuana to help with their chronic pain then the counselor should find an appropriate treatment for the alcohol and narcotics addiction. Once they client is being help with those issues the counselor should get more information on how the marijuana is helping with the chronic pain, if it is helping the therapist should find an treatment so client cannot get addicted to the marijuana. Therapist should also address to the client that Marijuana should be used only to help with the chronic pain and not just to get high. Client being exposed to many substances can overlap and bring more serious issue towards their health. Also therapist having a proper treatment and crises plan available to the client might help the client. An addiction such as alcohol and narcotics can be very hard difficult to quit. Having the proper treatment and support will help

In this conversation I would address the progress that the client has made and what his strengths are. I would share the pros and cons of dropping out of the program and I would show him that I sincerely care about the situation he is in. Ultimately, however, I cannot stop him from dropping out. He is an adult and is allowed to make his own decisions. I realize the book says that his judgment is questionable, but this sounds like a situation in which any individual, regardless of ability to judge might make this same decision. After sitting down and having this discussion, if he still chose to opt out of services, I might warn some people who have worked with him, whether that be police officers or his actual social worker, being this is a substance abuse treatment program. I would pray for the client to make the right decision and I would know in my heart that my duty is a Christian is to assist others in reaching their full potential in a positive

Biologically the patient has been coping with chronic pain, degeneration, and weight issues for the last 35 years. He was active for a portion of his life, but lacks the motivation to engage in activities he once enjoyed. Psychologically the client’s emotions range from reported guilt and anger to worthlessness and hopelessness. He is overwhelmed by chronic pain and reports increased symptoms of depression. Mr. Franks is socially isolated from all but his wife. Veteran’s groups and volunteer activities are functions he once attended, but no longer does. The client mentions attending church in the past, but he makes no mention of where he is at spiritually.

“ Why is the Initial Consultation so important? What Factors will an ethical Therapist cover at this time?”