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School counseling case study
School counseling case study
School counseling case study
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When the client met with therapist and psychiatrist at Pomona office, client greeted the therapist and psychiatrist and started to report about her progress since last month. Client reported that she did not experience any side effect, she takes the medication on a regular basis, and doing good at school and at home. Client reported that she did nit need to take the medication of the anxiety if needed because she doing okay. When therapist reported that client sometimes cannot manage her stress and got involved in conflicts several times, psychiatrist reported that these issues is more related to the behavior management. Client asked the psychiatrist if she will be able to stop the medication soon, but the psychiatrist reported that she cannot
Critical Social Work practice is an ideological framework that bridges the gap between a dichotomous approach, in which there is struggle between delivering services to the individual or targeting social structures (Salas et al., 2010, p. 91). A practitioner analyzes both the macro and micro levels to determine the best course of action (Hayden, 2016). York University uses critical social work as their framework to avoid a dichotomous practice by presenting an innovative mission statement which is in align with the theory’s principles shaping the profession.
A 38-year-old single woman, Gracie, was referred for treatment of depressed mood. She spoke of being stressed out due to conflicts at work, and took a bunch of unknown pills. She reported feeling a little depressed prior to this event following having ovarian surgery and other glandular medical problems. She appeared mildly anxious and agitated. She is frequently tearful, but says she does not have any significant sleep or appetite disturbance. She does, however, endorse occasional suicidal ideation, but no perceptual disturbances and her thoughts are logical and goal-directed.
The clinical should look for the symptoms that might help him to identify the diagnosis of client. As Meredith mentioned that she cannot sleep and eat properly it is necessary to find out changes in her appetite and weight. Meredith also mentioned that she cannot work properly, so the clinical should ask about problems with concentration. The symptoms of Meredith case seem to be similar to depression, so the clinical should ask about suicide thoughts, thoughts about death and worthlessness; the frequency of such thoughts should be considered. Meredith also should be asked if she feels tired or exhausted easily as it also can point out that she is deeply depressed. is The clinical should ask about mood alteration during the day and define what does it depend on. Also Meredith should be asked about muscle tension as it points out anxiety disorder.
There are a lot of ethical standard that can be apply to this scenario, the most and most important one avoiding harm (Standard 3.04). The psychologist should take a reasonable step to avoid harming the patient especially when it is foreseeable. Before referral, the psychologist has known that the patient was abusing Xanax, she had taken 17 mg in the 30 hours when she should have only taken 2.5 mg, her behavior is very unreliable and she was not overtly suicidal or homicidal but the tendancies were there. Practicing within the boundaries of competent (Standard 2.01), the psychologist was knowledgeable enough to know that the client was in danger of harming herself or others. The psychologist took the necessary precautions to avoid harm by referring her to an inpatient facility. The psychologist cooperated with another professional (Standard 3.09) when it was needed which was in the best interest of the client. The psychologist should be aware of HIPPA rules when cooperating with the other professional. The patients written authorization on release of PHI should be communicated to the other professional. This brings us to the pressing issue for the psychologist right now; the psychologist wants to check on the status of the client, but the facility will neither confirm nor deny her stay there. The psychologist can fax the release form but, with the condition that it should be communicated to the inpatient clinic as confidential on the fax cover. The mistake the psychologist made was not getting a full release from the client, this should have been discussed during informed consent (Standard 3.10). This should also have been done as early as feasible before services and the psychologist had ample time since the client has been coming for several weeks. Even though this patient might be in a heightened emotional state due to her unreliable state before
The social workers in both videos gathered information regarding each of the client’s issues. Another common denominator in both videos is that both of the social workers repeated what the client had said in their own words to allow the client to feel heard and understood. In the first video, social worker Karen asked direct questions relating to Mike’s alcohol addiction while also addressing how the addiction impacts his relationships including his marriage. Karen also addressed inconsistencies with the client doing so appropriately and quickly. It appears that in the first video, Karen focuses on the reality of the issue at hand to assist the client with establishing and accepting
Due to improvements in psychiatric healthcare over the past few decades, patients suffering from mental illnesses are not limited to a single drug. Peter has many choices in possible medications that he can receive therapeutic effects from. Adherence to taking medications as directed and keeping frequent follow-up appointments will help increase the chances of gaining control of his disorder.
Vivien’s specific and generalized anxiety disorder can be treated using CBT (i.e. controlled outcome) or pharmacologically (benzodiazepines such as Xanax). Closer attention should be paid if benzodiazepine treatment is recommended due to the high risk of patients becoming dependent on the drug. Regardless of what pharmacological treatment is prescribed, psychological treatment aimed at reducing Vivien’s depression symptoms (sadness, crying, and embarrassment), avoidance behaviour, negative feelings (resentment towards boss and certain co-workers), soothing somatic cues, and reducing the patient’s expectation of future panic episodes. Psychological treatment could be a mixture of supportive and behavioural in nature to ensure that Vivien will initiate contact with threatening and anxiety provoking situations in the social environment.
As a result of research and advancements in biomedical science, psychotropic medications have become a primary tool in the holistic treatment of mental health concerns (Kaut & Dickinson, 2007). Education regarding psychopharmacology is now recommended for all mental health professionals in accordance with the ethical codes for the profession (King & Anderson, 2004). Counselors must also navigate their roles with regard to medication and client concerns carefully to avoid liability, while acting in the best interest of the client.
Identify and explain the three major sources of conflict and misinterpretations in social work practice: culture-bound values, class bound values, and language variables.
...e of the person. Also on the abnormalities in behaviour and this is informed by family members or friends. As well by GP, social worker, clinical assessment by a psychiatrist, clinical psychologist and other mental health professional. However, the Doctors are the ones need to make assessment on the foundation of identical list of externally evident symptoms, not on the improper of interior psychological processes.
According to the patient his financial status, and “lack of a formal diagnosis and treatment” are the two current stressors in life. When asked about the extent to which the patient feels accepted and valued in life, the patient stated, “I do, and that’s all I have to say”. The patient then reported turning to his ex-wife, who he also identifies as his best friend, when asked about who he turns to in a time of crisis. Later in the interview the patient also stated that he wished a Rabbi would come and visit him during his hospitalization, and that he believes that Rabbis may be bias and prejudice against mental health. Furthermore, the patient denied satisfaction with his professional support, stating that although he feels that his male provider is “adequate”, he believes he would benefit more from a female provider. He also denied the use of self-help or support group, stating, “I am an autodidactic, also known as a polymath, so that’s my support and self-help”. Although his medical records did state that he has a past history of suicidal attempts, and his recent request to be shot by police at the time of admission, he denied both a history and/or present suicidal or homicidal
To provide effective social services, a social work graduate must possess a multitude of knowledge, skills and abilities. This will be a reflective paper on everything that I know for sure as a student of social work who is about to go into the world of work.
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
...failed. Taking care of patients with mental health problems is very stressful, and it can be difficult for even the doctor to coop with the difficulties sometimes. In many cases, the lives of their patients rely on the physician’s ability to properly asses and treat their illness. It is a job that is not for the faint of heart, but if one is willing to apply themselves to the fullest extent of their ability, then all that work will most certainly pay off in the end.
There are a total of 36 clients that participated in the study, 15 being men and 21 being women. All of the clients requested therapy and also the clients are over the age of 18. “Exclude from the study were clients exhibiting sings of psychotic behavior, disoriented thinking, or neurological impairment”. The mean age of the clients is 27, the range 18-42. The client “presenting problem included issues such as depression, social or performance anxiety, relationship conflicts or lack of impulse control. None of the client where ...