review the case scenario which is a detailed description of a person who may be experiencing distress.
Case Study 1 Guidelines For this case study, you will review the case scenario which is a detailed description of a person who may be experiencing distress. This written case information includes history and symptoms, and all other relevant information necessary for drawing conclusions. You are responsible for reviewing the case and explaining how various counseling approaches would handle the case. You must use TWO counseling approaches/theories to describe the distress, the expected duration of treatment, and which techniques the a counselor from each perspective would use. The paper must be at least 6 pages (typed, double-spaced, one inch margins). The title and reference pages do not count towards the 6 pages. You are required to cite any sources used within the text of your report (see APA Publication Manual). Case materials are below. This case study is worth 50 points and is due March 25th by 11:59pm. The paper will be turned in through a Turnitin link on Blackboard. Sample Paper outline: A. Introduction B. First Counseling Approach • Description of the client’s distress (from the counseling perspective’s approach-should include the theory’s assertion regarding the origins of the client’s problems—this section should include good depth and should consider multiple facets of the client’s profile) • Expected Duration of treatment (should be congruent with the chosen counseling perspective and explained) • Techniques the counselor may use (should be congruent with the chosen counseling perspective—each technique should be linked to the client’s concerns in a specific way. In other words, you need to back up your recommendations for techniques using specific information from the case.) • Explanation of whether this approach will be effective with this client (and why) C. Second Counseling Approach • Description of the client’s distress (from the counseling perspective’s approach-should include the theory’s assertion regarding the origins of the client’s problems—this section should include good depth and should consider multiple facets of the client’s profile) • Expected Duration of treatment (should be congruent with the chosen counseling perspective and explained) • Techniques the counselor may use (should be congruent with the chosen counseling perspective—each technique should be linked to the client’s concerns in a specific way. In other words, you need to back up your recommendations for techniques using specific information from the case.) • Explanation of whether this approach will be effective with this client (and why) Name: Luna McMillan Age: 21 Gender: Female Ethnicity: Caucasian Luna McMillan has been encouraged by her siblings to come to a counseling center. Her siblings briefly spoke to the therapist before Luna’s intake and they stated that Luna has stopped “taking care of herself”. As one example, they note that she doesn’t seem to have any issues getting out of bed, yet she sleeps for over 10 hours a night. The siblings report that she doesn’t put much effort toward her hygiene. In the initial contact with Luna, she states that she has no problem going to school and work, and she is making decent grades, yet she doesn’t seem to be enjoying any of it. The counseling receptionist states that during the initial appointment, Luna stated that she preferred a female therapist, however she would be given the most available person with her schedule. Presenting Problem Luna’s older siblings state that she has become “clingy”. She always visits her siblings when she has free time. Since they have such a large age difference, they find it odd that a 21-year-old in college would want to hang around two people that are already married, and have multiple children. The siblings report that Luna never seems to mention any friends, and she seems to change the subject once it comes up. The same goes for her relationships. When confronted about this problem, Luna stated that “other people just aren’t worth trusting”. More than anything, however, her siblings say that her mood has changed. The strong “I do what I want” attitude she had before has seemed to disappear. She has become more quiet and withdrawn, and can’t seem to sit still or be able to relax. Her siblings believe that she needs someone to talk to other than family and this is why they have encouraged her to go to counseling. Family History Luna is the youngest of three daughters, all raised mostly by the father, as her mother passed away. Her mother’s passing gave Luna tremendous guilt. Talking about this in the initial appointment reminded Luna of an instance in which her father looked her in the eye and started crying while stating: “You have your mother’s eyes”. Since that moment, her father rarely looked her in the eye. At the age of 18, she moved out. Shortly after her move, her father died. Luna wishes that she spent more time with him, and getting to understand her relationship with him instead of ignoring him. When confronted about how often she visits her siblings, she states that she only visits them because she’s bored. Luna feels angry that she needs to come here for some reason. History of Mental Health Related Issues Her family encourages Luna to eat, because when she’s not with them she skips meals. However, when she eats, she eats a lot. Luna stated that she may eat a lot, but then she “takes care of it” in the bathroom. This started Sophomore year in high school, and in her senior year, she ended up in the hospital for stomach problems. She reports that it is also hard for her to fall asleep even though she gets in bed at 7. She states that “her mind won’t stop thinking about everything”, and she has a hard time relaxing. When she does fall asleep, she sleeps for 10-12 hours straight. Relationship History and Support System She has had multiple relationships in her life. Her father stated that she’s not allowed to date until she was 16, but she had multiple romantic relationships by the age of 15. She says that she doesn’t remember how many different men because most of them weren’t worth counting. Then, she met a man named Sam. She says that he was a nice guy, however, that he was extremely bossy. She also states that he would look at her like she’s stupid. In a fit of rage during a really bad fight, he lost his temper and she believes he almost slapped her. Even after he apologized for getting so angry, she states she knew that she had to get out of that situation, so she left him and never talked to him again. After that, she began dating women. She reports that although they were a bit more understanding, and more willing to listen, she didn’t feel like much changed when she dated women. According to Luna: “They would act like they care, but then go out to boss you around once you’re done talking. If they listen or say something in a calm face or voice, I know they are just being fake.” She is not entirely sure if there is anyone out there that’s even worth dating. Work History Since she was a child, she has always wanted to do art for a living, whether it’s graphic design or it’s painting. However, once she went to college, she states that her dad made her choose business as a major with a minor in art. She knows that he just wanted what’s best for her, but it’s not like he “owned” her or anything. So when her father died, she changed her major to Art and a minor in Art History. However, she admits that she’s sort of sad that she used his death as a means to change her major, but she believes she knows what’s best for herself. She hasn’t had nor kept many jobs. She has either hated the job, or hated the way the managers tell her what to do and how to do it. This is one thing she’s worried about once she graduates this semester. She feels that she has no chance of getting the job she wants. She is considering going to get an MBA, but she has no money to afford it. What makes matters worse for her is that she hasn’t told her siblings that she’s not a business major anymore. Risk Analysis When she was younger, Luna reports that she cut herself on her legs when she was angry at someone, angry at herself, or angry in general. However, she stopped doing so when her father caught her in the act. She says that the way that he looked at her made her sick. She also talks about how she is disgusted at herself in general. Every time she looks at herself in the mirror, she despises what she sees, and picks out all of her flaws. Treatment History Luna never allowed any sort of counseling into her life. She feels that it’s useless as she has nothing to worry about. When confronted about her feelings about her family, and the deaths within them, she states that it doesn’t bother her anymore. The same goes when it comes to medication, she feels as though she doesn’t need it. Drug History When asked if she’s ever done drugs, she states that she has used them, but gave no further information on the matter. https://www.youtube.com/watch?v=HzIwN23cZg4 https://www.youtube.com/watch?v=4NjYQHZ4Kew https://www.youtube.com/watch?v=_uLj7EeU8r0 https://www.youtube.com/watch?v=X4JnVjvp-6U
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