In a Foundation classroom, the teacher schedules time in the day where the children are seated at shared tables of six to complete their lessons and other times when they can selec
Nora is a 41-year-old African American single mother of two young boys, ages 8 and 10. She and her
sons recently evacuated from their home ahead of a major hurricane. They stayed with relatives for two
weeks until they were able to return to their home safely. When they arrived home, they found their
house uninhabitablea tree had fallen on the house, which led to significant flooding and structural
damage. They will need to live elsewhere until the home can be repaired. While they have made short-term arrangements to go back to her family’s house, Nora is unsure how long they will be displaced and
is particularly concerned about the commute to her sons’ school and her work. To make matters worse,
she has been formally reprimanded at work for taking time off to meet with the insurance adjuster and
construction team.
Nora is presenting with symptoms of hopelessness, tearfulness, and despair. She feels overwhelmed at
the loss she and her sons have faced and her perceived powerlessness to fix the situation. She notes
feeling disengaged at work and unable to focus in many areas of her life.
History
Nora has been a single mother for the past four years. She and her ex-husband divorced after her
husband’s infidelity, and she and her sons remained in the home. Her ex-husband moved out of town
two years ago and maintains somewhat regular communication with his sonsengaging with them on
social media, speaking to them by phone roughly once a month, and seeing them every six months. Nora
reports that although she has “no hard feelings” toward her ex-husband and strives to have a good coparenting relationship, they do not maintain contact outside of his communication with the boys, and he
is not a source of financial or emotional support to her.
Nora has been employed as the general manager of a small chain of local restaurants for the past twoyears. Prior to that she held the manager position for one of the restaurants for nearly ten years. Nora is
hardworking and prides herself on doing a good job, providing strong support and mentorship to her
team, and supporting the local community and its patrons. The recent hurricane has had a dramatic
impact on her work life as well, destroying one of the restaurants and leaving many of her employees
without a job. She has been charged by the restaurant owners to help in the effort to rebuild, which has
only created more strain on her emotionally, mentally, and physically.
Developmental Considerations
Nora was raised as the middle child of three siblings. She reports being close to her siblings and parents
throughout her childhood and being a highly sociable child. She indicates no physical traumas or
developmental delays, but does report that she lost her mother to breast cancer when she was 18 years
old. Nora reports that this was a significant loss for her and her family, and that she has taken on the
role of the mediator and “mother” for the family since her mother’s death, owning responsibility for
family gatherings and being responsible for taking care of her father’s health needs in the past few
years.
Relational Considerations
Nora has a strong support network in her family. Her two siblings live within 20 miles of her, and her
father is 45 miles away. None of their homes were significantly impacted by the hurricane, and all have
offered temporary support for Nora and her sons. That being said, Nora is concerned about
overextending her stay, particularly given that there is not a lot of extra space for her family at any one
of her family’s homes. Additionally, the commute for school and work is weighing heavily on her.
Nora also has a strong friendship network she has been leaning on for emotional support. She reports
that her friends, largely from her faith community of Jehovah’s Witnesses, have been what has gotten
her through the hard times thus far. Unfortunately, many of Nora’s friends have also been directly
impacted by the hurricane, and the Kingdom Hall she attends was hard-hit as well.
Multicultural Considerations
Nora is a woman of strong faith. She has struggled with the loss of her home and the displacement this
has caused, but she has also been particularly challenged by the damage at the Kingdom Hall where she
worshipped twice a week. Between the commuting, additional need for time at work, and the
challenges with her own home and children, she has found herself unable to seek solace through
worship. She has tried to continue her practice of daily prayer and Bible study and has found herself
grateful for the support she has received from the disaster relief committee and nearby congregations;
however, she notes this is one of the most challenging parts of the disaster experience for her.
Diagnosis
Nora’s symptom presentation is consistent with a diagnosis of adjustment disorder with depressed
mood (American Psychiatric Association, 2013).
?ANSWER THE following questions below AFTER READING THE CASE STUDY ABOVE
Provide a brief description of the intervention including:
(1) to whom it can be applied
(2) under what circumstances it can be applied
(3) any limitations to the intervention that should be considered
Provide rationale for choosing the selected approach for the case study. Include an explanation for why selecting that intervention will help your work with the selected case study client, and provide appropriate support.
Describe how the intervention can be used in future work when supporting the treatment approaches for clients.
Provide a link to the intervention within the body of the paper (or upload the PDF) so your instructor can easily identify and reference it. Ensure the link is active and accessible for review by your instructor. Note: If your selected intervention is not accessible, your submission will be returned to you.
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