This is a 45-year-old who suffers from Mild intellectual disability, TBI, and major depression. ?He African American male that identifies as a heterosexual was placed in foster care at
Case concept instructions are included below. This is a 45-year-old who suffers from Mild intellectual disability, TBI, and major depression. He African American male that identifies as a heterosexual was placed in foster care at the age of 5 years old and adopted at seven by a family member. BS has been recovering from alcohol since the age of 16 and was involved in a physical altercation at the age of 22 that left him with a TBI where he was diagnosed with a Traumatic brain injury from this injury he lost his job suffered from seizures and major depression. In order for BS to celebrate his sobriety he has a mentor and attends 12-step meetings weekly after attending an inpatient treatment center for 2 years. He has experienced suicidal thoughts and is currently on antidepressants.
PART II (Due Day 7 of Week 8)
Counselor name: |
Client age: 45 |
Client initials: BS |
Client race or ethnicity: African American |
Number of sessions with client: 1 |
Self-identified gender: Heterosexual |
Theoretical Orientation and Application
Your theoretical orientation influences your counseling approach. While you are likely still in the very early stages of considering and trying on different theoretical orientations, you have likely noticed that some seem to resonate with you more than others. While you have been trained in Person-Centered Theory, consider another orientation that most closely aligns with your understanding of human behavior and your approach to it. In doing so, respond to the following:
· State your preferred theoretical orientation and the original theorist.
· Describe what elements of this preferred theoretical orientation resonate with you.
· Explain how this preferred theoretical orientation approaches client problems.
· Explain how this preferred theoretical orientation approaches positive change.
· Describe how this preferred theoretical orientation would make sense of your client’s presenting problem.
· Now select another counseling theory and contrast how it would make sense of your client’s presenting problem differently.
Treatment Planning
The nature of the treatment plan and evidence-based interventions should coincide with the needs of the client and the theoretical orientation utilized. Additionally, treatment goals should be SMART (specific, measurable, attainable, realistic, and timely). Using your theoretical foundation of Person-Centered Theory coupled with your preferred theoretical orientation described in Part II, respond to the following elements:
· Short-term SMART goal for treatment
· Interventions, approaches, and techniques to work toward this goal
· Mid-range SMART goal for treatment
· Interventions, approaches, and techniques to work toward this goal
· Long-term SMART goal for treatment
· Interventions, approaches, and techniques to work toward this goal
Ethical and Legal Considerations
Nearly all clients and every situation present the possibility for ethical concerns and dilemmas. It is important to be proactive and intentional in our consideration of what those might be. Ethical challenges can arise in a number of ways, including transference/countertransference, court-ordered counseling, informed consent, boundary violations, poor self-care, limits of confidentiality, and mandated reporting. Using the ACA Code of Ethics, reflect on your work with the client and respond to the following:
· Describe ethical dilemmas present or potentially present.
· Identify your own barriers or challenges that may complicate the ethical dilemma.
· Explain the steps you should take to be intentional and proactive in your ethical approach.
Social Change Implications
The end of your work with a client should not be the end of your work. Each client impacts us as we impact them. Reflect on your client and their circumstances. Consider their efforts in relation to their successes and failures. Keeping in mind all of the information you have considered for this case and all of the insight you have gained, respond to the following elements:
· Address the systems and barriers the client experiences that impacted the current situation and outcomes.
· If changed or removed, identify what systems and barriers could impact positively upon this individual in the future.
· Discuss how your work with this client has informed your understanding of a larger social challenge or barrier.
· Identify steps you could take to effect positive social change in relation to this social challenge or barrier.
Rev: June 2020
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