SlideShare a Scribd company logo
Running head: VIGNETTE 1
High School Troubles;
How Different Therapies Counsel Youth
Austin Cords
2
High School Troubles;
How Different Therapies Counsel Youth
Introduction
The girl from the vignette has a successful academic life but lacks the stability at home,
as well as self injurious behavior. The three most likely methods of therapy to be used would be
Reality Therapy, Rational Emotive Behavior Therapy, and Alderian Counseling. RT would focus
on strengthening thoughts of choice and rational thought, REBT would focus on strategies of
stabilizing her thoughts in order to better regulate her emotions, while Alderian would
concentrate on her social needs at home and school in order to motivate her into better actions.
All these could assist the girl in better dealing with her issues at home, and each of these should
attempt to contact her parents and have them involved in the process.
Reality Therapy (RT)
Reality Therapy’s primary goal would be to get her to recognize the choices she can
make in each of her decisions towards herself and towards others (Gladding, 2006, p. 231). With
this focus, and building upon her successful work in school, the counselor can show her to the
ability to be successful in more difficult avenues of her life such as the home. Once she realizes
that she has power over any of her environments (to different extents) she has the power to
overcome her need to cut by finding alternatives to this action. Reality therapy removes the
excuse of her actions and empowers her to change her behavior which will lead to more positive
results in her life (Gladding, 2006). Changing her focus towards an inward locus of control will
make do positive actions instead of focusing on the bad. Reality therapy would also assist her by
3
having the therapist build a positive relationship she has not previously interacted with
(Gladding, 2006).
Rational Emotive Behavior Therapy
Rational Emotive Behavior Therapy would directly attack the thoughts of her instability
at her home life. It is likely that the reason she is cutting herself is because there are a few
underlying absolute expectations she demands at the home but is not receiving (Yankura &
Dryden, 1997, p. 107). REBT would likely discover she thinks that her home life needs to be
more normal, she is embarrassed with the situation, or she is mad at one of the parents. By
investigating what she thinks must occur at the house the therapist can challenge those irrational
thoughts and replace them with better ones. No longer is it a must that her family is perfect but
the therapist will normalize flaws in family, and give her behavior strategies to improve her life
at home.
Alderian Therapy
The main issue with the girl is social. The vignette never makes mention of friends and
the family is seemingly dysfunctional. Because of these factors the girl lacks the social support
necessary to function properly. Alderian therapy looks at social needs as motivators and objects
of primary concern when dealing with people (Gladding, 2006). This girl must feel involved in
her family and a valuable contributor in the home in order to avoid cutting. Her goals of
perfection are seen in her academics but there is some factor at home preventing her from
gaining value from that social system. A few strategies an Alderian therapist might use would be,
acting as if the situation is changed in order to see how the conjecture of the girl regarding her
“dismal state” is inaccurate, or making the client aware of the self-destructive behavior and
4
getting her to a point where she can keep herself from it on her own (Gladding, 2006). Having
her see that life is not so bad or that the feeling of cutting can be overcome by a focus on positive
thinking will enable the girl to have an upward spiral of recover. The social needs she is feeling,
as they begin to be fulfilled will stabilize her life at home and perhaps help her make more
friends at school. Social support and positive thinking, according to Alder are key needs that all
humans have.
Discussion
While each of these models focuses on a slightly different aspect and are all shown to be
successful, Alderian therapy would seem most appropriate to use in the case since her main
underlying issues is social. With the Reality therapy, it would be good to motivate her at first but
I foresee difficulties when changes don’t happen immediately at home. In any of the models
rationality is necessary, but with REBT, telling a fifteen year to think clearly may be more
difficult to accomplish than creating a network of support to stabilize her life.
5
References
Gladding, S.T. (2006). Counseling: A comprehensive profession. New Jersey: Pearson
Publishing Inc.
Yankura, J. & Dryden, W. (1997). Special applications of REBT: A therapist’s casebook. New
York: Springer Publishing Company.

More Related Content

What's hot

Mental disorders and their treatments
Mental disorders and their treatmentsMental disorders and their treatments
Mental disorders and their treatments
indianeducation
 
Emotional focused-therapy-greenberg
Emotional focused-therapy-greenbergEmotional focused-therapy-greenberg
Emotional focused-therapy-greenberg
Silvana Eloisa
 
Chapter17
Chapter17Chapter17
Chapter17
jenniferdavis22
 
Malan- Aspects of Therapy -Handling the Anxiety
Malan- Aspects of Therapy -Handling the AnxietyMalan- Aspects of Therapy -Handling the Anxiety
Malan- Aspects of Therapy -Handling the Anxiety
Peter Creagh
 
Interpersonal psychotherapy
Interpersonal psychotherapyInterpersonal psychotherapy
Interpersonal psychotherapy
Muhammad Musawar Ali
 
Couple therapy
Couple therapyCouple therapy
Couple therapyMona Sajid
 
Attitude & BEHAVIOUR MODIFICATION THERAPY
Attitude & BEHAVIOUR MODIFICATION THERAPYAttitude & BEHAVIOUR MODIFICATION THERAPY
Attitude & BEHAVIOUR MODIFICATION THERAPY
Thangamani Ramalingam
 
Reality therapy
Reality therapyReality therapy
Reality therapy
Nursing Path
 
Play, psychodrama, music, dance, recreational & light therapy
Play, psychodrama, music, dance, recreational & light therapyPlay, psychodrama, music, dance, recreational & light therapy
Play, psychodrama, music, dance, recreational & light therapy
divya2709
 
Third Wave Behavior Therapies
Third Wave Behavior TherapiesThird Wave Behavior Therapies
Third Wave Behavior TherapiesKevin J. Drab
 
Couples therapy
Couples therapyCouples therapy
Couples therapy
sharylbars
 
Cognitive Behavioral Family Therapy
Cognitive Behavioral Family TherapyCognitive Behavioral Family Therapy
Cognitive Behavioral Family Therapyguestdbc5d7
 
Reality therapy
Reality therapyReality therapy
Reality therapy
rita_ne
 
Reality therapy
Reality therapyReality therapy
Reality therapyDiana Ygot
 
Ch. 15 Therapy
Ch. 15 TherapyCh. 15 Therapy
Ch. 15 Therapy
kbolinsky
 
Choice Theory/Reality Therapy/PTSD
Choice Theory/Reality Therapy/PTSDChoice Theory/Reality Therapy/PTSD
Choice Theory/Reality Therapy/PTSD
Randy Wilhelm
 
History of Cognitive Behavior Therapy (CBT)
History of Cognitive Behavior Therapy (CBT)History of Cognitive Behavior Therapy (CBT)
History of Cognitive Behavior Therapy (CBT)
J. Ryan Fuller
 
Choice Theory Reality Therapy-KLM Mason
 Choice Theory Reality Therapy-KLM Mason Choice Theory Reality Therapy-KLM Mason
Choice Theory Reality Therapy-KLM Mason
Kim Mason
 
Lecture 8 eft stage 2 steps 5 7
Lecture 8 eft stage 2 steps 5 7Lecture 8 eft stage 2 steps 5 7
Lecture 8 eft stage 2 steps 5 7
Newham College University Centre Stratford Newham
 

What's hot (20)

Mental disorders and their treatments
Mental disorders and their treatmentsMental disorders and their treatments
Mental disorders and their treatments
 
Emotional focused-therapy-greenberg
Emotional focused-therapy-greenbergEmotional focused-therapy-greenberg
Emotional focused-therapy-greenberg
 
Chapter17
Chapter17Chapter17
Chapter17
 
Malan- Aspects of Therapy -Handling the Anxiety
Malan- Aspects of Therapy -Handling the AnxietyMalan- Aspects of Therapy -Handling the Anxiety
Malan- Aspects of Therapy -Handling the Anxiety
 
Interpersonal psychotherapy
Interpersonal psychotherapyInterpersonal psychotherapy
Interpersonal psychotherapy
 
Table
TableTable
Table
 
Couple therapy
Couple therapyCouple therapy
Couple therapy
 
Attitude & BEHAVIOUR MODIFICATION THERAPY
Attitude & BEHAVIOUR MODIFICATION THERAPYAttitude & BEHAVIOUR MODIFICATION THERAPY
Attitude & BEHAVIOUR MODIFICATION THERAPY
 
Reality therapy
Reality therapyReality therapy
Reality therapy
 
Play, psychodrama, music, dance, recreational & light therapy
Play, psychodrama, music, dance, recreational & light therapyPlay, psychodrama, music, dance, recreational & light therapy
Play, psychodrama, music, dance, recreational & light therapy
 
Third Wave Behavior Therapies
Third Wave Behavior TherapiesThird Wave Behavior Therapies
Third Wave Behavior Therapies
 
Couples therapy
Couples therapyCouples therapy
Couples therapy
 
Cognitive Behavioral Family Therapy
Cognitive Behavioral Family TherapyCognitive Behavioral Family Therapy
Cognitive Behavioral Family Therapy
 
Reality therapy
Reality therapyReality therapy
Reality therapy
 
Reality therapy
Reality therapyReality therapy
Reality therapy
 
Ch. 15 Therapy
Ch. 15 TherapyCh. 15 Therapy
Ch. 15 Therapy
 
Choice Theory/Reality Therapy/PTSD
Choice Theory/Reality Therapy/PTSDChoice Theory/Reality Therapy/PTSD
Choice Theory/Reality Therapy/PTSD
 
History of Cognitive Behavior Therapy (CBT)
History of Cognitive Behavior Therapy (CBT)History of Cognitive Behavior Therapy (CBT)
History of Cognitive Behavior Therapy (CBT)
 
Choice Theory Reality Therapy-KLM Mason
 Choice Theory Reality Therapy-KLM Mason Choice Theory Reality Therapy-KLM Mason
Choice Theory Reality Therapy-KLM Mason
 
Lecture 8 eft stage 2 steps 5 7
Lecture 8 eft stage 2 steps 5 7Lecture 8 eft stage 2 steps 5 7
Lecture 8 eft stage 2 steps 5 7
 

Similar to High School Troubles

Example amanda is a 23 year old recovering alcoholic and
Example   amanda is a 23 year old recovering alcoholic and Example   amanda is a 23 year old recovering alcoholic and
Example amanda is a 23 year old recovering alcoholic and
modi11
 
Four Goals of Family Therapy.pptx
Four Goals of Family Therapy.pptxFour Goals of Family Therapy.pptx
Four Goals of Family Therapy.pptx
Jeth Nocom
 
Case Presentation Treatment Plan gretel.docx
Case Presentation Treatment Plan gretel.docxCase Presentation Treatment Plan gretel.docx
Case Presentation Treatment Plan gretel.docx
EDITHAPIYO
 
Discussion Rogerian Therapy.docx
Discussion Rogerian Therapy.docxDiscussion Rogerian Therapy.docx
Discussion Rogerian Therapy.docx
bkbk37
 
Discussion Rogerian Therapy.docx
Discussion Rogerian Therapy.docxDiscussion Rogerian Therapy.docx
Discussion Rogerian Therapy.docx
bkbk37
 
Psychotherapy in children
Psychotherapy in childrenPsychotherapy in children
Psychotherapy in children
Dr. Sunil Suthar
 
Behavior modification
Behavior modificationBehavior modification
Behavior modificationVhainj Hibe
 
Abnormal+psychology+and+therapy+rough+draft (1)
Abnormal+psychology+and+therapy+rough+draft (1)Abnormal+psychology+and+therapy+rough+draft (1)
Abnormal+psychology+and+therapy+rough+draft (1)
tnikita23
 
CBT in family therapy varies.docx
CBT in family therapy varies.docxCBT in family therapy varies.docx
CBT in family therapy varies.docx
write31
 
When Home Isn't Home
When Home Isn't HomeWhen Home Isn't Home
When Home Isn't Home
Tracia Banuelos
 
Running head VIGNETTE ONEVIGNETTE ONE 2VIGNETTE ONE .docx
Running head VIGNETTE ONEVIGNETTE ONE 2VIGNETTE ONE .docxRunning head VIGNETTE ONEVIGNETTE ONE 2VIGNETTE ONE .docx
Running head VIGNETTE ONEVIGNETTE ONE 2VIGNETTE ONE .docx
jenkinsmandie
 
Schizoid personalty disorder 2018
Schizoid personalty disorder 2018Schizoid personalty disorder 2018
Schizoid personalty disorder 2018
Millicentlorenaguila
 
Health Psychology: Transforming social determinants of health to build health...
Health Psychology: Transforming social determinants of health to build health...Health Psychology: Transforming social determinants of health to build health...
Health Psychology: Transforming social determinants of health to build health...
Michael Changaris
 
Cbt with adolescence
Cbt with adolescenceCbt with adolescence
Cbt with adolescence
SARA ISMAIL
 
schizoid personality disorder
schizoid personality disorder schizoid personality disorder
schizoid personality disorder
Adan Sawalmeh
 
family therapy.docx
family therapy.docxfamily therapy.docx
family therapy.docx
Pahari Sharma
 
CounselingApproaches.pptx
CounselingApproaches.pptxCounselingApproaches.pptx
CounselingApproaches.pptx
gambhirkhaddar1
 

Similar to High School Troubles (20)

Example amanda is a 23 year old recovering alcoholic and
Example   amanda is a 23 year old recovering alcoholic and Example   amanda is a 23 year old recovering alcoholic and
Example amanda is a 23 year old recovering alcoholic and
 
Psychotherapy
PsychotherapyPsychotherapy
Psychotherapy
 
Four Goals of Family Therapy.pptx
Four Goals of Family Therapy.pptxFour Goals of Family Therapy.pptx
Four Goals of Family Therapy.pptx
 
Adlerian Theory
Adlerian TheoryAdlerian Theory
Adlerian Theory
 
Psychotherapy Design
Psychotherapy DesignPsychotherapy Design
Psychotherapy Design
 
Case Presentation Treatment Plan gretel.docx
Case Presentation Treatment Plan gretel.docxCase Presentation Treatment Plan gretel.docx
Case Presentation Treatment Plan gretel.docx
 
Discussion Rogerian Therapy.docx
Discussion Rogerian Therapy.docxDiscussion Rogerian Therapy.docx
Discussion Rogerian Therapy.docx
 
Discussion Rogerian Therapy.docx
Discussion Rogerian Therapy.docxDiscussion Rogerian Therapy.docx
Discussion Rogerian Therapy.docx
 
Psychotherapy in children
Psychotherapy in childrenPsychotherapy in children
Psychotherapy in children
 
Behavior modification
Behavior modificationBehavior modification
Behavior modification
 
Abnormal+psychology+and+therapy+rough+draft (1)
Abnormal+psychology+and+therapy+rough+draft (1)Abnormal+psychology+and+therapy+rough+draft (1)
Abnormal+psychology+and+therapy+rough+draft (1)
 
CBT in family therapy varies.docx
CBT in family therapy varies.docxCBT in family therapy varies.docx
CBT in family therapy varies.docx
 
When Home Isn't Home
When Home Isn't HomeWhen Home Isn't Home
When Home Isn't Home
 
Running head VIGNETTE ONEVIGNETTE ONE 2VIGNETTE ONE .docx
Running head VIGNETTE ONEVIGNETTE ONE 2VIGNETTE ONE .docxRunning head VIGNETTE ONEVIGNETTE ONE 2VIGNETTE ONE .docx
Running head VIGNETTE ONEVIGNETTE ONE 2VIGNETTE ONE .docx
 
Schizoid personalty disorder 2018
Schizoid personalty disorder 2018Schizoid personalty disorder 2018
Schizoid personalty disorder 2018
 
Health Psychology: Transforming social determinants of health to build health...
Health Psychology: Transforming social determinants of health to build health...Health Psychology: Transforming social determinants of health to build health...
Health Psychology: Transforming social determinants of health to build health...
 
Cbt with adolescence
Cbt with adolescenceCbt with adolescence
Cbt with adolescence
 
schizoid personality disorder
schizoid personality disorder schizoid personality disorder
schizoid personality disorder
 
family therapy.docx
family therapy.docxfamily therapy.docx
family therapy.docx
 
CounselingApproaches.pptx
CounselingApproaches.pptxCounselingApproaches.pptx
CounselingApproaches.pptx
 

High School Troubles

  • 1. Running head: VIGNETTE 1 High School Troubles; How Different Therapies Counsel Youth Austin Cords
  • 2. 2 High School Troubles; How Different Therapies Counsel Youth Introduction The girl from the vignette has a successful academic life but lacks the stability at home, as well as self injurious behavior. The three most likely methods of therapy to be used would be Reality Therapy, Rational Emotive Behavior Therapy, and Alderian Counseling. RT would focus on strengthening thoughts of choice and rational thought, REBT would focus on strategies of stabilizing her thoughts in order to better regulate her emotions, while Alderian would concentrate on her social needs at home and school in order to motivate her into better actions. All these could assist the girl in better dealing with her issues at home, and each of these should attempt to contact her parents and have them involved in the process. Reality Therapy (RT) Reality Therapy’s primary goal would be to get her to recognize the choices she can make in each of her decisions towards herself and towards others (Gladding, 2006, p. 231). With this focus, and building upon her successful work in school, the counselor can show her to the ability to be successful in more difficult avenues of her life such as the home. Once she realizes that she has power over any of her environments (to different extents) she has the power to overcome her need to cut by finding alternatives to this action. Reality therapy removes the excuse of her actions and empowers her to change her behavior which will lead to more positive results in her life (Gladding, 2006). Changing her focus towards an inward locus of control will make do positive actions instead of focusing on the bad. Reality therapy would also assist her by
  • 3. 3 having the therapist build a positive relationship she has not previously interacted with (Gladding, 2006). Rational Emotive Behavior Therapy Rational Emotive Behavior Therapy would directly attack the thoughts of her instability at her home life. It is likely that the reason she is cutting herself is because there are a few underlying absolute expectations she demands at the home but is not receiving (Yankura & Dryden, 1997, p. 107). REBT would likely discover she thinks that her home life needs to be more normal, she is embarrassed with the situation, or she is mad at one of the parents. By investigating what she thinks must occur at the house the therapist can challenge those irrational thoughts and replace them with better ones. No longer is it a must that her family is perfect but the therapist will normalize flaws in family, and give her behavior strategies to improve her life at home. Alderian Therapy The main issue with the girl is social. The vignette never makes mention of friends and the family is seemingly dysfunctional. Because of these factors the girl lacks the social support necessary to function properly. Alderian therapy looks at social needs as motivators and objects of primary concern when dealing with people (Gladding, 2006). This girl must feel involved in her family and a valuable contributor in the home in order to avoid cutting. Her goals of perfection are seen in her academics but there is some factor at home preventing her from gaining value from that social system. A few strategies an Alderian therapist might use would be, acting as if the situation is changed in order to see how the conjecture of the girl regarding her “dismal state” is inaccurate, or making the client aware of the self-destructive behavior and
  • 4. 4 getting her to a point where she can keep herself from it on her own (Gladding, 2006). Having her see that life is not so bad or that the feeling of cutting can be overcome by a focus on positive thinking will enable the girl to have an upward spiral of recover. The social needs she is feeling, as they begin to be fulfilled will stabilize her life at home and perhaps help her make more friends at school. Social support and positive thinking, according to Alder are key needs that all humans have. Discussion While each of these models focuses on a slightly different aspect and are all shown to be successful, Alderian therapy would seem most appropriate to use in the case since her main underlying issues is social. With the Reality therapy, it would be good to motivate her at first but I foresee difficulties when changes don’t happen immediately at home. In any of the models rationality is necessary, but with REBT, telling a fifteen year to think clearly may be more difficult to accomplish than creating a network of support to stabilize her life.
  • 5. 5 References Gladding, S.T. (2006). Counseling: A comprehensive profession. New Jersey: Pearson Publishing Inc. Yankura, J. & Dryden, W. (1997). Special applications of REBT: A therapist’s casebook. New York: Springer Publishing Company.