This has the therapist and client conversation
Case Conceptualization and Treatment Plan
Develop a clear and thorough understanding of the presented case in the video shown in class.
Write a 2,800- to 3,500-word paper using the Clinical Case Study Guidelines document to prepare your analysis of the video presented in class.
Review your notes taken during the counseling session presented in class. Use the DSM 5 and additional professional sources as you explore the client's situation, potential diagnosis, treatment planning, and legal and ethical concerns.
Select a theoretical orientation to complete the analysis of the client.
Discuss the presenting problem from the theoretical perspective, and include language from the theory throughout the case conceptualization. Include the following:
•Summarize the client's background and present living situation, addressing diversity and the human life cycle.
•Discuss the client's present level of functioning and provide examples from the Unnamed Video to support your assessment.
•Identify the client's key problems and issues. Discuss which problems the client is experiencing and why the client is having these problems.
•Propose a theoretical orientation that would be appropriate to use with this client and discuss the theory and application.
•Provide a logical and rational assessment of the client and a diagnosis that is consistent with the assessment. Support the diagnosis using the DSM 5 and other research.
•Identify appropriate goals and interventions that are consistent with the assessment, diagnosis, and theoretical orientation. Discuss how these might be addressed within the treatment sessions.
•Recommend psychometric tools that would be appropriate for further assessing the client's needs based on background and diagnosis. Justify your recommendations.
•Identify thoughts and behaviors that you would use as criteria to determine readiness for successful client termination.
•Identify important legal and ethical issues and propose resolutions. Support your resolutions with appropriate codes of ethics and legal statutes.
•Use peer-reviewed sources to support your ideas throughout the paper.
Format your paper consistent with APA guidelines.
4 goals – 3 short term and 1 long term each having 3 interventions = 12 interventions. No objectives only goals and interventions.
CLIENT NAME: LIZ
DATE OF BIRTH:
PHONE:
PRIMARY LANGUAGE: English
EDUCATION:
REFERENCE BY: Friend
OCCUPATION: Homemaker
ASSESSMENT DATE: 01/05/2017
EVALUATED BY:
DESCRIPTION OF THE CLIENT The client is a 34-year-old woman Hispanic female, dressed casually and neat, clean clothing. She made normal eye contact, she spoke in expressive voice, and appeared sad manifested by tears. PRESENTING PROBLEM The client reports for the past two months her experiencing hopelessness, depression and anxiety because of negative core beliefs that she is inadequate, worthless and a failure. The client reports “I have a lot on my ...
Sample of Process Recording #21 of 3.docxjeffsrosalyn
Sample of Process Recording #2
1 of 3
PROCESS RECORDING OUTLINE
Student’s Name: Minerva Garcia Client’s Name:
JS
Interview Date: 03/14/07 Session #: 7
I.
PURPOSE OF THE SESSION: To address my concern about Pt’s health and emotional state, refer Pt. to a mental health center, help him cope with the seriousness of his mental health, and assist Pt. will setting up an appointment with a local mental health center.
II.
OBSERVATION: Pt. was affected when I voiced my concern; however he also recognized that he is also worried that he is going to harm himself. Pt. was disappointed and discouraged to seek these professionals help because he has previously been turned away by a couple of the mental health centers on the list that I gave him. He did not want to accept help from his family and repeated affirmed that they would not be able to help him financially to pay to seek this help.
III.
CONTENT: The content is from the middle of the session.
SUPERVISORY
COMMENTS
INTERVIEW CONTENT (I said, she said)
STUDENT’S GUT LEVEL FEELINGS
CLIENT’S FEELINGS/AFFECT
IDENTIFY INTERVENTIONS & MAJOR THEMES
I said: “I want to make sure that you understand why I am referring to you a mental health center. As I told you in the beginning of this session I am concerned about your mental health, you need to seek further professional help which I can not provide. ”
He said: “(puts his head down for a moment) I know that I need help. My mother said that if you can recommend me to a see a psychologist? She said that I need help. ”
I said: “Yes. That is what I am going to do, but I want to make sure that you understand the reason why I am doing this. ”
He said: “(Nods his head) I understand because like I told you before I don’t plan on harming myself, I just do it. Like when I made these scratches here (points at his lower forearm) I was frustrated that I kept doing these to my arm and I didn’t feel it.”
I said: “ Yes. This is why your mother and everyone at this clinic is concerned about your mental health state. Because if you made scratches with a knife and you didn’t feel it, you can do other serious things to yourself which can puts your life in endanger.”
He said: “Where are you calling? Where am I going to ? I have already been to this one place by Van Nuys and it is called something like El Nido and they didn’t help me. From the outside it looks like it’s a building for kids but they also help adults. ”
I said: “Well, here I have a list of different mental health centers and I am going to refer you to once that is more closer to your house. (I show him the list) I was planning of referring you to this clinic (I am pointing to the clinic located in Van Nuys) its called the center of family living have you been there before?”
He said: “I think so. Is it the one that is locate.
For this assignment, I worked with a high school student and practiced my counseling skills while conducting an interview with her. I describe the skills being used and show my knowledge of how to work with a young client.
Could Insecurity Be Ruining Your Marriage? Control Your ThoughtsNicola Beer
Debbie (name changed) came to me because she no longer felt like she was being herself. “I know I’m over-reacting and sometimes over-controlling Nicola, but I can’t help it.” Her fears and anxieties were leaving her to, in her words, act “desperate.” She wanted to trust her husband Gary, but couldn’t.
Five years ago, when they were engaged to be married, she found flirty Facebook messages from a girl at his work. Recently, Debbie noticed a message pop up from an old-school fling of his, asking to meet him. Debbie was furious that Gary hadn’t told her about the message, especially after their previous history.
Vignette of AnnieAnnie is a 47-year-old Chinese-American woman w.docxalehosickg3
Vignette of Annie
Annie is a 47-year-old Chinese-American woman who has come to therapy because of difficulties she is having with her husband. Since her last child left home for college, Annie has felt increasingly lonely and has been asking her husband to spend more and more time with her. His response has been to become angry and critical, saying her expectations are unreasonable and that she needs to find other ways to fill up her time.
For over two years, Annie has felt sad most of the day. She has low energy, poor concentration, and often feels a sense of hopelessness. Annie is in good health and does not use alcohol or drugs. She has not felt this "low" before in her life.
Annie does admit that she has always felt a lack of confidence in herself, even as a child, and has relied on friends and family to provide guidance and direction. She remembers a reluctance, dating back to elementary school. to disagree or express a different opinion for fear of losing friends. She has looked to her son and husband to make all of the important decisions in the family, and has counted on her two daughters for continual reassurance.
Annie hates to be by herself and cannot imagine being able to face life on her own. She is terrified that her husband may leave her and has been clinging more to her friends, calling them frequently and asking them for advice. Lately her friends have been less available for her however, and suggested that she should really be talking to a therapist about these things. This has made Annie feel even more frightened and unhappy.
Based on the information presented, address the following questions:
What diagnosis would you give this client? Provide the rationale for your choices, linking the client's symptoms to specific
DSM-5
criteria.
How might age, gender, ethnicity, and relationship dynamics contribute to the symptoms and issues this client is presenting?
How is neurocognitive functioning impacted by a personality disorder? How might a personality disorder be exacerbated by neurocognitive problems?
What factors would you need to consider when developing a treatment plan for this client?
How would a personality disorder diagnosis impact the client-counselor relationship, goals of therapy, and interventions you might choose?
.
Client is a 37 year old male who has presented for counseling due .docxvernettacrofts
Client is a 37 year old male who has presented for counseling due to the recent issue of finding out that his wife was unfaithful. Reports he is having difficulty in several domains of his life and wants help figuring out what to do. Client has been working at the same job for the past 16 years. He is an engineer at a local firm. Client reports that he is satisfied with his job. Client has a bachelor's degree in mechanical engineering. Client reports that he is financially secure and is not worried about financial issues at this time in his life. Client reports holding Christian faith. He states that he attends church with his wife at least 2 times per month and that is important to them to raise their daughter and son with these values. Client reports a daughter who is 8 and a son who is 6.
Client states that he has few friends and little time for extra-curricular activities. States that he does enjoy fishing, hunting, and gun collecting but that none of these activities seem very enticing over the past several weeks. Client does report having two very close friends that he has maintained since childhood. He states that these friendships have been helpful for him in the past several weeks after he discovered an email between his wife and a man from her work but both friends are telling him he should get out of the relationship because of what his wife did. Client reports that his drinking has increased over the past couple weeks and that he is utilizing alcohol as a way to cope with the current problem. He states that he is drinking 2 to 3 vodka and tonics nightly and that this amount is unusual but it is one of the ways that he is able to sleep and not have to think about what she did. Before finding out about this incident, client reports drinking one to two drinks a week. Client reports no prior problems with alcohol but he does report binge drinking with fraternity buddies while in college. Reports this stopped soon after he accepted a full-time engineering position. Client reports no current or past drug use. Does report trying marijuana while in college but stating he didn't like it. Client is a non-smoker. Client reports no other general medical concerns.
Client and wife have owned their home for the past 10 years and are satisfied with their living conditions. Reports that his parents live nearby and consist of both his mother and father. States he has not told his parents yet because he knows they will be vary mad at his wife. Also reports that he has a sister who he is close to but she lives in Georgia. States he did tell his sister because she left her husband after he cheated on her. States that his parents are still married and have always appeared to be happy. States that he does not have significant issues with his immediate family from when he was a child.
Client states that two weeks ago while looking through some emails he found an email between 'some guy' and his wife. States that he immediately knew that the emails were i ...
Sample of Process Recording #21 of 3.docxjeffsrosalyn
Sample of Process Recording #2
1 of 3
PROCESS RECORDING OUTLINE
Student’s Name: Minerva Garcia Client’s Name:
JS
Interview Date: 03/14/07 Session #: 7
I.
PURPOSE OF THE SESSION: To address my concern about Pt’s health and emotional state, refer Pt. to a mental health center, help him cope with the seriousness of his mental health, and assist Pt. will setting up an appointment with a local mental health center.
II.
OBSERVATION: Pt. was affected when I voiced my concern; however he also recognized that he is also worried that he is going to harm himself. Pt. was disappointed and discouraged to seek these professionals help because he has previously been turned away by a couple of the mental health centers on the list that I gave him. He did not want to accept help from his family and repeated affirmed that they would not be able to help him financially to pay to seek this help.
III.
CONTENT: The content is from the middle of the session.
SUPERVISORY
COMMENTS
INTERVIEW CONTENT (I said, she said)
STUDENT’S GUT LEVEL FEELINGS
CLIENT’S FEELINGS/AFFECT
IDENTIFY INTERVENTIONS & MAJOR THEMES
I said: “I want to make sure that you understand why I am referring to you a mental health center. As I told you in the beginning of this session I am concerned about your mental health, you need to seek further professional help which I can not provide. ”
He said: “(puts his head down for a moment) I know that I need help. My mother said that if you can recommend me to a see a psychologist? She said that I need help. ”
I said: “Yes. That is what I am going to do, but I want to make sure that you understand the reason why I am doing this. ”
He said: “(Nods his head) I understand because like I told you before I don’t plan on harming myself, I just do it. Like when I made these scratches here (points at his lower forearm) I was frustrated that I kept doing these to my arm and I didn’t feel it.”
I said: “ Yes. This is why your mother and everyone at this clinic is concerned about your mental health state. Because if you made scratches with a knife and you didn’t feel it, you can do other serious things to yourself which can puts your life in endanger.”
He said: “Where are you calling? Where am I going to ? I have already been to this one place by Van Nuys and it is called something like El Nido and they didn’t help me. From the outside it looks like it’s a building for kids but they also help adults. ”
I said: “Well, here I have a list of different mental health centers and I am going to refer you to once that is more closer to your house. (I show him the list) I was planning of referring you to this clinic (I am pointing to the clinic located in Van Nuys) its called the center of family living have you been there before?”
He said: “I think so. Is it the one that is locate.
For this assignment, I worked with a high school student and practiced my counseling skills while conducting an interview with her. I describe the skills being used and show my knowledge of how to work with a young client.
Could Insecurity Be Ruining Your Marriage? Control Your ThoughtsNicola Beer
Debbie (name changed) came to me because she no longer felt like she was being herself. “I know I’m over-reacting and sometimes over-controlling Nicola, but I can’t help it.” Her fears and anxieties were leaving her to, in her words, act “desperate.” She wanted to trust her husband Gary, but couldn’t.
Five years ago, when they were engaged to be married, she found flirty Facebook messages from a girl at his work. Recently, Debbie noticed a message pop up from an old-school fling of his, asking to meet him. Debbie was furious that Gary hadn’t told her about the message, especially after their previous history.
Vignette of AnnieAnnie is a 47-year-old Chinese-American woman w.docxalehosickg3
Vignette of Annie
Annie is a 47-year-old Chinese-American woman who has come to therapy because of difficulties she is having with her husband. Since her last child left home for college, Annie has felt increasingly lonely and has been asking her husband to spend more and more time with her. His response has been to become angry and critical, saying her expectations are unreasonable and that she needs to find other ways to fill up her time.
For over two years, Annie has felt sad most of the day. She has low energy, poor concentration, and often feels a sense of hopelessness. Annie is in good health and does not use alcohol or drugs. She has not felt this "low" before in her life.
Annie does admit that she has always felt a lack of confidence in herself, even as a child, and has relied on friends and family to provide guidance and direction. She remembers a reluctance, dating back to elementary school. to disagree or express a different opinion for fear of losing friends. She has looked to her son and husband to make all of the important decisions in the family, and has counted on her two daughters for continual reassurance.
Annie hates to be by herself and cannot imagine being able to face life on her own. She is terrified that her husband may leave her and has been clinging more to her friends, calling them frequently and asking them for advice. Lately her friends have been less available for her however, and suggested that she should really be talking to a therapist about these things. This has made Annie feel even more frightened and unhappy.
Based on the information presented, address the following questions:
What diagnosis would you give this client? Provide the rationale for your choices, linking the client's symptoms to specific
DSM-5
criteria.
How might age, gender, ethnicity, and relationship dynamics contribute to the symptoms and issues this client is presenting?
How is neurocognitive functioning impacted by a personality disorder? How might a personality disorder be exacerbated by neurocognitive problems?
What factors would you need to consider when developing a treatment plan for this client?
How would a personality disorder diagnosis impact the client-counselor relationship, goals of therapy, and interventions you might choose?
.
Client is a 37 year old male who has presented for counseling due .docxvernettacrofts
Client is a 37 year old male who has presented for counseling due to the recent issue of finding out that his wife was unfaithful. Reports he is having difficulty in several domains of his life and wants help figuring out what to do. Client has been working at the same job for the past 16 years. He is an engineer at a local firm. Client reports that he is satisfied with his job. Client has a bachelor's degree in mechanical engineering. Client reports that he is financially secure and is not worried about financial issues at this time in his life. Client reports holding Christian faith. He states that he attends church with his wife at least 2 times per month and that is important to them to raise their daughter and son with these values. Client reports a daughter who is 8 and a son who is 6.
Client states that he has few friends and little time for extra-curricular activities. States that he does enjoy fishing, hunting, and gun collecting but that none of these activities seem very enticing over the past several weeks. Client does report having two very close friends that he has maintained since childhood. He states that these friendships have been helpful for him in the past several weeks after he discovered an email between his wife and a man from her work but both friends are telling him he should get out of the relationship because of what his wife did. Client reports that his drinking has increased over the past couple weeks and that he is utilizing alcohol as a way to cope with the current problem. He states that he is drinking 2 to 3 vodka and tonics nightly and that this amount is unusual but it is one of the ways that he is able to sleep and not have to think about what she did. Before finding out about this incident, client reports drinking one to two drinks a week. Client reports no prior problems with alcohol but he does report binge drinking with fraternity buddies while in college. Reports this stopped soon after he accepted a full-time engineering position. Client reports no current or past drug use. Does report trying marijuana while in college but stating he didn't like it. Client is a non-smoker. Client reports no other general medical concerns.
Client and wife have owned their home for the past 10 years and are satisfied with their living conditions. Reports that his parents live nearby and consist of both his mother and father. States he has not told his parents yet because he knows they will be vary mad at his wife. Also reports that he has a sister who he is close to but she lives in Georgia. States he did tell his sister because she left her husband after he cheated on her. States that his parents are still married and have always appeared to be happy. States that he does not have significant issues with his immediate family from when he was a child.
Client states that two weeks ago while looking through some emails he found an email between 'some guy' and his wife. States that he immediately knew that the emails were i ...
#35585 Topic Diagnostic Skill Application INumber of Pages 5.docxAASTHA76
#35585 Topic: Diagnostic Skill Application I
Number of Pages: 5 (Double Spaced)
Number of sources: 6
Writing Style: APA
Type of document: Case Study
Academic Level:Master
Category: Psychology
VIP Support: N/A
Language Style: English (U.S.)
Order Instructions: Attachments.
Please see the attached MS Word documents
~thank you
Diagnostic Skill Application I
For this assignment, you will work with two case studies.
The Case of Jenny
Jenny is a 29-year old single female who lives with her mother. She is bi-sexual but is not currently dating. Jenny was recently in a relationship with a man, and they lived together briefly. They parted amicably when they just did not seem to be enjoying being together. Jenny moved back in with her mother, Barbara, to allow her boyfriend to take in a roommate to cover her share of the rent. She works as a bank teller and makes a modest income. She felt moving back home would allow her to provide some financial help to her mother. Jenny’s mother raised her as a single parent. Jenny and Barbara have shared many ups and downs over the years. Things were never easy, but they always made it through. Barbara is becoming increasingly concerned that Jenny is giving up on life and needs to snap out of it.
Jenny: It's just been happening for a long time. It seems like it's been forever, but I guess it's been at least the last several months. I feel like my mom has been hounding me about stuff for a long time, so maybe it's been longer. I don't know, but I really try to go ... I really try, I felt like I tried to do so many different things to feel better, and I just can't feel better. It's just this dark cloud constantly follows me around, and no matter what I do, everything goes wrong. My mom thinks it's just so easy. Go out with your friends, or go out on a date, or you just need to be out around people, but I don't even know what I would say to people, because I just have no motivation to even be around them, so when you don't have motivation to be around people, what do you say? Sometimes I'm just too tired because I don't know how this is possible, but I'm in bed a lot. When I get home from work, I take a nap. It's, I don't know, usually until like eight o'clock.
Then I'll get up, and I'll try to eat a little something, but I never really feel all that hungry, and then what else is there to do? I just go back to sleep, but I still feel tired all the time, and it's tough for me to make it through the day. It seems like everything I try to do just doesn't work out, and everybody just tells me to, why don't you just go shopping, or why don't you do this, or you need to eat better, or you got to get out of bed, or you got to find something you enjoy doing, but I'm just not ... I just have no energy, and that's what they don't get. I just have no energy. It seems like a long time ago, I loved doing some things, and I loved going outdoors, and take walks, and I liked going out with my friends, but now, nothing. .
The AssignmentRespond to at least two of your colleagues .docxtodd541
The Assignment:
Respond to at least two of your colleagues by providing feedback on each colleague’s therapeutic approach based on a narrative family therapeutic perspective. Support your feedback with evidence-based literature and/or your own experiences with clients.
Support your responses with evidence-based literature with at least two references in each colleagues response.
Colleagues #: 1
The family client is made up of a father, mother, and their son, a ten-year-old boy. The family is biracial and is made up of four people; father, mother, a ten-year-old son, and a seven-year-old daughter. Initially, they had visited the clinic on a referral basis from the family’s psychiatrist. They had concerns with the behavioral issues their ten-year-old son exhibited while at home as well as at school. The son is currently in fifth grade and attends a public school, the mother runs a local coffee shop in their neighborhood, and the father is a construction worker. The mother was talkative and soon started talking about stressors in life, including their son’s behavioral issues. She states that besides receiving services and extra help her son gets while at school, he is still lagging behind. The exact services had not been explained. The father did not talk much. In fact, he sat away from the family and always displayed a sarcastic grin on his face every time the mother complained. The son was friendly but did not talk much.
After assessments and evaluations, diagnostic evaluations established that the kid had ADHD. In addition to this, the family displayed tendencies of dysfunctional interactions. Once the family unit was mentioned, the mother was quick to state that she believes that there was an issue with the way the whole family functioned. She further suggested that they needed help as a family to understand their situation better as we as know why their son was having behavioral issues. Family therapy was suggested. Everyone but the father readily consented to the suggestion. He later on consented.
Over the past two sessions, the father seemed uncomfortable and hardly participated. He would once in a while tell his wife to shut up when confronted and criticized. The mother always brought up her dissatisfaction with the way her husband lacked warmth and concern for their son’s issues. She felt that the whole burden of raising their kids was on her. She further stated that without him interfering, the son would soon influence their younger daughter, which was already happening. The son spent much of the time stooped over the table due to attention being always on him. He was always silent and uncomfortable.
Interactions between the clients were more complicated than anticipated, and too much time was spent on the interaction between the mother and the therapist. A therapeutic relationship was easily formed between the mother and the therapist. The other members of the family hesitated, with a continual alli.
Kareem is a 19 year old man of Middle Eastern descent. His parent.docxtawnyataylor528
Kareem is a 19 year old man of Middle Eastern descent. His parents immigrated to the United States for “political reasons” when he was about 2-years-old, and they have run a successful small retail business for well over a decade. He is the oldest of three children and the only son in his family. He has worked part time for his parents since he was a young adolescent. He lives with his parents, and younger sister in the home he grew up in. Another sister has recently married and lives close by in the same neighborhood. There are no other extended family members in the U.S. The family members are practicing Christians, although their involvement is to only attend Sunday services, and all are U.S. citizens. The family lives in a majority minority neighborhood with others who are originally from the same area of the world, and they maintain many of their ethnic customs.
Kareem is fluent in three languages, but considers English his primary language. His parents indicated that he had always been outgoing and friendly, and had many friends. He had started to date a nice girl after he graduated from high school. He was educated in the U.S., completed high school two years ago, and has completed one year of an associate’s degree in business program at the local community college. His family members report that he was always an exemplary student, and formerly aspired to obtain an MBA or to become an accountant and to work in the business world. He elected to attend community college part time and planned to save his own money for two years, even though his parents report they would have paid his tuition if he had elected to go to the state university immediately following high school graduation. They did acknowledge that they respect his intention to ‘be his own man’ and to still honor his family by helping with the family business while completing the first part of his college education.
Kareem was assaulted by three men nearly 10 months ago. The incident occurred late at night, as he returned home after a late study session at the community college library. In the police report, he indicated that he did not know his assailants, nor did they give any warning before attacking him. He reported hearing racial slurs as they began beating him, and considers himself the victim of a hate crime. He does not recall much about the incident, and so he has not been able to contribute much to the investigation. The case remains unsolved and to this point, it has not been categorized as a hate crime. Kareem was badly beaten, and had to be hospitalized for several weeks for multiple broken bones, a collapsed lung, and other complications of his injuries. He sustained a concussion and says he continues to have a consistent ringing in his ears since that time. He has recovered well physically, according to his father, but has many social and emotional problems following the incident. His family members are somewhat skeptical about the value of ...
Case Study Treatment PlanIntroductionStellaOscarIntroductionFor yo.docxketurahhazelhurst
Case Study Treatment PlanIntroductionStellaOscarIntroduction
For your course project, you will develop a treatment plan for one case study subject that you select from two possible candidates. These potential clients are ethnically diverse and are struggling with psychological disorders, which may require medication.
During the course of this project you will:Evaluate client information.Review possible assessment techniques.Offer a diagnostic impression.Review various behavioral and pharmacological treatments.Discuss the legal and ethical ramifications of the disorder and proposed treatments.Review the impact of diversity issues on various disorders and their treatments.Develop a suggested treatment plan for the client.
You will select one of the case studies presented on the next page of this presentation as your client for this treatment plan project. Then you will use the Case Study Treatment Plan Template, provided in the Resources to complete your assignments for this project. Each section of the template includes a description of the type of information you will need to include. You should type your paper directly into this template, save it as a Word document with your name, and then submit it to the assignment area.Stella's Case Study
Stella is a 38 year old biracial (African American and Native American) woman who has just been assigned to you as a client. You are currently working as a counselor for your county community mental health agency. You received the following information about her as background and history.
Stella is the only child of a Caucasian couple who are now deceased. She was adopted as an infant in a closed adoption, so that none of her birth parents' records are available. The only informal information that Stella remembers her parents telling her is that her mother was 16 years old at the time of Stella's birth and had been raped while at a high school football game.
Stella currently lives in a small city of 150,000 people where she is employed as a book-keeper for the local meat packing plant. She has worked there for 3 years. Her educational background includes an associate's degree in accounting and continuing education in tax preparation. Before working for this plant, she was employed as a tax preparer for a national company. She enjoys her work, saying that numbers are easier to get along with than people.
She has been married to her husband (Doug) for 18 years and has a 16 year old son (Tyrone), who is currently a junior in high school. Her son plays baseball on the school team and is a solid B student. Her husband is a long distance truck driver. He is often away from home for two weeks at a time. He is then at home for 3 to 4 days before he leaves on another trip. Stella reports that she stays at home and feels "blue" when her husband is on the road. Although there have been some problems in the marriage due to Stella's mental health concerns, the couple seems committed to each other and to staying in t ...
1
COU 680 Adult Psychosocial Assessment Sabrina
Date of appointment: Today Time of appointment: 5:00 pm
Client Name: Sabrina Hinajosa Age: 29 DOB: 3/23/89
Gender: Male Female Transgender Preferred Name/Nickname: N/A
Ethnicity: Hispanic Non‐Hispanic Race: Caucasian
Current Marital/Relationship Status: Single Married Divorced Widowed Domestic Partnership
Name of Person completing form: Sabrina Relationship to client: Self
PRESENTING PROBLEM (Briefly describe the issues/problems which led to your decision to seek therapy services):
I recently lost my mother-in-law to a sudden heart attack immediately prior to the recent hurricane. Within a matter
of a single day I lost the mother figure in my life, was evacuated from my home, and had a hurricane destroy parts
of my house. I’m completely overwhelmed, sad, and angry at the world.
How severe, on a scale of 1‐10 (with 1 being the most severe), do you rate your presenting problems?
MOST SEVERE 1 2 3 4 5 6 7 8 9 10 LEAST SEVERE
PRESENTING PROBLEM CATEGORIZATION: (Please check all the apply and circle the description of symptom)
Symptoms causing concern, distress or impairment:
Change in sleep patterns (please circle): sleeping more sleeping less difficulty falling asleep
difficulty staying asleep difficulty waking up difficulty staying awake
Concentration: Decreased concentration Increased or excessive concentration
Change in appetite: Increased appetite Decreased appetite
Increased Anxiety (describe): I have a lot of fear of the unknown. Everything feels out of my control.
Mood Swings (describe): I’m irritable all of the time. I go back and forth between extreme bouts of sadness
and complete anger and rage at the situation. The only place I feel calm is with my kids
and only because I really focus on making sure they are ok.
Behavioral Problems/Changes (describe): I struggle to stay focused on anything other than taking care of
my kids. I feel aimless and purposeless and have stopped putting forth much effort at work or in our home.
Everything just seems both overwhelming and pointless.
Victimization (please circle): Physical abuse Sexual abuse Elder abuse Adult molested as child
Robbery victim Assault victim Dating violence Domestic Violence
Human trafficking DUI/DWI crash Survivors of homicide victims
Other:
2
Other (Please describe other concerns):
How long has this problem been causing you distress? (please circle)
One week One month 1 – 6 Months 6 Months – 1 Year Longer than one year
How do you rate your current level of coping on a scale of 1 – 10 (with 1 being unable to cope)?
UNABLE TO COPE 1 2 3 4 5 6 7 8 9 10 ABLE TO COPE
EMPLOYMENT:
Currently Employed? Yes No If employed, what is your occupation? Bank teller
Where are you working? XYZ Bank
How long? 3 Days/Months/Years
Do you enjoy your current job? Yes No What do you like/ ...
1
COU 680 Adult Psychosocial Assessment Sabrina
Date of appointment: Today Time of appointment: 5:00 pm
Client Name: Sabrina Hinajosa Age: 29 DOB: 3/23/89
Gender: Male Female Transgender Preferred Name/Nickname: N/A
Ethnicity: Hispanic Non‐Hispanic Race: Caucasian
Current Marital/Relationship Status: Single Married Divorced Widowed Domestic Partnership
Name of Person completing form: Sabrina Relationship to client: Self
PRESENTING PROBLEM (Briefly describe the issues/problems which led to your decision to seek therapy services):
I recently lost my mother-in-law to a sudden heart attack immediately prior to the recent hurricane. Within a matter
of a single day I lost the mother figure in my life, was evacuated from my home, and had a hurricane destroy parts
of my house. I’m completely overwhelmed, sad, and angry at the world.
How severe, on a scale of 1‐10 (with 1 being the most severe), do you rate your presenting problems?
MOST SEVERE 1 2 3 4 5 6 7 8 9 10 LEAST SEVERE
PRESENTING PROBLEM CATEGORIZATION: (Please check all the apply and circle the description of symptom)
Symptoms causing concern, distress or impairment:
Change in sleep patterns (please circle): sleeping more sleeping less difficulty falling asleep
difficulty staying asleep difficulty waking up difficulty staying awake
Concentration: Decreased concentration Increased or excessive concentration
Change in appetite: Increased appetite Decreased appetite
Increased Anxiety (describe): I have a lot of fear of the unknown. Everything feels out of my control.
Mood Swings (describe): I’m irritable all of the time. I go back and forth between extreme bouts of sadness
and complete anger and rage at the situation. The only place I feel calm is with my kids
and only because I really focus on making sure they are ok.
Behavioral Problems/Changes (describe): I struggle to stay focused on anything other than taking care of
my kids. I feel aimless and purposeless and have stopped putting forth much effort at work or in our home.
Everything just seems both overwhelming and pointless.
Victimization (please circle): Physical abuse Sexual abuse Elder abuse Adult molested as child
Robbery victim Assault victim Dating violence Domestic Violence
Human trafficking DUI/DWI crash Survivors of homicide victims
Other:
2
Other (Please describe other concerns):
How long has this problem been causing you distress? (please circle)
One week One month 1 – 6 Months 6 Months – 1 Year Longer than one year
How do you rate your current level of coping on a scale of 1 – 10 (with 1 being unable to cope)?
UNABLE TO COPE 1 2 3 4 5 6 7 8 9 10 ABLE TO COPE
EMPLOYMENT:
Currently Employed? Yes No If employed, what is your occupation? Bank teller
Where are you working? XYZ Bank
How long? 3 Days/Months/Years
Do you enjoy your current job? Yes No What do you like/ ...
PAGE Running head ETHICAL AND LEGAL ISSUES 1Responding t.docxalfred4lewis58146
PAGE
Running head: ETHICAL AND LEGAL ISSUES
1
Responding to Ethical and Legal Issues
Learner Name
Capella University
Responding to Ethical and Legal Issues
Briefly list the case study in which you are choosing to focus on in this paper as well as the ethical decision making model which you will be using to analyze this case. The total length of your paper should be 8-10 double-spaced pages. Please use 12pt Times New Roman font and include references to five peer-reviewed journal articles and/or textbooks in your paper.
Case Study
Summarize the key legal and ethical issues presented in the case.
Ethical Response to Case
If you were the counselor working with this case, discuss how you would apply each step of the ethical decision-making model you have selected in order to respond effectively to these legal and ethical issues.
A. Include specific examples to illustrate the actions you would take at each step.
B. Include the specific ethical standards and state laws that you would consult when determining your response to the situation. How would these laws and standards influence the choices you might make in responding to the situation?
C. Describe how you would demonstrate developmental and cultural sensitivity when addressing the legal and ethical issues presented. Use specific examples to illustrate your ideas.
Self-Awareness
How do your personal values and beliefs impact your understanding of the situation and the choices you might make when deciding how to respond to the legal and ethical issues that may arise in working with this client?
A. Include at least two examples of specific values and beliefs you hold that may influence your reactions to this case and the actions you may take.
B. Present at least two specific strategies that you will develop to address the influence that your personal values and beliefs may have on ethical decision making with clients.
References
Albert, D. (2002). Cognition in students: An analysis of information processing. In M.R.
Zelder (Ed.), Advances in school counseling (pp. 100-107). New York, NY: Fielders.
John, D. (2011). Effects of advocacy on the professional school counseling field: A literature
review. Journal of School Systems, 9(5), 101-111. doi: 10.011125/jjj.123
Peterson, L. (2009). An exploration of social justice. New York, NY: Thompson-Hire.
Responding to Ethical and Legal Issues - Case Study
School Counseling
Marty is a 10-year-old boy whose family moved to the United States from South America two years ago. Marty's father was promoted to a new job, so Marty needed to transfer to a different school in the middle of the year. Marty is having a difficult time making this transition. He is small for his age and has a speech impairment that can make it challenging for others to understand him. Marty is not confident in social situations and has not had an ea.
Chanette Lewis
Essay #1
‘IT TAKE A VILLAGE TO RAISE A CHILD ‘
I was raised in a home with my mother, father and 2 sibling. It was the best we ate breakfast lunch and dinner together as a family and had family nights even vacations every year. My parents was just really strict with us when it came to school and church. They believe an education is the key to success and a family that pray together stays together. My father was a Chief of Radiology and my mother was a Certified Nursing Assistant’s off and on because my father always said he wanted her to stay home cook clean and take care of my siblings and I. My mother would work close to holidays only to bring home extra money and she always said she want her own money she don’t want to depend on no man married or not.
I remember out of nowhere my father slow down at work and was in the hospital as a patience more and more. My mother use to sneak and cry but try to remain strong so my sibling and I wouldn’t see her breaking down crying. So one day my mother send us away to my grandmother house that wasn’t to far away from where we reside at. I over heard my grandmother telling my other family members that my father was diagnose with the last stage of Hodgkin Lymphoma Cancer. A week later we had a family gathering and my mother broke the news to me ‘Your father didn’t make it , he didn’t make it he die while I was in the room with him during visiting hours” I felt like a part of my life was taken I was only 15 years old he was the only male figure as a role model in my life .I was young but wanted to stay strong for my mother because at that time she needed me more than I needed her. I was hurt but I know she was destroy.
After my father funeral my siblings and I went back home. Days later a strange man knock on the door my mother look as if she went into shock as she seen who was at the front step. He shove his way in the house and demanded out loud ‘ Tell my daughter Chanette the truth or I’ll tell her ‘ he was dress in a white button up and some tan khaki pants and white converse sneakers. I was scare , lost, shock and didn’t know who this man was and why he calling me his daughter and why he is so aggressive and stern. He was walking toward my way my heart was pounding and it like the whole room shut down. I ran behind my mom while she still look puzzle in the face. He said out loud ‘ I was incarcerated for 14 years and I’ve my freedom and going to take care my only child Chanette you no longer playing house with her”. Tears rush down my mother face while I’m thinking that this crazy man in front of me only claiming me as his child and not my older brother or sister. My mom said loud and clear “Any man can have a kid but it takes a village to raise a child “. Now I’m just confused and devasted because a part of me is telling me this crazy man that was incarcerated was a part of me but a lost long part of me someone like my biological fathe ...
Date 62915SWI met with resident for individual session tod.docxsimonithomas47935
Date: 6/29/15
SWI met with resident for individual session today. SWI met with client last week and was introduced as an intern at the program. Client is a 36-year-old, AA female living in the community. Client has a diagnosis of paranoid schizophrenia. Resident’s mood was neutral and affect was congruent with mood. Resident’s ADL’s were fair; presented well with clean clothes. SWI and resident explored past to current situations involving IR’s family along with describing her mental illness and how treatment stabilizes her. IR stated that before being treated for her mental illness she was having auditory hallucinations telling her to harm herself and her two younger children. At the current time, one of her sisters is granted custody of her two children. IR is permitted supervised visitation rights and saw her children last on January 01, 2015. IR loves her children and wishes she were able to be the mother they need. IR has goals of finding employment to help support them in any way that she can. Due to being undocumented, finding employment is not possible at this time. Insight is limited; speech is soft; concentration was poor; IR was restless and constantly was moving her hands or body during the session; thought processes are fair; judgment and impulse control appear fair. Worker gave IR an assignment to write down 10 goals to work towards in regards to learning something new. IR enjoys being educated but has difficulty concentrating. Next individual session is scheduled for 07/07/2015.
The next steps are to continue to work weekly with IR and speak about her future and her children. I will also give her mini homework assignments to complete.
Dialogue
Identify skills or techniques
Analysis or observation of client behavior
Personal reactions and self-reflection to the interaction
Good Morning IR, how are you doing today?
Sustaining
Resident’s mood was neutral and affect was congruent with mood.
Ct: I am doing fine
SWI: Do you remember me from last week?
SWI was happy that client agreed to talk with her
Ct: Yes, Ms. John right
Client spoke softly, not looking directly at intern
SWI: Yes, Mrs. St. John, but you can call me Ms. John
Ct: ok
SWI: Ms. IR can you tell me a little bit about yourself? Comment by Angela Gaddis: Great non threatening question
Open-ended question to probe
SWI was nervous but did not want client to know how much so I took a deep breath and looked at client, she wasn’t looking at SWI
Ct: What do you want to know, I am here, I am taking my medication and doing fine, I would like to see my kids. Comment by Angela Gaddis: Did she seem defensive here? Sounds like she might have been. Just curious
Client seems anxious, bit tense
SWI: How many children do you have?
Closed-ended Question
IR was restless and constantly was moving her hands or body during the session
Ct: I have 2 kids
Client seems happy, she smiled
SWI did not want to push but I needed to find out ho.
Select one of the cases available in Engage. Using the Steps in.docxlvernon1
Select one of the cases available in Engage. Using the Steps in Ethical Decision Making on pp. 80-81, discuss how the social worker should handle the situation moving forward.
Your initial discussion board post should be no less than 250 words in length. Be sure to use APA style and format: in-text citations and references. You should also include a descriptive subject line in this initial post.
Vignette #1
A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The patient repeated this line of questioning during the first face-to-face session. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. His mother had suffered from a combination of severe respiratory problems and Alzheimer’s. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. During the last two years, she required total care. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. Medical personnel never questioned the death as the woman had been quite sick and “It was only a matter of time.” Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. His father has declined rapidly since the death of his wife and now requires total care. Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wife’s death was and how he hoped for a similar passing. Mr. Tellanyone is feeling quite guilty about his mother. Simultaneously, he strongly believes he made the right decision. He would like help to work through the issues. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case.
Vignette #2
A social worker had an intake appointment with a new client. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. The prospective client was using her maiden name and gave no indication that she had known about her ex-husband’s treatment with the psychologist. When asked about the reason for the referral, she said that her physician had referred her for anxiety. During the session, she stated that he is still in communication with her ex-husband because they share three children.
Vignette #3
Dr. Smith is a social worker who has worked with a young woman for about 9 months. The patient pr.
Please read the case Fraud at WorldCom in the book provided below .docxchristalgrieg
Please read the case Fraud at WorldCom in the book provided below (chapter 13) Page 310
And answer the following questions
1. What is the dilemma?
2. Do shareholders have de facto control over managers? What decisions do shareholders typically make? Please explain
One double-spaced page.
.
Please read the below two discussion posts and provide the response .docxchristalgrieg
Please read the below two discussion posts and provide the response for each discussion in 75 to 100 words.
Post#1
Nowadays, there are numerous advancements in technology. As a result, the traditional workplace has gradually transformed with home offices and virtual workplaces where employees can hold meetings using video teleconferencing tools and communicate through email and other applications such as Slack (Montrief, et al., 2020). This makes the cloud more busy which brings up the need for improved cloud security.
Generally, in a public cloud, there exists a shared responsibility between the user and the Cloud Service Provider (CSP). Due to the rise of cyber-related crimes over the years, security for things like data classification, network controls and physical security need clear owners. The division of such responsibilities is called shared responsibility model for cloud security. “According to Amazon Web Services (AWS), security responsibility is shared by both CSP and CSC and they called it as Shared Security Responsible Model” (Kumar, Raj, & Jelciana, 2018). “While client and endpoint protection, identity and access management and application level controls are a shared responsibility the responsibility resides largely with the client organization” (Lane, Shrestha, & Ali, 2017). However, the responsibilities may vary depending on the cloud service provider and the cloud environment the user is using to operate. Nevertheless, despite the cloud services used, the burden of protecting data lays upon the user.
Normally, security is broken down into two broad categories: security of the cloud and security in the cloud. Security of the cloud is a section of the shared responsibility model handled by the cloud service provider. It comprises of hardware, host operating systems and physical security of the infrastructure. Most of these logistical challenges are offloaded when an organization moves its operations to the cloud. In contrast, security in the cloud is the security responsibility handled by the user. “The cloud service customer is responsible for securing and managing the applications that run in the cloud, the operating systems, data-at-rest, data-in-transit, policies and other responsibilities” (Bennett & Robertson, 2019). Since access to customer data remains the most critical component in cloud computing, it also determined the level of security in the cloud to be implemented by the customer.
The customer is responsible for the following components. First, the customer is responsible for data security. While the provider is responsible for automatically encrypting data in transit and in storage, the customer is expected to configure file system encryption and protection of network traffic. Secondly, the customer is responsible for physical security of computers and other devices used to access the cloud. Thirdly, the customer is responsible for application security. Security of manag.
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#35585 Topic Diagnostic Skill Application INumber of Pages 5.docxAASTHA76
#35585 Topic: Diagnostic Skill Application I
Number of Pages: 5 (Double Spaced)
Number of sources: 6
Writing Style: APA
Type of document: Case Study
Academic Level:Master
Category: Psychology
VIP Support: N/A
Language Style: English (U.S.)
Order Instructions: Attachments.
Please see the attached MS Word documents
~thank you
Diagnostic Skill Application I
For this assignment, you will work with two case studies.
The Case of Jenny
Jenny is a 29-year old single female who lives with her mother. She is bi-sexual but is not currently dating. Jenny was recently in a relationship with a man, and they lived together briefly. They parted amicably when they just did not seem to be enjoying being together. Jenny moved back in with her mother, Barbara, to allow her boyfriend to take in a roommate to cover her share of the rent. She works as a bank teller and makes a modest income. She felt moving back home would allow her to provide some financial help to her mother. Jenny’s mother raised her as a single parent. Jenny and Barbara have shared many ups and downs over the years. Things were never easy, but they always made it through. Barbara is becoming increasingly concerned that Jenny is giving up on life and needs to snap out of it.
Jenny: It's just been happening for a long time. It seems like it's been forever, but I guess it's been at least the last several months. I feel like my mom has been hounding me about stuff for a long time, so maybe it's been longer. I don't know, but I really try to go ... I really try, I felt like I tried to do so many different things to feel better, and I just can't feel better. It's just this dark cloud constantly follows me around, and no matter what I do, everything goes wrong. My mom thinks it's just so easy. Go out with your friends, or go out on a date, or you just need to be out around people, but I don't even know what I would say to people, because I just have no motivation to even be around them, so when you don't have motivation to be around people, what do you say? Sometimes I'm just too tired because I don't know how this is possible, but I'm in bed a lot. When I get home from work, I take a nap. It's, I don't know, usually until like eight o'clock.
Then I'll get up, and I'll try to eat a little something, but I never really feel all that hungry, and then what else is there to do? I just go back to sleep, but I still feel tired all the time, and it's tough for me to make it through the day. It seems like everything I try to do just doesn't work out, and everybody just tells me to, why don't you just go shopping, or why don't you do this, or you need to eat better, or you got to get out of bed, or you got to find something you enjoy doing, but I'm just not ... I just have no energy, and that's what they don't get. I just have no energy. It seems like a long time ago, I loved doing some things, and I loved going outdoors, and take walks, and I liked going out with my friends, but now, nothing. .
The AssignmentRespond to at least two of your colleagues .docxtodd541
The Assignment:
Respond to at least two of your colleagues by providing feedback on each colleague’s therapeutic approach based on a narrative family therapeutic perspective. Support your feedback with evidence-based literature and/or your own experiences with clients.
Support your responses with evidence-based literature with at least two references in each colleagues response.
Colleagues #: 1
The family client is made up of a father, mother, and their son, a ten-year-old boy. The family is biracial and is made up of four people; father, mother, a ten-year-old son, and a seven-year-old daughter. Initially, they had visited the clinic on a referral basis from the family’s psychiatrist. They had concerns with the behavioral issues their ten-year-old son exhibited while at home as well as at school. The son is currently in fifth grade and attends a public school, the mother runs a local coffee shop in their neighborhood, and the father is a construction worker. The mother was talkative and soon started talking about stressors in life, including their son’s behavioral issues. She states that besides receiving services and extra help her son gets while at school, he is still lagging behind. The exact services had not been explained. The father did not talk much. In fact, he sat away from the family and always displayed a sarcastic grin on his face every time the mother complained. The son was friendly but did not talk much.
After assessments and evaluations, diagnostic evaluations established that the kid had ADHD. In addition to this, the family displayed tendencies of dysfunctional interactions. Once the family unit was mentioned, the mother was quick to state that she believes that there was an issue with the way the whole family functioned. She further suggested that they needed help as a family to understand their situation better as we as know why their son was having behavioral issues. Family therapy was suggested. Everyone but the father readily consented to the suggestion. He later on consented.
Over the past two sessions, the father seemed uncomfortable and hardly participated. He would once in a while tell his wife to shut up when confronted and criticized. The mother always brought up her dissatisfaction with the way her husband lacked warmth and concern for their son’s issues. She felt that the whole burden of raising their kids was on her. She further stated that without him interfering, the son would soon influence their younger daughter, which was already happening. The son spent much of the time stooped over the table due to attention being always on him. He was always silent and uncomfortable.
Interactions between the clients were more complicated than anticipated, and too much time was spent on the interaction between the mother and the therapist. A therapeutic relationship was easily formed between the mother and the therapist. The other members of the family hesitated, with a continual alli.
Kareem is a 19 year old man of Middle Eastern descent. His parent.docxtawnyataylor528
Kareem is a 19 year old man of Middle Eastern descent. His parents immigrated to the United States for “political reasons” when he was about 2-years-old, and they have run a successful small retail business for well over a decade. He is the oldest of three children and the only son in his family. He has worked part time for his parents since he was a young adolescent. He lives with his parents, and younger sister in the home he grew up in. Another sister has recently married and lives close by in the same neighborhood. There are no other extended family members in the U.S. The family members are practicing Christians, although their involvement is to only attend Sunday services, and all are U.S. citizens. The family lives in a majority minority neighborhood with others who are originally from the same area of the world, and they maintain many of their ethnic customs.
Kareem is fluent in three languages, but considers English his primary language. His parents indicated that he had always been outgoing and friendly, and had many friends. He had started to date a nice girl after he graduated from high school. He was educated in the U.S., completed high school two years ago, and has completed one year of an associate’s degree in business program at the local community college. His family members report that he was always an exemplary student, and formerly aspired to obtain an MBA or to become an accountant and to work in the business world. He elected to attend community college part time and planned to save his own money for two years, even though his parents report they would have paid his tuition if he had elected to go to the state university immediately following high school graduation. They did acknowledge that they respect his intention to ‘be his own man’ and to still honor his family by helping with the family business while completing the first part of his college education.
Kareem was assaulted by three men nearly 10 months ago. The incident occurred late at night, as he returned home after a late study session at the community college library. In the police report, he indicated that he did not know his assailants, nor did they give any warning before attacking him. He reported hearing racial slurs as they began beating him, and considers himself the victim of a hate crime. He does not recall much about the incident, and so he has not been able to contribute much to the investigation. The case remains unsolved and to this point, it has not been categorized as a hate crime. Kareem was badly beaten, and had to be hospitalized for several weeks for multiple broken bones, a collapsed lung, and other complications of his injuries. He sustained a concussion and says he continues to have a consistent ringing in his ears since that time. He has recovered well physically, according to his father, but has many social and emotional problems following the incident. His family members are somewhat skeptical about the value of ...
Case Study Treatment PlanIntroductionStellaOscarIntroductionFor yo.docxketurahhazelhurst
Case Study Treatment PlanIntroductionStellaOscarIntroduction
For your course project, you will develop a treatment plan for one case study subject that you select from two possible candidates. These potential clients are ethnically diverse and are struggling with psychological disorders, which may require medication.
During the course of this project you will:Evaluate client information.Review possible assessment techniques.Offer a diagnostic impression.Review various behavioral and pharmacological treatments.Discuss the legal and ethical ramifications of the disorder and proposed treatments.Review the impact of diversity issues on various disorders and their treatments.Develop a suggested treatment plan for the client.
You will select one of the case studies presented on the next page of this presentation as your client for this treatment plan project. Then you will use the Case Study Treatment Plan Template, provided in the Resources to complete your assignments for this project. Each section of the template includes a description of the type of information you will need to include. You should type your paper directly into this template, save it as a Word document with your name, and then submit it to the assignment area.Stella's Case Study
Stella is a 38 year old biracial (African American and Native American) woman who has just been assigned to you as a client. You are currently working as a counselor for your county community mental health agency. You received the following information about her as background and history.
Stella is the only child of a Caucasian couple who are now deceased. She was adopted as an infant in a closed adoption, so that none of her birth parents' records are available. The only informal information that Stella remembers her parents telling her is that her mother was 16 years old at the time of Stella's birth and had been raped while at a high school football game.
Stella currently lives in a small city of 150,000 people where she is employed as a book-keeper for the local meat packing plant. She has worked there for 3 years. Her educational background includes an associate's degree in accounting and continuing education in tax preparation. Before working for this plant, she was employed as a tax preparer for a national company. She enjoys her work, saying that numbers are easier to get along with than people.
She has been married to her husband (Doug) for 18 years and has a 16 year old son (Tyrone), who is currently a junior in high school. Her son plays baseball on the school team and is a solid B student. Her husband is a long distance truck driver. He is often away from home for two weeks at a time. He is then at home for 3 to 4 days before he leaves on another trip. Stella reports that she stays at home and feels "blue" when her husband is on the road. Although there have been some problems in the marriage due to Stella's mental health concerns, the couple seems committed to each other and to staying in t ...
1
COU 680 Adult Psychosocial Assessment Sabrina
Date of appointment: Today Time of appointment: 5:00 pm
Client Name: Sabrina Hinajosa Age: 29 DOB: 3/23/89
Gender: Male Female Transgender Preferred Name/Nickname: N/A
Ethnicity: Hispanic Non‐Hispanic Race: Caucasian
Current Marital/Relationship Status: Single Married Divorced Widowed Domestic Partnership
Name of Person completing form: Sabrina Relationship to client: Self
PRESENTING PROBLEM (Briefly describe the issues/problems which led to your decision to seek therapy services):
I recently lost my mother-in-law to a sudden heart attack immediately prior to the recent hurricane. Within a matter
of a single day I lost the mother figure in my life, was evacuated from my home, and had a hurricane destroy parts
of my house. I’m completely overwhelmed, sad, and angry at the world.
How severe, on a scale of 1‐10 (with 1 being the most severe), do you rate your presenting problems?
MOST SEVERE 1 2 3 4 5 6 7 8 9 10 LEAST SEVERE
PRESENTING PROBLEM CATEGORIZATION: (Please check all the apply and circle the description of symptom)
Symptoms causing concern, distress or impairment:
Change in sleep patterns (please circle): sleeping more sleeping less difficulty falling asleep
difficulty staying asleep difficulty waking up difficulty staying awake
Concentration: Decreased concentration Increased or excessive concentration
Change in appetite: Increased appetite Decreased appetite
Increased Anxiety (describe): I have a lot of fear of the unknown. Everything feels out of my control.
Mood Swings (describe): I’m irritable all of the time. I go back and forth between extreme bouts of sadness
and complete anger and rage at the situation. The only place I feel calm is with my kids
and only because I really focus on making sure they are ok.
Behavioral Problems/Changes (describe): I struggle to stay focused on anything other than taking care of
my kids. I feel aimless and purposeless and have stopped putting forth much effort at work or in our home.
Everything just seems both overwhelming and pointless.
Victimization (please circle): Physical abuse Sexual abuse Elder abuse Adult molested as child
Robbery victim Assault victim Dating violence Domestic Violence
Human trafficking DUI/DWI crash Survivors of homicide victims
Other:
2
Other (Please describe other concerns):
How long has this problem been causing you distress? (please circle)
One week One month 1 – 6 Months 6 Months – 1 Year Longer than one year
How do you rate your current level of coping on a scale of 1 – 10 (with 1 being unable to cope)?
UNABLE TO COPE 1 2 3 4 5 6 7 8 9 10 ABLE TO COPE
EMPLOYMENT:
Currently Employed? Yes No If employed, what is your occupation? Bank teller
Where are you working? XYZ Bank
How long? 3 Days/Months/Years
Do you enjoy your current job? Yes No What do you like/ ...
1
COU 680 Adult Psychosocial Assessment Sabrina
Date of appointment: Today Time of appointment: 5:00 pm
Client Name: Sabrina Hinajosa Age: 29 DOB: 3/23/89
Gender: Male Female Transgender Preferred Name/Nickname: N/A
Ethnicity: Hispanic Non‐Hispanic Race: Caucasian
Current Marital/Relationship Status: Single Married Divorced Widowed Domestic Partnership
Name of Person completing form: Sabrina Relationship to client: Self
PRESENTING PROBLEM (Briefly describe the issues/problems which led to your decision to seek therapy services):
I recently lost my mother-in-law to a sudden heart attack immediately prior to the recent hurricane. Within a matter
of a single day I lost the mother figure in my life, was evacuated from my home, and had a hurricane destroy parts
of my house. I’m completely overwhelmed, sad, and angry at the world.
How severe, on a scale of 1‐10 (with 1 being the most severe), do you rate your presenting problems?
MOST SEVERE 1 2 3 4 5 6 7 8 9 10 LEAST SEVERE
PRESENTING PROBLEM CATEGORIZATION: (Please check all the apply and circle the description of symptom)
Symptoms causing concern, distress or impairment:
Change in sleep patterns (please circle): sleeping more sleeping less difficulty falling asleep
difficulty staying asleep difficulty waking up difficulty staying awake
Concentration: Decreased concentration Increased or excessive concentration
Change in appetite: Increased appetite Decreased appetite
Increased Anxiety (describe): I have a lot of fear of the unknown. Everything feels out of my control.
Mood Swings (describe): I’m irritable all of the time. I go back and forth between extreme bouts of sadness
and complete anger and rage at the situation. The only place I feel calm is with my kids
and only because I really focus on making sure they are ok.
Behavioral Problems/Changes (describe): I struggle to stay focused on anything other than taking care of
my kids. I feel aimless and purposeless and have stopped putting forth much effort at work or in our home.
Everything just seems both overwhelming and pointless.
Victimization (please circle): Physical abuse Sexual abuse Elder abuse Adult molested as child
Robbery victim Assault victim Dating violence Domestic Violence
Human trafficking DUI/DWI crash Survivors of homicide victims
Other:
2
Other (Please describe other concerns):
How long has this problem been causing you distress? (please circle)
One week One month 1 – 6 Months 6 Months – 1 Year Longer than one year
How do you rate your current level of coping on a scale of 1 – 10 (with 1 being unable to cope)?
UNABLE TO COPE 1 2 3 4 5 6 7 8 9 10 ABLE TO COPE
EMPLOYMENT:
Currently Employed? Yes No If employed, what is your occupation? Bank teller
Where are you working? XYZ Bank
How long? 3 Days/Months/Years
Do you enjoy your current job? Yes No What do you like/ ...
PAGE Running head ETHICAL AND LEGAL ISSUES 1Responding t.docxalfred4lewis58146
PAGE
Running head: ETHICAL AND LEGAL ISSUES
1
Responding to Ethical and Legal Issues
Learner Name
Capella University
Responding to Ethical and Legal Issues
Briefly list the case study in which you are choosing to focus on in this paper as well as the ethical decision making model which you will be using to analyze this case. The total length of your paper should be 8-10 double-spaced pages. Please use 12pt Times New Roman font and include references to five peer-reviewed journal articles and/or textbooks in your paper.
Case Study
Summarize the key legal and ethical issues presented in the case.
Ethical Response to Case
If you were the counselor working with this case, discuss how you would apply each step of the ethical decision-making model you have selected in order to respond effectively to these legal and ethical issues.
A. Include specific examples to illustrate the actions you would take at each step.
B. Include the specific ethical standards and state laws that you would consult when determining your response to the situation. How would these laws and standards influence the choices you might make in responding to the situation?
C. Describe how you would demonstrate developmental and cultural sensitivity when addressing the legal and ethical issues presented. Use specific examples to illustrate your ideas.
Self-Awareness
How do your personal values and beliefs impact your understanding of the situation and the choices you might make when deciding how to respond to the legal and ethical issues that may arise in working with this client?
A. Include at least two examples of specific values and beliefs you hold that may influence your reactions to this case and the actions you may take.
B. Present at least two specific strategies that you will develop to address the influence that your personal values and beliefs may have on ethical decision making with clients.
References
Albert, D. (2002). Cognition in students: An analysis of information processing. In M.R.
Zelder (Ed.), Advances in school counseling (pp. 100-107). New York, NY: Fielders.
John, D. (2011). Effects of advocacy on the professional school counseling field: A literature
review. Journal of School Systems, 9(5), 101-111. doi: 10.011125/jjj.123
Peterson, L. (2009). An exploration of social justice. New York, NY: Thompson-Hire.
Responding to Ethical and Legal Issues - Case Study
School Counseling
Marty is a 10-year-old boy whose family moved to the United States from South America two years ago. Marty's father was promoted to a new job, so Marty needed to transfer to a different school in the middle of the year. Marty is having a difficult time making this transition. He is small for his age and has a speech impairment that can make it challenging for others to understand him. Marty is not confident in social situations and has not had an ea.
Chanette Lewis
Essay #1
‘IT TAKE A VILLAGE TO RAISE A CHILD ‘
I was raised in a home with my mother, father and 2 sibling. It was the best we ate breakfast lunch and dinner together as a family and had family nights even vacations every year. My parents was just really strict with us when it came to school and church. They believe an education is the key to success and a family that pray together stays together. My father was a Chief of Radiology and my mother was a Certified Nursing Assistant’s off and on because my father always said he wanted her to stay home cook clean and take care of my siblings and I. My mother would work close to holidays only to bring home extra money and she always said she want her own money she don’t want to depend on no man married or not.
I remember out of nowhere my father slow down at work and was in the hospital as a patience more and more. My mother use to sneak and cry but try to remain strong so my sibling and I wouldn’t see her breaking down crying. So one day my mother send us away to my grandmother house that wasn’t to far away from where we reside at. I over heard my grandmother telling my other family members that my father was diagnose with the last stage of Hodgkin Lymphoma Cancer. A week later we had a family gathering and my mother broke the news to me ‘Your father didn’t make it , he didn’t make it he die while I was in the room with him during visiting hours” I felt like a part of my life was taken I was only 15 years old he was the only male figure as a role model in my life .I was young but wanted to stay strong for my mother because at that time she needed me more than I needed her. I was hurt but I know she was destroy.
After my father funeral my siblings and I went back home. Days later a strange man knock on the door my mother look as if she went into shock as she seen who was at the front step. He shove his way in the house and demanded out loud ‘ Tell my daughter Chanette the truth or I’ll tell her ‘ he was dress in a white button up and some tan khaki pants and white converse sneakers. I was scare , lost, shock and didn’t know who this man was and why he calling me his daughter and why he is so aggressive and stern. He was walking toward my way my heart was pounding and it like the whole room shut down. I ran behind my mom while she still look puzzle in the face. He said out loud ‘ I was incarcerated for 14 years and I’ve my freedom and going to take care my only child Chanette you no longer playing house with her”. Tears rush down my mother face while I’m thinking that this crazy man in front of me only claiming me as his child and not my older brother or sister. My mom said loud and clear “Any man can have a kid but it takes a village to raise a child “. Now I’m just confused and devasted because a part of me is telling me this crazy man that was incarcerated was a part of me but a lost long part of me someone like my biological fathe ...
Date 62915SWI met with resident for individual session tod.docxsimonithomas47935
Date: 6/29/15
SWI met with resident for individual session today. SWI met with client last week and was introduced as an intern at the program. Client is a 36-year-old, AA female living in the community. Client has a diagnosis of paranoid schizophrenia. Resident’s mood was neutral and affect was congruent with mood. Resident’s ADL’s were fair; presented well with clean clothes. SWI and resident explored past to current situations involving IR’s family along with describing her mental illness and how treatment stabilizes her. IR stated that before being treated for her mental illness she was having auditory hallucinations telling her to harm herself and her two younger children. At the current time, one of her sisters is granted custody of her two children. IR is permitted supervised visitation rights and saw her children last on January 01, 2015. IR loves her children and wishes she were able to be the mother they need. IR has goals of finding employment to help support them in any way that she can. Due to being undocumented, finding employment is not possible at this time. Insight is limited; speech is soft; concentration was poor; IR was restless and constantly was moving her hands or body during the session; thought processes are fair; judgment and impulse control appear fair. Worker gave IR an assignment to write down 10 goals to work towards in regards to learning something new. IR enjoys being educated but has difficulty concentrating. Next individual session is scheduled for 07/07/2015.
The next steps are to continue to work weekly with IR and speak about her future and her children. I will also give her mini homework assignments to complete.
Dialogue
Identify skills or techniques
Analysis or observation of client behavior
Personal reactions and self-reflection to the interaction
Good Morning IR, how are you doing today?
Sustaining
Resident’s mood was neutral and affect was congruent with mood.
Ct: I am doing fine
SWI: Do you remember me from last week?
SWI was happy that client agreed to talk with her
Ct: Yes, Ms. John right
Client spoke softly, not looking directly at intern
SWI: Yes, Mrs. St. John, but you can call me Ms. John
Ct: ok
SWI: Ms. IR can you tell me a little bit about yourself? Comment by Angela Gaddis: Great non threatening question
Open-ended question to probe
SWI was nervous but did not want client to know how much so I took a deep breath and looked at client, she wasn’t looking at SWI
Ct: What do you want to know, I am here, I am taking my medication and doing fine, I would like to see my kids. Comment by Angela Gaddis: Did she seem defensive here? Sounds like she might have been. Just curious
Client seems anxious, bit tense
SWI: How many children do you have?
Closed-ended Question
IR was restless and constantly was moving her hands or body during the session
Ct: I have 2 kids
Client seems happy, she smiled
SWI did not want to push but I needed to find out ho.
Select one of the cases available in Engage. Using the Steps in.docxlvernon1
Select one of the cases available in Engage. Using the Steps in Ethical Decision Making on pp. 80-81, discuss how the social worker should handle the situation moving forward.
Your initial discussion board post should be no less than 250 words in length. Be sure to use APA style and format: in-text citations and references. You should also include a descriptive subject line in this initial post.
Vignette #1
A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The patient repeated this line of questioning during the first face-to-face session. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. His mother had suffered from a combination of severe respiratory problems and Alzheimer’s. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. During the last two years, she required total care. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. Medical personnel never questioned the death as the woman had been quite sick and “It was only a matter of time.” Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. His father has declined rapidly since the death of his wife and now requires total care. Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wife’s death was and how he hoped for a similar passing. Mr. Tellanyone is feeling quite guilty about his mother. Simultaneously, he strongly believes he made the right decision. He would like help to work through the issues. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case.
Vignette #2
A social worker had an intake appointment with a new client. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. The prospective client was using her maiden name and gave no indication that she had known about her ex-husband’s treatment with the psychologist. When asked about the reason for the referral, she said that her physician had referred her for anxiety. During the session, she stated that he is still in communication with her ex-husband because they share three children.
Vignette #3
Dr. Smith is a social worker who has worked with a young woman for about 9 months. The patient pr.
Similar to This has the therapist and client conversationCase Conceptuali.docx (20)
Please read the case Fraud at WorldCom in the book provided below .docxchristalgrieg
Please read the case Fraud at WorldCom in the book provided below (chapter 13) Page 310
And answer the following questions
1. What is the dilemma?
2. Do shareholders have de facto control over managers? What decisions do shareholders typically make? Please explain
One double-spaced page.
.
Please read the below two discussion posts and provide the response .docxchristalgrieg
Please read the below two discussion posts and provide the response for each discussion in 75 to 100 words.
Post#1
Nowadays, there are numerous advancements in technology. As a result, the traditional workplace has gradually transformed with home offices and virtual workplaces where employees can hold meetings using video teleconferencing tools and communicate through email and other applications such as Slack (Montrief, et al., 2020). This makes the cloud more busy which brings up the need for improved cloud security.
Generally, in a public cloud, there exists a shared responsibility between the user and the Cloud Service Provider (CSP). Due to the rise of cyber-related crimes over the years, security for things like data classification, network controls and physical security need clear owners. The division of such responsibilities is called shared responsibility model for cloud security. “According to Amazon Web Services (AWS), security responsibility is shared by both CSP and CSC and they called it as Shared Security Responsible Model” (Kumar, Raj, & Jelciana, 2018). “While client and endpoint protection, identity and access management and application level controls are a shared responsibility the responsibility resides largely with the client organization” (Lane, Shrestha, & Ali, 2017). However, the responsibilities may vary depending on the cloud service provider and the cloud environment the user is using to operate. Nevertheless, despite the cloud services used, the burden of protecting data lays upon the user.
Normally, security is broken down into two broad categories: security of the cloud and security in the cloud. Security of the cloud is a section of the shared responsibility model handled by the cloud service provider. It comprises of hardware, host operating systems and physical security of the infrastructure. Most of these logistical challenges are offloaded when an organization moves its operations to the cloud. In contrast, security in the cloud is the security responsibility handled by the user. “The cloud service customer is responsible for securing and managing the applications that run in the cloud, the operating systems, data-at-rest, data-in-transit, policies and other responsibilities” (Bennett & Robertson, 2019). Since access to customer data remains the most critical component in cloud computing, it also determined the level of security in the cloud to be implemented by the customer.
The customer is responsible for the following components. First, the customer is responsible for data security. While the provider is responsible for automatically encrypting data in transit and in storage, the customer is expected to configure file system encryption and protection of network traffic. Secondly, the customer is responsible for physical security of computers and other devices used to access the cloud. Thirdly, the customer is responsible for application security. Security of manag.
Please read the below discussion post and provide response in 75 to .docxchristalgrieg
Please read the below discussion post and provide response in 75 to 100 words
Post#1
Cloud security plays an important role in every field like business and personal world. With a large number of benefits it has some myths also. Cloud security is solely the cloud provider’s responsibility: a standard misconception is that the cloud provider automatically takes care of all the safety needs of the customer’s data and process while in the cloud. Password policies, release management for software patches, management of user roles, security training of staff, and data management policies are all responsibilities of the purchasers and a minimum of as critical because the security is done by the general public cloud provider. While users are hardening internal security, don’t assume that cloud provider backs up data and will be able to restore it just in case of a security breach. It is instrumental and important that users simply implement a backup solution that backs up data that's hosted on the cloud to an onsite backup or to a different cloud provider. In addition, in case of a security breach, user will get to restore data from backups. “There is indeed a good case to make for fair taxation and that uneven effective tax rates can distort competition and lead to smaller tax revenues” (Bauer, 2018).
Don’t get to manage the cloud: many people believe that since the cloud infrastructure is usually basically just a managed service, that the safety of the services is additionally managed. Many cloud based systems are left inadvertently unsecured because the customer doesn't know that they have to try to something to secure them, as they assume that the provider has done what an in-house staff would traditionally have done by default. Cloud security requires an equivalent discipline for security of any data center. Cloud data centers are as resilient as any, but the weakness comes if the policies, processes and tools aren’t regularly monitored by the IT operations staff responsible (Determann, 2016).
Ignore BYOD and be more secure: not supporting and implementing a BYOD policy does not mean an enterprise will be less at risk of a data breach, SVP of cloud and hosting sales. The BYOD movement is here to stay. Some experts recommend deploying a mobile content management (MCM) solution, as protecting the data will be what ultimately defines business’ security and compliance requirements. “Despite the Australian Federal Government's ‘cloud-first’ strategy and policies, and the Queensland State Government's ‘digital-first’ strategy, cloud services adoption at local government level has been limited—largely due to data security concerns” (Ali, Shrestha, Chatfield, & Murray, 2020). Cloud data isn’t saved on mobile devices: I still hear people speaking about cloud deployment as if using this service means users are not saving any enterprise data on mobile devices, which this might make device data protection a moot point. Apps that are connecting to de.
Please read the assignment content throughly Internet Resources .docxchristalgrieg
Please read the assignment content throughly
Internet Resources Chart [due Mon]
Assignment Content
Create
a chart of Internet-based resources for early childhood literacy development.
Include
at least two different resources for each of the following topics:
Oral language
Environmental print
Morphemic analysis
Spelling
Vocabulary
Summarize
each resource. A total of 700 words should be used in the chart.
Submit
your assignment.
.
Please read the article by Peterson (2004). Your responses to th.docxchristalgrieg
Please read the article by Peterson (2004). Your responses to the following questions must be typed. Please be sure to include an APA-style citation
1. What is the purpose of this review paper
2. Describe
Incidental teaching
Mand-model
Time delay
Milieu language teaching
How are they the same?
How are they different?
3. What is discrete trial training? How is naturalistic teaching different?
4. What is generalization in language acquisition? How does naturalistic teaching promote generalization in language acquisition?
5. What were the conclusions of this review?
6. Be sure to provide and APA-style source citation for Peterson (2004) at the end of your paper
.
Please read the article which appears below. Write and submit an.docxchristalgrieg
Please read the article which appears below. Write and submit an
600 word report.
There is no right or wrong answer. Your report will be graded on your understanding of the problem of teenagers in high school having babies - and the attitude of the teens - whether you agree or disagree it is a good idea for the school to open a day care center to help these mothers (tell us why you agree or disagree), whether you agree or disagree with the teacher who wrote this article - tell us why you agree or disagree - why sociologists might want to study problems like this one, what sociologists might be able to contribute to solving problems like the one described . Link your answer to material we are studying. How well you express yourself - grammatical construction - spelling - is important. Maybe you can't make up your mind about this article. That's OK too. But it is important that you explain WHY.
Material you studied about agents of social change, primary and secondary groups in the chapters on
Culture - Socialization- Social Interaction - Social Structures - Groups and Organizations- should give you lots of ideas for your assignment.
They're Having Babies. Are We Helping?
By Patrick Welsh
The girls gather in small groups outside Alexandria's T.C. Williams High School most mornings, standing with their babies on their hips, talking and giggling like sorority sisters. Sometimes their mothers drop the kids (and their kids) off with a carefree smile and a wave. As I watch the girls carry their children into the Tiny Titans day-care center in our new $100 million building, I can't help wondering what Sister Mary Avelina, my 11th-grade English teacher, would have thought.
Okay, I'm an old guy from the 1950s, an era light-years from today. But even in these less censorious times, I'm amazed -- and concerned -- by the apparently nonchalant attitude both these girls and their mothers exhibit in front of teachers, administrators and hundreds of students each day. Last I heard, teen pregnancy is still a major concern in this country -- teenage mothers are less likely to finish school and more likely to live in poverty; their children are more likely to have difficulties in school and with the law; and on and on.
But none of that seems to register with these young women. In fact, "some girls seem to be really into it," says T.C. senior Mary Ball. "They are embracing their pregnancies." Nor is the sight of a pregnant classmate much of a surprise to the students at T.C. anymore. "When I was in middle school, I'd be shocked to see a pregnant eighth-grader," says Ball. "Now it seems so ordinary that we don't even talk about it."
Teenage pregnancy has been bright on American radar screens for the past year: TV teen starlet Jamie Lynn Spears's pregnancy caused a minor media storm last December. The pregnant-teen movie "Juno" won Oscar nods. And there was Bristol Palin, daughter of Alaska Gov. Sarah Palin, bringing the issue front and center d.
Please Read instructions Role Model LeadersChoose one • 1 .docxchristalgrieg
Please Read instructions
Role Model Leaders
Choose one • 1 point
In a study by Kouzes and Posner, who was identified as the person that the majority of people would select as their most important role model for leadership?
Teacher or coach
Business leader
Family member
Community or religious leader
QUESTION 2
Five Practices
Choose one • 1 point
Which of the following is
not
one of the Five Practices of Exemplary Leadership?
Model the Way
Leave a Legacy
Encourage the Heart
Enable Others to Act
QUESTION 3
Organizational Behavior
Choose one • 1 point
Organizational Behavior is a defined business function that has nothing to do with human behavior.
True
False
QUESTION 4
Leader and Constituents
Choose one • 1 point
What strengthens and sustains the relationship between leader and constituents is that leaders are:
Obsessed with what is best for others, not themselves
Obsessed with what is best for making the most money for themselves
Obsessed with what is best for themselves, not others
Obsessed with what is best for the business, not others
QUESTION 5
The Most Fundamental Truth
Choose one • 1 point
According to Kouzes and Posner, which of the Ten Truths about Leadership is the most fundamental truth of all?
Credibility is the Foundation of Leadership
Challenge is the Crucible for Greatness
You Can’t Do It Alone
You Make a Difference
QUESTION 6
Credibility
Choose one • 1 point
A culture of leadership ______________ and ______________ is created when people at all levels genuinely expect each other to be credible, and they hold each other accountable for the actions that build and sustain credibility.
Excellence and integrity
Independence and coerciveness
Confidence and charisma
Dissatisfaction and distrust
QUESTION 7
Organizational Behavior
Choose one • 1 point
The study of Organizational Behavior helps us to understand organizational culture, power, and political behavior.
True
False
QUESTION 8
Organization’s vision and values
Choose one • 1 point
Who is the person that has the most influence over your desire to stay or leave an organization, and your commitment to the organization’s vision and values?
CEO
Co-workers
Board of Directors
Your most immediate manager
QUESTION 9
Willingly Follow
Choose one • 1 point
In a survey by Kouzes and Posner, which of the following characteristics scored the highest that people looked for in someone that they would be willing to follow:
Independent
Supportive
Honest
Straightforward
QUESTION 10
Expectation of Leaders
Choose one • 1 point
In addition to the three factors that measure source credibility, the vast majority of constituents have one other expectation of leaders. They expect leaders to be:
Admired
Forward-looking
Independent
Enthusiastic
QUESTION 11
Leadership is a Relationship
Choose one • 1 point
Leadership is a relationship between those who aspire to lead and those who are learning to lead
.
Tru.
Please read each attachment for instructions, please answer each q.docxchristalgrieg
Please read each attachment for instructions, please answer each question all 8 with an answer after reading each attachment. Do not answer each question in a running paragraph. question/answer in at least 200 -300 word detailed with references from attachments and one extra where needed.
I do not have a second chance to correct
Activity: Counseling Immigrants
Instructions:
This activity is composed of three parts. In order to complete part I, you must read the article “Counseling Haitian Students and their Families: Issues and Interventions.” In order to complete part II, you must read the “APA Immigration Report Executive Summary,” and in order to complete part III, you must read “Counseling Model for Immigrants.”
Part I
1) Explain the differences between what parents are expected to do in American schools and what parents are expected to do in Haitian schools.
2) Why did Jean’s parents did not seek contact with teachers?
3) Haitian students face significant prejudice from teachers and classmates based on their race, the negative image of voudou, their former classification as a high-risk group for AIDS, and the violence and corruption of Haiti’s domestic politics. Name the interventions suggested by Joseph (1984).
Part II
1. The United States today has approximately _______ million immigrants—the largest number in its history. As a nation of immigrants, the United States has successfully negotiated larger proportions of newcomers in its past (______% in 1910 vs. _____% today). Notably, nearly _________ ____________of the foreign-born are naturalized citizens or authorized noncitizens.
2. Nearly a ___________ of children under the age of 18 have an immigrant __________.
3. One third of the foreign-born population in the United States is from ________, and a total of _______% originate from Latin America (U.S. Census Bureau, 2010).The four states with the largest numbers of immigrants (California, __________, New Mexico, and _________) have already become “majority/minority” (______ than ________% White) states (U.S. Census Bureau, 2011a).
4. Immigrants arrive in the United States with varied levels of education. At one end of the spectrum are highly educated immigrant adults (Portes & Rumbaut, 2006) who comprise a ___________ of all U.S. __________, ________% of the nation’s __________ and ____________ workers with bachelor’s degrees, and _______% of scientists with ______________.
5. An estimated ________ languages are currently spoken in homes in the United States.
6. Psychological acculturation refers to the dynamic process that immigrants experience as they __________ to the culture of the new country.
7. The constellation of presenting issues for immigrants tends to fall within the areas of _________________- based presenting problems, __________-based presenting problems, and _________________, ____________, and ______________–based problems.
8. To increase the accessibility and efficacy of services, clinicians and p.
PLEASE READ BEFORE STARTING! 500 WORD PAPER ONLY USING THE NOTES I.docxchristalgrieg
**PLEASE READ BEFORE STARTING! 500 WORD PAPER ONLY USING THE NOTES I HAVE PROVIDED BELOW. ESSAY QUESTION IS RIGHT BELOW AS WELL.**
Three common approaches to understanding leading – traits, behaviors, and situational or contingency approaches - may or may not be effective in leading/managing a healthcare program. Briefly summarize each and its appropriateness for healthcare management.
Health Program Management (Longest, 2015)
“Leading effectively means influencing participants to make contributions that help accomplish the mission and objectives established for a program.” (Longest, 2015, p. 139)
Traits approach
“Based on the proposition that traits - encompassing skills, abilities, or characteristics - inherent in some people explain why they are more effective at leading than others.” (Longest, 2015, p. 140)
Kirkpatrick and Locke (1991, 48) stated, “Key leader traits include: drive (a broad term which includes achievement, motivation, ambition, energy, tenacity, and initiative); leadership, motivation (the desire to lead but not to seek power as an end in itself); honesty and integrity; self-confidence (which is associated with emotional stability); cognitive ability; and knowledge.” (as cited in Longest, 2015, p. 140)
Behaviors approach
“Traits cannot fully explain effectively leading, is based on the assumption that particular behaviors or sets of behaviors that make up a style of leading might be associated with success in leading.” (Longest, 2015, p. 140)
Planning, clarifying, monitoring, problem solving, supporting, recognizing, developing, empowering, advocating change, envisioning change, encouraging innovation, facilitating collective learning, networking, external monitoring, representing (Longest, 2015, p. 142)
Tannenbaum and Schmidt’s continuum of leader styles model: (Longest, 2015, p. 147)
Autocratic leaders - makes decisions and announces them to other participants
Consultative leaders - convince other participants of the correctness of a decision by carefully explaining the rationale for the decision and its effect on the other participants and on the program
Participative leaders - present tentative decisions that will be changed in other participants can make a convincing case for different decisions
Democratic leaders - define the limits of the situation and problem to be solved and permit other participants to make the decision
Laissez-faire leaders - permit other participants to have great discretion in decision making
“Leaders must adapt and change styles to fit different situations.” (Longest, 2015, p. 147)
“An autocratic style might be appropriate in certain clinical situations in programs where work frequently involves a high degree of urgency. But this style could be disastrous in other situations, such as when a manager must decide how to offer a new service in a program or improve communication with participants.” (Longest, 2015, p. 147)
Situational/Contingency approach
“.
Please read Patricia Benners Five Stages of Proficiency. Explai.docxchristalgrieg
Please read Patricia Benner's Five Stages of Proficiency. Explain the importance of this theory through a nurse's perspective. No references are required. Your summary should be at least 300 words using good spelling and grammar. Can be single or double spaced.
Attached Files:
Dr. Patricia Benner is a nursing theorist who first developed a model for the stages of clinical competence in her classic book “From Novice to Expert: Excellence and Power in Clinical Nursing Practice”. Her model is one of the most useful frameworks for assessing nurses’ needs at different stages of professional growth. She is the Chief Faculty Development Officer for Educating Nurses, the Director of the Carnegie Foundation for the Advancement of Teaching National Nursing Education and honorary fellow of the Royal College of Nursing.
Dr. Benner was born in Hampton, Virginia, and received her bachelor’s degree in Nursing from Pasadena College in 1964, and later a master’s degree in Medical-Surgical Nursing from the University of California, Berkeley. After completing her doctorate in 1982, she became an Associate Professor in the Department of Physiological Nursing at the University of California, San Francisco. Dr. Benner is an internationally known lecturer and researcher on health, and her work has influenced areas of clinical practice as well as clinical ethics.
This nursing theory proposes that expert nurses develop skills and understanding of patient care over time through a proper educational background as well as a multitude of experiences. Dr. Benner’s theory is not focused on how to be a nurse, rather on how nurses acquire nursing knowledge – one could gain knowledge and skills (“knowing how”), without ever learning the theory (“knowing that”). She used the Dreyfus Model of Skill Acquisition as a foundation for her work. The Dreyfus model, described by brothers Stuart and Hubert Dreyfus, is a model based on observations of chess players, Air Force pilots, army commanders and tank drivers. The Dreyfus brothers believed learning was experiential (learning through experience) as well as situation-based, and that a student had to pass through five very distinct stages in learning, from novice to expert.
Dr. Benner found similar parallels in nursing, where improved practice depended on experience and science, and developing those skills was a long and progressive process. She found when nurses engaged in various situations, and learned from them, they developed “skills of involvement” with patients and family. Her model has also been relevant for ethical development of nurses since perception of ethical issues is also dependent on the nurses’ level of expertise. This model has been applied to several disciplines beyond clinical nursing, and understanding the five stages of clinical competence helps nurses support one another and appreciate that expertise in any field is a process learned over time.
Dr. Benner’s Stages of Clinical Competence
Stage 1 Novice: .
***************Please Read Instructions **************
OBJECTIVES:
Use personal influence with a group or team.
Identify the behaviors that exemplify the leadership truths.
Understand the stages of team development.
Explain how motivation impacts performance.
GOAL:
The purpose of this assignment is to provide an opportunity to express understanding of content associated with the chapters covered in Week Two (
Values Drive Commitment
,
Focusing on the Future Sets Leaders Apart
, and
You Can't Do It Alone
). For this assignment, you must use the Full Sail Online Library resources for at least one source in answering the questions. Make sure you clearly indicate which source(s) are from the online library. To access the Full Sail Library sources, go to Connect/Departments/Library. You will see a list of databases available. The library is open Monday-Friday 8:00 am - 9:00 pm and Saturday 8:00 am - 5:00 pm and can be reached at x8438.
Chapter Five
discusses the importance of
working in teams
and the
importance of emotional intelligence
in both your personal and social skills. How well are you in these areas? The goal of this week's discussion is to use the resources from this week to
develop, create, and implement a team activity with you being the leader.
INSTRUCTIONS:
First Post – due Thursday by 11:59pm EST *Due date extended due to the nature of the activity. Use this time to create an amazing activity!
Persuade at least four to eight people to do some notable activity together for at least two hours
that they would not otherwise do without your intervention. Your only restriction is that you cannot tell them why you are doing this.
The group can be any group of people: friends, family, teammates, club members, neighbors, students, or work colleagues
. It can be almost any activity
except for
watching television, eating, going to a movie, or just sitting around talking. It must be more substantial than that. Some options include a party, an organized debate, a songfest, a long hike, a visit to a museum, or volunteer work such as picking up litter, visiting a nursing home, or helping on a community project.
After completing your leadership activity, be prepared to discuss:
1. What was the activity selected?
Use specifics to describe your activity including
who attended (friends, family, co-workers, etc), location, and date. What did it feel like to make something happen in the world that would not have happened otherwise without you?
2.
Emotional Intelligence (EQ)
is important to develop to build relationships with others. How did you use EQ to empower others, listen to individual needs, and build relationships?
3. With this act of leadership,
what values did you exemplify
? (Use the
Values Drive Commitment c
hapter
concepts in your response.)
4. Were your members a group or a team? Using the
stages of team development
(Forming, Storming, Norming, Performing), describe the specific behaviors that de.
Please react to this student post. remember references and plarigari.docxchristalgrieg
Please react to this student post. remember references and plarigarism
Descending Spinal Tract
Corticospinal, reticulospinal, and vestibulospinal
Sends impulses from the brain to muscle groups
Control muscle tone, posture, and motor movements
Efferent
A
scending Spinal Tract
Spinothalamic and spinocerebellar
Sends sensory signals to accomplish complex tasks
Ascending tracts recognize exact stimulus and location
Contains fibers that discriminate rough from light touch, temperature and pain
Afferent
If the spinal cord is completely severed, then complete loss of function below the point if injury is expected (Ball, Dains, Flynn, Solomon & Stewart, 2015).
The nervous system is a group of nerves and neurons that transmit messages to different parts of the body. It is in charge of coordinating and controlling the body (Ball et al., 2015). The nervous system is divided into the central and the peripheral nervous system, further subdivided into autonomic, sympathetic and parasympathetic. The central nervous system is comprised of the brain. The peripheral nervous systems is comprised of the cranial and spinal nerves and the ascending and descending pathways (Ball et al., 2015). With all parts functioning properly the nervous system is able to receive and identify stimuli, control voluntary and involuntary body functions (Ball et al., 2015).
The three major units of the brain are the cerebrum, the cerebellum and the brainstem (Ball et al., 2015).
The difference between the ascending and descending tracts is that the ascending is sensory (afferent) because it delivers information to the brain and the descending tract delivers motor (efferent) information to the periphery (Ball et al., 2015)
The pituitary gland regulates metabolic processes and controls growth, lactation, and vasoconstriction through hormonal regulation (Ball et al., 2015).
The fourth cranial nerve is called trochlear and it is in charge of the downward and inward movement of the eye (Ball et al., 2015).
Risk factors for cerebrovascular accidents include hypertension, obesity, sedentary lifestyle, smoking, stress, high cholesterol/triglycerides/lipoproteins, congenital conditions and family history of cerebrovascular accidents (Ball et al., 2015).
The 5.07 monofilament test is used to test sensation in different parts of the foot in patients suffering from diabetes mellitus or peripheral neuropathy (Ball et al., 2015).
The 0 to 4+ scale is used to grade the response when testing the reflex. 0 indicates no response and 4+ indicates hyperactive reflex (Ball et al., 2015).
Older adults may be taking medication for other conditions that can affect their balance, mental status and coordination and it is important know this in order to rule out whether a symptom is due to a side effect or a cause for concern (Ball et al., 2015).
Meningitis that occurs during the first year may cause epilepsy later on in life, also any infection in the first year of life can impa.
Please provide the following information about your culture which is.docxchristalgrieg
Please provide the following information about your culture which is the ANCIENT EMPIRE:
Content
Introduction with a thesis statement
Provide a brief history of your culture
Explain how your chosen culture is represented in the United States
Is your culture individualistic or collectivistic? Provide at least one example
What are some of the artistic (art, music, architecture, dance) contributions of your culture?
What are some values of your culture? Provide at least three examples
Discuss your culture’s religion(s)? Include name and basic belief system of at least one of the major faiths
What are some of the sex and gender role differences in your culture? Provide at least three examples
Discuss what we would need to know to acculturate into your culture (if it is a culture from the past, what would we need to do in order to fit in during that timeframe). Provide at least one concrete suggestion
Conclusion
Specific Paper Requirements:
Four-page minimum: six-page maximum (Times New Roman, 1-inch marginsm 12-pt. font, double-spaced)
Quality of writing: Must contain in-text citations in APA format
Spelling and Grammar
Correct APA style format
A minimum of three or more credible sources (books, journal articles, magazine/newspaper articles, etc.)
Paper Outline:
Introduction
History
Cultural Context
Represented in the United States
Individualistic/Collective
Artistic
Values
Religion
Sex and Gender Roles
Acculturation
Conclusion
References
.
Please proof the paper attached and complete question 6 and 7..docxchristalgrieg
Please proof the paper attached and complete question 6 and 7.
Moore Plumbing Supply Company
Capital Structure
Mort Moore founded Moore Plumbing Supply after returning from duty in the South Pacific during World War II. Before joining the armed forces, he had worked for a locally owned plumbing company and wanted to continue with that type of work once the war effort was over. Shortly after returning to his hometown of Minneapolis, Minnesota, he became aware of an unprecedented construction boom. Returning soldiers needed new housing as they started families and readjusted to civilian life. Mort felt that he could make more money by providing plumbing supplies to contractors rather than performing the labor, and he decided to open a plumbing supply company. Mort’s parents died when he was young and was raised by his older brother, Stan, who ran a successful shoe business during the 1920’s. Stan often shared stories about owning his own business and in particular about a large expansion that was completed just before the market collapsed. Because of the economic times, Stan lost the business but was lucky to find employment with the railroad. He dutifully saved part of each paycheck and was so thankful that his brother returned home safely that he decided to use his sizable savings to help his brother open his business. Mort kept in mind his brother’s failed business and vowed that his company would operate in such a way that it would minimize its vulnerability of general business downturns.
Moore’s extensive inventory and reasonable prices made the company the primary supplier of the major commercial builders in the area. In addition, Mort developed a loyal customer base among the home repair person, as his previous background allowed him to provide excellent advice about specific projects and to solve unique problems. As a result, his business prospered and over the past twenty years, sales have grown faster than the industry. Because of the large orders, the company receives favorable prices from suppliers, allowing Moore Plumbing Supply to remain competitive with the discount houses that have sprung up in the area. Over the years, Mort has kept his pledge and the company has remained a very strong financial position. It had a public sale of stock and additional stock offers to fund expansions including regional supply outlets in Milwaukee, Wisconsin and Sioux City, Iowa.
Recently, Stan decided that the winters were too long and he wanted to spend the coldest months playing golf in Florida. He retired from the day-to-day operations but retained the position of President and brought in his grandson, Tom Moore, to run the company as the new Chief Executive Officer. Tom was an excellent choice for the position. After graduating summa-cum-laud with a degree in communications from the University of Wisconsin, he worked in the Milwaukee operation where he was quickly promoted to manager. In ten years, sa.
Please prepare PPT( 5 Slides and 1 citation slide) and also explain .docxchristalgrieg
Please prepare PPT( 5 Slides and 1 citation slide) and also explain all slides in word format about 300 words to give presentation
Types of Stakeholders:
Suppliers - Sandeep
Owners - Sandeep
Employees - Sandeep
Stakeholder Impact of Ethics on Stakeholders – Ravi/Rushil/Sandeep/Krishna
References
.
Please prepare a one-pageProject Idea that includes the .docxchristalgrieg
Please prepare a
one-page
Project Idea
that includes the following:
1. What type of project
would you like to do: develop a proposal for a new business; develop a plan to green an existing business; creative project; or research project?
2. What is the big idea
that you would like to pursue? (1-2 sentences)
3. Why
did you decide on this idea? (2-3 sentences)
4. If working in a team
, please list each team member and include either one specific role that they will play in the project or one link to a helpful resource that they have found that will inform the team’s project.
If doing an individual project
, please list at least one resource that will inform your thinking.
5. Develop a
proposed timeline
for the project (including the deliverables below, plus additional steps needed to produce the deliverables).
See the project guidelines under Course Documents or linked
here
for more information.
.
Please prepare at least in 275 to 300 words with APA references and .docxchristalgrieg
Please prepare at least in 275 to 300 words with APA references and citation.
1) Please describe the meaning of diversification. How does diversification reduce risk for the investor?
2) What is the opportunity cost of capital? How can a company measure opportunity cost of capital for a project that is considered to have average risk?
.
Please provide references for your original postings in APA form.docxchristalgrieg
Please provide references for your original postings in APA format.
1. Discuss the types of backup locations, per the text and Powerpoint presentation raeadings for the week.
2. Would a single backup location be adequate or should a combination be used? What combination would you recommend?
.
Please provide an update to include information about methodology, n.docxchristalgrieg
Please provide an update to include information about methodology, new literature discovered, or even questions regarding current progress. Topic selection is Cyber Security in Industry 4.0: The Pitfalls of Having Hyperconnected Systems can be found at https://www.jstage.jst.go.jp/article/iasme/10/1/10_100103/_pdf. APA citation is the following. Dawson, M. (2018). Cyber Security in Industry 4.0: The Pitfalls of Having Hyperconnected Systems. Journal of Strategic Management Studies, 10(1), 19-28. (250 words)
.
Please provide an evaluation of the Path to Competitive Advantage an.docxchristalgrieg
Please provide an evaluation of the Path to Competitive Advantage and Motivation and
Feedback and answer the following questions:
1. How can managers enhance employee motivation through performance management
techniques?
2. It is well known that individuals on international assignments operate under unique
contextual and cultural realities. How would motivation differ in such environments?
*********
1 page follow APA 7 citation.
.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
This has the therapist and client conversationCase Conceptuali.docx
1. This has the therapist and client conversation
Case Conceptualization and Treatment Plan
Develop a clear and thorough understanding of the presented
case in the video shown in class.
Write a 2,800- to 3,500-word paper using the Clinical Case
Study Guidelines document to prepare your analysis of the
video presented in class.
Review your notes taken during the counseling session
presented in class. Use the DSM 5 and additional professional
sources as you explore the client's situation, potential diagnosis,
treatment planning, and legal and ethical concerns.
Select a theoretical orientation to complete the analysis of the
client.
Discuss the presenting problem from the theoretical perspective,
and include language from the theory throughout the case
conceptualization. Include the following:
•Summarize the client's background and present living situation,
addressing diversity and the human life cycle.
•Discuss the client's present level of functioning and provide
examples from the Unnamed Video to support your assessment.
•Identify the client's key problems and issues. Discuss which
problems the client is experiencing and why the client is having
these problems.
•Propose a theoretical orientation that would be appropriate to
use with this client and discuss the theory and application.
•Provide a logical and rational assessment of the client and a
diagnosis that is consistent with the assessment. Support the
diagnosis using the DSM 5 and other research.
•Identify appropriate goals and interventions that are consistent
with the assessment, diagnosis, and theoretical orientation.
Discuss how these might be addressed within the treatment
sessions.
•Recommend psychometric tools that would be appropriate for
2. further assessing the client's needs based on background and
diagnosis. Justify your recommendations.
•Identify thoughts and behaviors that you would use as criteria
to determine readiness for successful client termination.
•Identify important legal and ethical issues and propose
resolutions. Support your resolutions with appropriate codes of
ethics and legal statutes.
•Use peer-reviewed sources to support your ideas throughout
the paper.
Format your paper consistent with APA guidelines.
4 goals – 3 short term and 1 long term each having 3
interventions = 12 interventions. No objectives only goals and
interventions.
CLIENT NAME: LIZ
DATE OF BIRTH:
PHONE:
PRIMARY LANGUAGE: English
EDUCATION:
REFERENCE BY: Friend
OCCUPATION: Homemaker
ASSESSMENT DATE: 01/05/2017
EVALUATED BY:
DESCRIPTION OF THE CLIENT The client is a 34-year-old
woman Hispanic female, dressed casually and neat, clean
clothing. She made normal eye contact, she spoke in expressive
voice, and appeared sad manifested by tears. PRESENTING
PROBLEM The client reports for the past two months her
experiencing hopelessness, depression and anxiety because of
negative core beliefs that she is inadequate, worthless and a
failure. The client reports “I have a lot on my mind, I feel
pressure like I cannot breathe sometimes and I get angry with
3. myself because I want to please everyone”. This has resulted in
symptoms that are diminishing the enjoyment of her life. The
client’s automatic negative thoughts that she is worthless and a
failure has caused the client to stop doing things that used to
bring her pleasure. The client reports that all of these emotions
and conflict is affecting her. The client states she is tearful,
always tired; restless; unable to feel pleasure; ambivalent
suicidal ideations; anxious, unable to sleep; hopelessness; loss
of appetite; despair; and fear.
HISTORY OF PROBLEM The client reports that she and her
husband have relationship conflict and communication problems
which lead to arguing. The client states “he pushed and slapped
me, he said that he would kill me or hurt me in front of my
children. I felt the abuse was escalating so I took the children
and moved in with my mother”. For the past two years her
husband started drinking heavily and the physical abuse is
escalating. She has been living in fear that he will kill her. This
negative core belief has a caused automatic negative thoughts
that allowed years of mental, emotional, and physical abuse
from her husband. These automatic negative thoughts have
contributed to the client’s depression as a result, she has left her
husband and moved in with her mother. The experience of the
separation from her husband has triggered negative core beliefs
that she is inadequate, worthless, and undesirable, and
reinforces, or activates, her automatic negative thoughts.
MENTAL STATUS
What happened to you or made you decide to make the
appointment today as opposed to a few months ago? She has not
been feeling well don’t have the energy to do things needs more
and looking gofer answers she’s here to try to find help and
figure out what direction to go with.
What is going on with your life? About 2 months ago she moved
out of her home to her parent’s house with her 2 children oldest
is 9 boy, and 7 year old girl. Husband is a little abusive, she
does not want to be there. She feels safe at mom’s house.
4. Doesn’t know if she did the right thing. She has been married
for 10 years.
Tell me a little about the abuse?
Abuse wasn’t big he occasionally pushed her a couple of times
slapped her, verbally abusive, escalated it got worst so she
ended up leaving.
Was there abuse early on the relationship?
Early in marriage didn’t think it was abuse, we fought argued
got in my face pushed in my face didn’t think anything of it.
Got worst during the years. (Crying am sorry)
Therapist? Asked if she was afraid to move out? She said she
was slapped in front of the kids, hurt her, threatened to kill her
and hurt her. Didn’t want kids to see that anymore got scared.
Therapist? Did he abuse the kids? NO. (Seriously) But last time
the kids were scared they were yelling at their father to stop!
(She’s crying holding back) they did see that and I felt so guilty
Therapist? Good job keeping the kids safe. Has he tried to call?
Yes calling her mother’s home and mother tells her she should
return his calls and answer his calls. She doesn’t know if she’s
taking the kids away from their dad. She feels that she is taking
them away. She doesn’t know if she needs to go back home
maybe he will change.
Your mother keeps telling her she should go back home. Mother
encourages her to go back home. She wishes her mom would
stop. She feels angry every time her mother tells her to go back
home. Mother feels that kids are missing out on good parenting
if she doesn’t go back.
So she’s encouraging you to go back? A little angry at first the
more I talk about it I don’t know if it’s the best thing.
Is that what you want or your mother? Sometimes she’s not
sure. Sometimes she wants to go back home to feel like a
family. At her house she had her family, her house, her space,
time. (Crying)
Gives her credit will work to clarify what she wants and needs.
5. Tell me a little about your culture beliefs?
Culture beliefs or spirit believes that are causing you distress? –
am Mexican we have certain values, married to stay married she
was born in the US or Mexico no here... Sometimes she wonders
if her values is the reason to go back home. Her mom has
experienced this before she’s wises and has been down the road
before. Her own mother has been in an abusive marriage with
Liz father. Dad would hit her mom. At times mom would not
come out of the room because of the bruises on her body. Her
father ended up leaving her mother anyways.
Did he abuse you and how did affect you? Father never abused
Liz but witnessed mom abusive life. She plays it in her head and
she doesn’t want her kids to feel like her.
So you have been down this road before did your mom ever get
remarried? She feels like she is relieving the same story. What
if she doesn’t get remarried again Liz mother never got re
married, she works, and raised the kids. Liz mother tells her
that she thinks she still loves her husband and that is why she
should go back. Her dad was pretty abusive her dad would hit
her. Everything her mother did was about her kids.
What is one of your strengths personality something that will
get you through? I love my kids I love my mom I think I love
my husband.
Therapist? Do you have a support group? Not too many friend.
One friend her name is Karen. Pretty much there for Liz for the
past 1 year. She is funny, crazy normal woman, listens doesn’t
judge me, cares and suggested to seek counseling and I dint
want to I thought it would be a waste of time but lately I
haven’t been feel well I feel like am against the wall.
Feelings? Liz is not feeling well, she feels like she is against a
wall right now.
Sleeping? Don’t sleep, wake up can’t sleep last night up till
2am can’t sleep. Feels pressure in head, lots of thoughts, don’t
want to be at her mom’s house, feels like she’s not pleasing her
mom and her husband and hurting her kids don’t want to do that
anymore. She doesn’t want to hurt kids and everyone. (Crying
6. deeper)
Anxiety before it’s like you described it raising thoughts, heart
pounding, pressure, not feeing well? Liz stated that it sounds
about right. She can’t get up to get the kids ready for school she
falls asleep till 2am, thinking about the kid’s feelings all the
time. Don’t want to do anything, hard time getting up, feels
exhausted no energy, waking up to do the same thing over and
over again. Feels like its getting worst since she moved out. It
started with her wanting to leave when she finally left.
She wants to leave her mom house, she doesn’t know if kids are
happy, kids talk to dad over the phone and she avoids talking to
him because he can convince her to come home. So she hasn’t
really talked to him
What brings you joy during the day makes you feel good? My
Kids, family, sister, she’s cool, friends, younger sister is
independent not married with a career, no kids, lives in
Washington now. Pretty amazing life. Sister asked her to find a
job and move to Washington with her. She doesn’t know if she’s
ready for that. Sister is pretty smart and has everything.
What do you think about moving it sounds exciting? I’m not
ready for that what do I bring to the table she has a career she’s
pretty she’s smart,
Have you ever thought that about yourself? I don’t feel that am
pretty and smart like her sister. I only remember getting married
and having kids that’s her role that’s her life what will she do
out there. She doesn’t want to be extra baggage to her sister.
If you stay or move will you follow your mother’s footsteps?
She doesn’t know she didn’t get married to be alone she married
to be married and do what’s right. Liz stated if she stays with
her husband she’s afraid she will up like her mom. She didn’t
get married to have a broken home. She needs to stand up to
make it right. She mentioned that her husband Robert is
Mexican and that is the values to go by being a Hispanic family.
Husband does apologize after he abuses her and it has gotten
worst. Doesn’t know if he meant it or just saying it so she can
stay when she was living at home.
7. It almost sound like you have 2 options – to go back to him or
to follow your mom’s steps.
Any possibility of a third any hopes for that? What else could
there be, I have no options right now.
Do you have any hopes in your day to day activity that makes
you smile or think about the future? Go back to school get a job
or something
Do you get tired even when you don’t get a full night sleep you
think the fatigue is because you don’t sleep? I think it’s a lot on
my mind, even when I sleep I still feel tired, pressure that I
can’t breathe, thoughts of uncertainly am I doing the right thing
am I abusing my kids am I hurting my kids.
In what ways? I mean I took them away from home and their
dad from what they have known and their comfort zone.
When your mom younger did you wish your mom would have
stayed? YES (seriously voice)
How do you handle those thought I mean your experiencing
those things again?
Liz feels angry at herself right now if this is supposed to be life.
Now she’s wondering if this is supposed to be her life.
It sounds what you have been experiencing at childhood and
marriage you have a lot of opinions you carry that every day? I
can’t please everyone I feel it
Eating, exercise any fresh air these last two months? If it’s a
positive vie lost weight, rarely eats, no appetite, don’t feel like
eating, makes kids good but makes them eat. It’s hard to take
showers, she doesn’t put make up on anymore, feels no pleasure
in getting ready or trying to look good.
Thoughts of hurting yourself? Anyone else? My objective is for
you to be safe and built trust. She doesn’t want to be here
anymore,
If you do it, how would it be? She said what if the kids were
better off wouldn’t disappoint mom if she wasn’t here, right
now she feels like she’s hurting people she loves.
What about you hurting yourself, will you keep yourself safe?
How often are the thoughts of hurting yourself? I loved to be
8. happy could love for things to be perfect but don’t know how to
fix it. I don’t know how.
This is an important step you made an appointment and showed
up today. This shows you have hope because you’re here start to
feel the hopeful and build on it. Means possibility to feel better.
It takes a lot of courage. You being here tells me there’s hope
possibility that you can feel better and you will find the answers
that you’re needing.
I’m concern that you’re coming down pretty hard on yourself
with yourself and sounds that Robert caused the pain and you’re
trying to heal it. Robert is a good man deep inside wish I could
help him change.
Did your mom change your father? I don’t know I was little
girl. I tried to he smiled laughed and play full. I thought he was
happy then he would pick fights with mom full blown fights
next time you know she was his punching bag. (Sad)
It feels like when you were a little girl you were afraid and
weak? I never thought about it.
What was it about your sister to move to Washington why do
you think she did that? My sister moved to Washington because
she had a bigger better dreams. Always said she wanted to
explore the world she didn’t want to be like mom.
What is her relationship with her and your mother? Pretty good
relationship with mom, Mom likes to talk trash because her
sister is not around not available.
Sister calls and tells her she loves her, checks in to see if she’s
ok and if she needs anything. She supports her to move forward.
Both her sister and Karen her friend want her to live a different
life. Don’t know is she has the energy and the confidence.
Tell me about a time when you had energy and confidence? I
was much younger 18 or 19 years old more energy and
confidence. (She nods yes) Hasn’t thought of younger self till
now. (Smiles and holds back tears)
Do you ever go out with Karen? Yes for lunch we hang out of
course I have no money so they cook at her mom’s. Burritos you
know or chorizo, (she smiles) When she’s around Karen she
9. feels good she smiles and she’s a good friend. (Calm secure
about what she said)
What’s your mood day to day give me a family history are you
smoking cigarettes are you using any substance any careen to
help you cope? I suppose I probably would take up drinking or
smoking but Ican’t afford anything don’t smoke or drink only
drink coffee to stay awake during the day doesn’t help. Always
tired confused during the day and night can’t sleep.
Any history of substance abuse in family or marriage with
Robert alcohol or drugs? Robert Drinks on weekend gradually
became a problem drank during the week she was ok with him
drinking only drinking on the weekends and going out. Slowly
started to drink all the days of the week sometimes he wouldn’t
get up to go to work on time. Call him out he gets angry.
Every any relationship between the abuse and drinking? Yes he
thought it was ok, He would yell at her even for the smallest
things telling her she was worthless, wouldn’t amount to
anything, she couldn’t make it on her own, she would never
leave him.
Sorry to hear that. Anyone in the family with substance abuse?
My dad was a drinker. They knew when dad drank it would
probably turn out into a fight with her mother. Liz felt angry
with her mother because she never left her father. Right now
she doesn’t want her kids to feel the same way any with her
either.
This is understandable for all this to be a conflict. Like I said
there’s a lot of hope and we will build upon this. We will
proceed with our next appointment. (End of movie) no age was
given looks to be in mid 30’s, no education level was given
only that she would go back to school.
10. This paper was from 2015 and they used something else not the
new DSM 5 to get the diagnosis.
its old but this is what the movie was about to give you an idea.
Try to use my friends outline and different wording please as
they check
DESCRIPTION OF THE CLIENT
The client is a 34-year-old woman Hispanic female, dressed
casually and neat, clean clothing. She made normal eye contact,
she spoke in expressive voice, and appeared sad manifested by
tears.
PRESENTING PROBLEM
The client reports for the past two months she experiencing
hopelessness, depression and anxiety because of negative core
beliefs that she is inadequate, worthless and a failure.
The client reports “I have a lot on my mind, I feel pressure like
I cannot breathe sometimes and I get angry with myself because
I want to please everyone”. This has resulted in symptoms that
are diminishing the enjoyment of her life. The client’s
automatic negative thoughts that she is worthless and a failure
has caused the client to stop doing things that used to bring her
pleasure. The client reports that all of these emotions and
conflict is affecting her. The client states she is tearful, always
tired; restless; unable to feel pleasure; ambivalent suicidal
ideations; anxious, unable to sleep; hopelessness; loss of
appetite; despair; and fear.
HISTORY OF PROBLEM
The client reports that she and her husband have relationship
conflict and communication problems which lead to arguing.
The client states “he pushed and slapped me, he said that he
11. would kill me or hurt me in front of my children. I felt the
abuse was escalating so I took the children and moved in with
my mother”. For the past two years her husband started drinking
heavily and the physical abuse is escalating. She has been living
in fear that he will kill her. This negative core belief has a
caused automatic negative thoughts that allowed years of
mental, emotional, and physical abuse from her husband. These
automatic negative thoughts have contributed to the client’s
depression as a result, she has left her husband and moved in
with her mother. The experience of the separation from her
husband has triggered negative core beliefs that she is
inadequate, worthless, and undesirable, and reinforces, or
activates, her automatic negative thoughts.
MENTAL STATUS
Activity: The client displayed her attitude as open and
somewhat guarded. Motor activity level demonstrates
psychomotor regularity, frequently moving her hands to wipe
tears away. Her speech is of regular rate and rhythm; eye
contact is fair.
Mood and Affect: The client appeared sad with tearful affect,
which was congruent with mood and appropriate to content.
Thought Process, Content, and Perception: The client denies any
auditory and visual hallucinations and has coherent thought
process. The client has difficulty sleeping due to constant
preoccupation and rumination of thought of hurting her children
by taking them away from their father or should she return to
him.
12. Cognition, Insight, and Judgment: The client is oriented to time,
place, person, and situation. The client demonstrates average
intelligence, has clear cognition, and intact memory for recent
and remote items. The client has slightly impaired insight and
judgment.
Physiological Functioning: The client appeared to be in good
health but reported she has lost some weight because she does
not feel like eating. The client states “I feel pressure like I
cannot breathe, am I hurting my kids because I took them away
from their father”. She denied use of alcohol or illicit drugs
however she drinks coffee to stay awake during the day.
Suicidal and Homicidal Assessment: The client reported having
thoughts about ending her life. She voiced ruminating thoughts
“I do not want to be here because I am not pleasing my
children, husband, or mother”. She states, these ruminations are
fleeting thoughts with no plan. Therefore, she is considered a
possible danger to self. The client denied any homicidal
ideation or ruminations.
SOCIAL HISTORY
The client reported that she is separated, unemployed, and has
two children, a nine-year old boy and a seven-year-old girl. She
has been married for ten years. She states early in her marriage
they would argue and yell. The first year of marriage was fine
but her husband started emotionally and physically abusing her.
With the help of her close friend she left her husband and has
been living with her mother for the last two months. She has not
spoken to him since she left. This event has triggered negative
core beliefs that she has failed as a parent for not keeping the
family together. Her sister supports the decision to leave her
husband and wants her to come to Washington for a fresh start.
But now, the client states he continuously apologizes by
sending gifts and begs for her to come back home. The client
also reports that her mother suggest that she return home so the
13. children will not suffer from not having their dad.
The client’s family of origin lives in California and consists of
her mom and younger sister. Her father was a truck driver and
her mother was a stay at home mom. The client reported her
father past away from a heart attack over five years ago, and her
mother never remarried. The client states her father was “a
drunk and abusive towards my mother”. The client states her
mother instilled Christian and cultural values and beliefs that
family is everything. Once you get married, your husband is the
head of the
household and you are to obey and never get divorced so the
children will have both parents. These thoughts are part of the
client’s core belief from the way she was raised. The client
reported her father was would yell, call her mother names, tell
her “she is worthless and without him she is nothing”. These
thoughts and feelings are part of the clients’ negative core
beliefs that she is inadequate and worthless because of her
upbringing. The client states her “father would hit her in front
of us and she would not come out of her room for days because
of the bruises. We were afraid all the time especially when he
would drink”. The client reports her mother would blame herself
for the abuse and try harder not to make him angry and do
everything her husband would tell her to do, because he was all
she had. These faulty core beliefs followed the client into her
marriage reinforcing her faulty cognition of what a marriage is
supposed to be.
The client and her sister are very close. Her younger sister was
determined to get out of the house and not end up like her
mother. Once she graduated from high school she went away to
college in Washington and found a job after she graduated from
college and rarely returns home. The client’s younger sister is
not married and has no children. The client was an average
14. student in school. She only had a few friends with whom she
shared activities and phone calls. She had no serious illnesses
and lived in the same house all of her life. The client attended
college for about two years and received an Associate’s Degree
in Business Management. She worked as an Administrative
Assistant until she got married and had her first child then
became a stay at home mom. She has one close friend with
whom she hangs out with.
LEGAL ISSUES
The client has no legal concerns. However, client is currently
separated from her husband.
ETHICAL CONCERNS
The client was given consent forms and understands the
confidentiality, HIPPA, reporting laws, etc. The client received
a thorough risk assessment.
THEORETICAL PERSPECTIVE JUSTIFICATION
Cognitive Behavioral Therapy (CBT) is a counseling model that
increases the client’s understanding of how thoughts and
behavior are connected to emotions. The clients’ upbringing and
exposure to negative childhood experiences of seeing her
parents fight have created her cognitive distortions. The
cognitive distortions she learned from her mother in childhood
have persisted to adulthood. This faulty belief system have
created negative thinking patterns that have been evident
throughout her life creating hopelessness and despair. The
client’s family background and exposure to negative childhood
experiences have produced her cognitive distortions. The
cognitive distortions she learned from her mother in childhood
have persisted into adulthood.
DISCUSSION
CBT helps to address and change negative thinking patterns and
15. behaviors associated with depression while teaching how to
change the behavioral patterns that contribute to
her depression. Changing the behavior can lead to an increase in
thoughts and mood. CBT can help the client identify her
automatic thoughts and maladaptive behaviorism so she can
develop an accurate schema through which to filter her daily
interactions. The client should be tested for Folstein Mini
Mental Status Exam, Beck Anxiety Inventory, The Beck
Depression Inventory (BDI) this scale would be helpful to
measure his depression. Columbia-Suicide Severity Rating
Scale is a questionnaire used to assess suicide. This measure
can be used by any professional. This instrument is needed to
help determine the severity of suicide in the client. To
determine if he is just thinking about it because of the break up
with his girlfriend or was this something he has been thinking
about for a while.
DIAGNOSIS
Major Depressive Disorder
Depressed mood most of the day, nearly every day, as indicated
by either subjective report or observation made by others.
Markedly diminished interest or pleasure in all, or almost all,
activities most of the day, nearly every day.
Significant weight loss when not dieting or weight gain, or
decrease or increase in appetite nearly every day
Insomnia or hypersomnia nearly every day. Fatigue or loss of
energy nearly every day.
Feelings of worthlessness or excessive or inappropriate guilt
nearly every day.
Diminished ability to think or concentrate, or indecisiveness,
16. nearly every day (either by subjective account or as observed by
others).
Recurrent thoughts of death (not just fear of dying), recurrent
suicidal ideation without a specific plan, or a suicide attempt or
a specific plan for committing suicide.
The symptoms cause clinically significant distress or
impairment in social, occupational, or other important areas of
functioning.
The episode is not attributable to the physiological effects of a
substance or to another medical condition.
The occurrence of the major depressive episode is not better
explained by schizoaffective disorder, schizophrenia,
schizophreniform disorder, delusional disorder, or other
specified and unspecified schizophrenia spectrum and other
psychotic disorders.
There has never been a manic episode or a hypomanic episode.
With Melancholic features
Loss of pleasure in all, or most activities
Lack of reactivity to usually pleasurable stimuli
A distinct quality of distressed mood characterized by profound
despondency, despair, and/or moroseness or by so-called empty
mood.
Early morning awakening Significant anorexia or weight loss
Excessive or inappropriate guilt
POSTTRAUMATIC STRESS DISODER F 43.10
Exposure to actual or threatened death, serious injury, or sexual
violence in one (or more) of the following ways:
17. Directly experiencing the traumatic event(s).
Witnessing, in person, the event(s) as it occurred to others.
Presence of one (or more) of the following intrusion symptoms
associated with the traumatic event(s), beginning after the
traumatic event(s) occurred:
Recurrent, involuntary, and intrusive distressing memories of
the traumatic event(s).
Intense or prolonged psychological distress at exposure to
internal or external cues that symbolize or resemble an aspect of
the traumatic event(s).
Marked physiological reactions to internal or external cues that
symbolize or resemble an aspect of the traumatic event(s).
Persistent avoidance of stimuli associated with the traumatic
event(s), beginning after the traumatic event(s) occurred, as
evidenced by one or both of the following:
Avoidance of or efforts to avoid distressing memories, thoughts,
or feelings about or closely associated with the traumatic
event(s).
Negative alterations in cognitions and mood associated with the
traumatic event(s), beginning or worsening after the traumatic
event(s) occurred, as evidenced by two (or more) of the
following:
Persistent and exaggerated negative beliefs or expectations
about oneself, others, or the world (e.g., “I am bad,” “No one
can be trusted,” “The world is completely dangerous,” “My
whole nervous system is permanently ruined”).
18. Persistent, distorted cognitions about the cause or consequences
of the traumatic event(s) that lead the individual to blame
himself/herself or others.
Persistent negative emotional state (e.g., fear, horror, anger,
guilt, or shame). Markedly diminished interest or participation
in significant activities.
Feelings of detachment or estrangement from others.
Persistent inability to experience positive emotions (e.g.,
inability to experience happiness, satisfaction, or loving
feelings).
Marked alterations in arousal and reactivity associated with the
traumatic event(s), beginning or worsening after the traumatic
event(s) occurred, as evidenced by two (or more) of the
following:
Problems with concentration.
Sleep disturbance (e.g., difficulty falling or staying asleep or
restless sleep).
The disturbance causes clinically significant distress or
impairment in social, occupational, or other important areas of
functioning.
The disturbance is not attributable to the physiological effects
of a substance (e.g., medication, alcohol) or another medical
condition.
SPOUSE OR PARTNER VIOLENCE, PHYSICAL,
CONFIRMED
T74.11XD Subsequent Encounter
19. Psychosocial Stressors
The client has problems with primary support which is her
mother who wants her to return to the violence for the children.
RECOMMENDATIONS
1. Complete homework assignments
2. Become more active with family, friends, or social groups
3. Join a gym or start an exercise regimen
TREATMENT PLAN
Short-term Goal #1
The client will continue to decrease her frequency of automatic
negative thoughts of wanting to end it all or die.
Interventions for Goal #1
The client will decrease her frequency of these thoughts from
20 times a day to 15 times a day by journaling to identify
thoughts, feelings and behaviors before during and after
stressors.
Short-term Goal #2
The client will continue to decrease her frequency of negative
self-statements.
Interventions for Goal #2
The client will identify and alter irrational or negative self-
statement and replace them with positive statements.
The client will journal to identify thoughts, feelings, and
behaviors before, during, and after stressors.
Short-term Goal #3
The client will plan and complete one pleasant or social activity
20. per week.
Interventions for Goal #3
The client will increase the ability to find evidence to the
contrary of negative emotions with higher levels of positive
emotions through the use of mood monitoring.
Long-term Goals
The client will also continue to journal and use thought records
to identify her stressors.
REFERALS
The client will be referred to physician and psychiatrist.
EVALUATION OF COUNSELING PROGRESS/PLAN
The counselor will use a cognitive behavioral approach. The
sessions will be once a week for five weeks, then once every
two weeks if appropriate, until symptoms have improved. At
that time, the counselor and client will determine a plan for the
future course of sessions.
The client is a 34-year-old Hispanic woman in a marriage that
has experienced depressive symptoms, anxiety, ruminating
thoughts, and catastrophizing with ambivalent suicide ideations.
The goal is to help identify her automatic negative thoughts and
negative core beliefs with the process of cognitive restructuring.
Cognitive restructuring helps replacing these unhealthy thinking
patterns with positive self-statements. The client will be given
homework of journaling and completing a thought record to aid
her in identifying her stressors and prompting her positive self-
talk. The client will continue to actively participate in
approximately 20 cognitive behavioral therapy sessions one
hour a week to ensure progress with anxiety, mood, and
depression.
21. Running head: Treatment Plan: Alexandria Wright
1
Treatment Plan: Alexandria Wright
10
Example of friend’s paper on another case
you can use this outline to guide you
Treatment Plan: Alexandria Wright
Description of Client:
Alexandria Wright is a 36-year-old Caucasian female who
appears older than her stated age. She was well groomed,
average height, and overweight. She was respectful and
cooperative throughout the interview; however, at times she did
appear defensive. She is married and has two sons ages five
and seven. Her parents are both deceased with her father
passing away a year ago. Alexandria also has three sisters with
a three-year gap between them. She is also highly educated and
works as a Certified Public Accountant.
Presenting Problem:
Recently, within the last month, she has had a return of the
feelings of sadness present after her father death a year ago.
According to the client, she is experiencing this recurrence
because of issues associated with her father’s estate.
History of Problem:
Alexandria reported having been in psychotherapy a year ago
after her father’s death, and reported that it helped her.
However, in the last month she has been dealing with settling
her father’s estate, and it has brought back the feelings of
sadness. She describes her sadness as feelings of annoyance,
especially toward others. Although she initially reported
sadness as her primary issue she quickly shifted the focus to
22. family problems that months ago were not present. According
to, Alexandria the family problems began as soon as, at the
request of her father, she started functioning as the executor of
her father’s estate. She also reported that besides being
assigned the executor of her father’s estate his wish was that the
family divided everything equally to prevent any family
discord. To ensure aforementioned occurred she and her
siblings decided they would prohibit their spouse’s involvement
and input in their father’s estate.
Despite the agreement made she has been experiencing
interference from her brother in-law Bruce. She reports he is
not in agreement with the value and prices she has placed on her
father’s belongings. This is causing her to feel agitated,
annoyed, unappreciated, and insulted. It also has caused them
to argue and have conflict between them. According to
Alexandria these feelings stem from having invested a large
amount of time and effort placing value on her father’s
belongings. She also believes he is criticizing her ability to
handle being the executor of the estate even though she is an
accomplished certified public accountant (CPA).
Additionally, this has caused conflicts with Bruce’s wife
Elizabeth, who is her younger sister. She believes Elizabeth
should put a stop to his interference and criticism, and by not
doing so is choosing Bruce over the agreement they made. She
also believes Elizabeth’s behavior is inappropriate at times
because of her impulsivity, spontaneity, and growing up with no
boundaries or guidelines. Thus in effect causing her to be upset
and irritated with Elizabeth.
Mental Status:
Her eye contact was good. Her affect was appropriate to the
context and situation. She was oriented to person, time, and
place. Her motor activity was overly calm. Herattitude was
cooperative and focused; however, easily defensive. Her speech
was coherent and of normal rate, rhythm, and tone. She also
reported no past or current history of suicidal or homicidal
23. ideations or plan and intent. She did not experience visual or
auditory hallucinations. Insight and judgment appears within
normal range. Thought content was free of phobias, delusions,
and ideas of reference.
Social History:
Alexandria reported having a normal childhood with nothing
unusual occurring. Her parents had clear expectations and rules,
and they had high expectations for her. Despite their rules and
high expectations she had a good relationship with them. She
was well organized and a responsible child. She was also very
tidy, clean, and liked order. She also grew up with three sisters
with a three-year gap between them. Alexandria reported that
they were named after royalty, and her parents treated them as
such. She was closest to the oldest sister because they had
many things in common. This close relationship continues to
hold true as adults. Alexandria reported some of her proudest
achievements included becoming her high school valedictorian,
graduating magna cum laude for both her bachelors and masters
degrees, and getting her CPA on the first try.
Currently, she is married and has two sons ages five and
seven. Her husband is an automotive engineer and her children
attend elementary school. She has a CPA and currently works
as an accountant. She describes her life as very organized and
structured. For instance, they get up every day at the same
time, eat at the same time, clean their home every Monday, do
laundry only on Tuesdays, and she helps her children with
homework the same time every day. Financially they follow a
strict budget and always save 10% of their income for their
son’s college education and emergencies. According to
Alexandria, life is easier having structure and order. Even
though she reports the need of having structure and order she
denied engaging in rituals, procedures, or obsessive thoughts.
Alexandria also reported that she organizes for fun and
organizing relaxes her. For instance, when on family vacations
she finds herself organizing the kitchens in her vacation homes.
24. Additionally, at times when organizing it is hard for her to stop
intrusive thoughts; however, she is always able to complete the
task. She also stated she is a hard worker not a perfectionist;
however, her sisters tell her she is a perfectionist. For example,
when planning a family vacation she will spend a significant
amount of time organizing and structuring the trip to the point
of annoying her family. She also will not consider delegating
tasks because of the belief that no one can do as well as her.
She reported concerns about her children’s education because of
inappropriate societal influences. She believes society has
taken a nose dive for the worse and would like to control what
her children learn in regard to morality and values. In fact, this
belief has caused her to consider home schooling her children.
Strengths and Assets:
Alexandria is a hard worker, is self-disciplined, and motivated
to treatment evidenced by her self-referral. This motivation and
insight as well as her self-discipline and work ethic will prove
beneficial in the implementation of goals and interventions.
She is also assertive, which in client driven and collaborative
therapeutic modalities will be a strength.
Diagnosis:
Axis I: 309.0 Adjustment Disorder with Depressed Mood,
Acute
Axis II: 301.4 Obsessive-Compulsive Personality Disorder
Axis III: None
Axis IV: Problems with primary support group-discord with
brother-in-law/sister
Axis V: GAF 61 (present)
Diagnostic Rationale:
Alexandriameets the criteria Axis I 309.0 because substantial
criteria indicators are met. The indicators are as follows: She
developed the emotional symptoms (sadness, annoyance) in
response to the stress of pricing her father’s belongings within
three months of beginning this task. This annoyance and
25. sadness is in excess of what would be expected from exposure
to this new stress in her life (her brother-in-law interfering with
the estate). Additionally, this is causing her significant
problems interpersonally with her sister and brother in-law.
Last, with the information gathered, she did not meet the
criteria for any other mood disorder or bereavement disorder
because her symptoms are not related to mourning the loss of
her father.
She meets the criteria Axis II 301.4 because four or more of the
criteria indicators are met. They are as follows (1) is
preoccupied with details, rules, lists, order, organization, or
schedules to the extent the major point of the activity is lost, (2)
is over conscientious, scrupulous, and inflexible about matters
of morality, ethics, or values, (3) is reluctant to delegate task or
work with others unless they submit to exactly his or her way of
doing things, (4) adopts a miserly spending style toward self
and others; money is viewed as something to be hoarded for
future catastrophes, and (6) shows rigidity and stubbornness.
Treatment Plan:
Mode:
With adjustment disorder the goal of therapy would be to have
Alexandria return to the level of interpersonal functioning prior
to the conflicts associated with the estate. Also to change the
maladaptive thoughts or behaviors she is using to respond to her
current stressor. In terms of the obsessive-compulsive
personality disorder the target would be Alexandria’s need to
organize (behavior) to feel a sense of control (feelings). The
premise of Cognitive Behavioral Therapy (CBT) is the link
between a person’s thoughts, feelings, and behaviors, thus I
would recommend this approach for Alexandria.
Frequency and Duration:
CBT is recommended weekly. The sessions would be one-hour
long for 12 to 14 weeks.
26. Referrals:
1. Referral to psychiatrist for an evaluation to determine
appropriateness of medication for symptom management.
2. Referral to her primary care physician to rule out any medical
condition that could be causing the sadness, such as a thyroid
problem or diabetes.
Goals of Treatment:
Short-Term Goals:
1. Will reduce arguments with brother in-law Bruce and sister
Elizabeth from seven times a week to five times a week.
2. Will improve coping and problem-solving skills to reduce
stress when confronted with a new problem or challenge.
3. Will engage in one pleasant activity a week that does not
consist of organizing or scheduling.
4. Will decrease episodes of organizing and structuring from
seven days a week to five days a week.
Long-Term Goals:
1. Will restore positive interpersonal relationships with her
brother-in-law and sister to the previous (one year ago) level.
2. When faced with a new problem, change, or challenge will
display effective coping and problem-solving skills.
3. Will be able to engage in three pleasant activities a week that
does not consist of organizing or scheduling.
4. Will decrease episodes of organizing and structuring from
seven days a week to once a week.
Interventions:
To improve Alexandria’s relationship with her brother in-law
and sister interventions provided would be:
a) First increase her awareness of her behavioral responses in
27. the relationship, her role in the conflicts as well as their
interpretation of her behaviors.
b) Assist in identifying inappropriate responses by having her
journalize her interactions and feelings when interacting with
Bruce and Elizabeth.
c) Practice appropriate verbal and behavioral responses to a
variety of anticipated situations via the use of role-play.
To improve her coping and problem-solving skills interventions
provided would be:
a) Teach her to identify what she has control over and what she
does not.
b) Educate on effective problem-solving techniques.
To increase her pleasant activities the interventions provided
would be:
a) Help her identify activities she could participate in that do
not consist of organizing and scheduling.
b) Use a calendar to have Alexandria schedule in the day of the
week she will do the activity.
c) Teach her the link between pleasant activities and the
decrease in her stress as well as sadness.
To assist in helping decrease her episodes of organizing and
structuring interventions would include:
a) Use the cognitive triangle technique to teach how her
thoughts about orderliness and cleanliness are affecting her
behavior.
b) Implement the thought stopping technique to assist in the
reduction of the obsessive behavior and thoughts.
c) Implement the deep breathing technique so she can relax and
self-soothe while attempting to decrease the obsessive-
28. compulsive urges and behaviors.
Prognosis:
Alexandria’s prognosis is good because she not only has the
motivation for treatment but also has the cognitive ability to
understand the interventions that would be provided in session.
Ultimately, treatment outcome will not solely depend on the
recognition that a problem exist but also relinquishing some of
that control despite the emotional stress it will cause.
Person of the Therapist:
The therapist recommended neuro-linguistic programming
despite the fact the he was not competent in this technique
having attended only one seminar. As therapist we cannot treat
or use interventions beyond our scope of practice or
competencies. During this session the therapist exposed himself
in transference by saying he knew who Bruce was and even
mentioned his last name. The therapist told the client he work in
the same company and even shared personal information about
Bruce. Therefore, the client felt in her confront zone and asked
the therapist to speak to Bruce and tell him to maintain away
from her business. Even though the therapist stated he could not
do that because it was unethical this can still have some ethical
or legal concerns as it can cause a dual relationship or even risk
breaking confidentiality laws. In this situation I would have
asked the client if she had a problem with me as her therapist
because I knew her brother in-law. If she did have a problem I
would transfer the case to prevent a multiple or dual
relationship. If it was not a problem I would reinforce
confidentiality as well as setting clear boundaries.
Also, the therapist interrupted the client numerous times.
For instance, he consistently interrupted to make inferences of
what she was feeling, what she did or said. Even though
summarizing of feelings is an appropriate therapeutic technique
he did not reflect the clients feelings effectively.
I would also have liked the therapist to obtain more information
29. on the client’s sadness to assist in ruling out a mood disorder as
well exploration of indictors of associated with bereavement.
It also would have been helpful to explore impairments in an
area of life functioning other than socially/interpersonally. For
example, it was not clear if her extreme organizing is affecting
her at work, with her activities of daily living, or with her
physical health. It is assumed with the limited information we
obtained she is not. He also never asked about substance abuse,
legal history, mental health history, explored culture factors, or
assessed for trauma.
Reference
American Association for Marriage and Family Therapy
(AAMFT). (n.d.). Code of Ethics. Retrieved from
http://aamft.org
American Psychiatric Association (2000). Diagnostic and
Statistical Manual of Mental Disorders (4th ed; text rev.).
Washington, DC: Author.
