SOCW 90week 6 Discussion Learning Resources to be used as references to support your answer. Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. · “Anxiety Disorders” (pp. 189–223) · “Obsessive-Compulsive and Related Disorders” (pp. 235–264) Working With Clients With Severe Persistent Mental Illness: The Case of Emily (PDF) Working With Clients With Severe Persistent Mental Illness: The Case of Emily Emily is a 62-year-old, single, heterosexual, African American female who seeks treatment for anxiety. She says she often hears a female voice directing her to punish herself by tweezing the hair from her head or by scrubbing her home clean. She reported that tweezing her hair eases her anxiety. She has arthritis in her spine and knee and uses a walker to help her manage mobility safely. She receives Social Security income and is not employed. Emily lives alone in a subsidized apartment in the same building as her 72-year-old, unmarried sister. She is reliant upon her sister for transportation and for a sense of social and emotional connection. Emily and her sister shared an apartment for over 30 years, beginning when each of their marriages dissolved. When her sister began a romantic relationship 5 years ago, Emily reported that she began to feel very anxious and started to cry often. Emily moved into an apartment down the hall in the building and began to tweeze the hair from her head, hiding her hair loss by wearing wigs. Her sister learned of Emily’s tweezing after her wig slipped off one evening, and she encouraged Emily to seek treatment. During our initial visit at a local mental health center, Emily shared that when she was 2 years old her mother died from tuberculosis, and the following year her father, an army officer, died from colon cancer. After his death, Emily lived with her paternal aunt from whom she felt no love. Her older brother and sister were placed in an orphanage, and Emily was permitted to see them on Sundays. When it became apparent that the children were entitled to death benefits, Emily’s aunt agreed to take custody of all three siblings. The household then consisted of Emily’s paternal aunt, her husband (who Emily described as an alcoholic), their three children, and Emily and her two older siblings. Working With Clients With Severe Persistent Mental Illness: The Case of Emily / Page 2 of 3 © 2016 Laureate Education, Inc. Emily was briefly married in her early 20s but was disappointed and hurt by her husband’s infidelity. She moved in with her sister and enrolled in a cosmetology school, but had to stop working for health reasons when she was 58 years old. Emily and I met for 50 minutes each week for counseling. She identified two goal.

1. SOCW 90week 6 Discussion
Learning Resources to be used as references to support your
answer.
Note: To access this week’s required library resources, please
click on the link to the Course Readings List, found in
the Course Materials section of your Syllabus.
Required Readings
American Psychiatric Association. (2013). Diagnostic and
statistical manual of mental disorders (5th ed.). Arlington, VA:
American Psychiatric Publishing.
· “Anxiety Disorders” (pp. 189–223)
· “Obsessive-Compulsive and Related Disorders” (pp. 235–264)
Working With Clients With Severe Persistent Mental Illness:
The Case of Emily (PDF) Working With Clients With Severe
Persistent Mental Illness: The Case of Emily Emily is a 62-
year-old, single, heterosexual, African American female who
seeks treatment for anxiety. She says she often hears a female
voice directing her to punish herself by tweezing the hair from
her head or by scrubbing her home clean. She reported that
tweezing her hair eases her anxiety. She has arthritis in her
spine and knee and uses a walker to help her manage mobility
safely. She receives Social Security income and is not
employed. Emily lives alone in a subsidized apartment in the
same building as her 72-year-old, unmarried sister. She is
reliant upon her sister for transportation and for a sense of
social and emotional connection. Emily and her sister shared an
apartment for over 30 years, beginning when each of their
marriages dissolved. When her sister began a romantic
relationship 5 years ago, Emily reported that she began to feel
very anxious and started to cry often. Emily moved into an
apartment down the hall in the building and began to tweeze the
hair from her head, hiding her hair loss by wearing wigs. Her
sister learned of Emily’s tweezing after her wig slipped off one

2. evening, and she encouraged Emily to seek treatment. During
our initial visit at a local mental health center, Emily shared
that when she was 2 years old her mother died from
tuberculosis, and the following year her father, an army officer,
died from colon cancer. After his death, Emily lived with her
paternal aunt from whom she felt no love. Her older brother and
sister were placed in an orphanage, and Emily was permitted to
see them on Sundays. When it became apparent that the children
were entitled to death benefits, Emily’s aunt agreed to take
custody of all three siblings. The household then consisted of
Emily’s paternal aunt, her husband (who Emily described as an
alcoholic), their three children, and Emily and her two older
siblings. Working With Clients With Severe Persistent Mental
Illness: The Case of Emily / Page 2 of 3 © 2016 Laureate
Education, Inc. Emily was briefly married in her early 20s but
was disappointed and hurt by her husband’s infidelity. She
moved in with her sister and enrolled in a cosmetology school,
but had to stop working for health reasons when she was 58
years old. Emily and I met for 50 minutes each week for
counseling. She identified two goals of treatment: to integrate
the female voice and to disengage from trichotillomania (the
compulsive urge to pull out one’s own hair). Emily was
collaborative during our sessions, conveying warmth and
enthusiasm when she arrived to her appointments. During the
sessions, I provided room for Emily to express her feelings so
that she might develop healthy coping strategies for anxiety and
find acceptance of past events and memories. Reflection
Questions The social worker in this case answered these
additional questions as follows. 1. What specific intervention
strategies (skills, knowledge, etc.) did you use to address this
client situation? I used two specific strategies with Emily. First,
I used a Hearing Voices Recovery Movement strategy to help
Emily identify the voice giving her commands and find out what
its needs were. I used cognitive behavioral therapy interventions
to help Emily learn to “boss it back” when she felt compelled to
pull out her hair. 2. Which theory or theories did you use to

3. guide your practice? I used behavioral theories to help guide my
understanding of how to help Emily. 3. What were the identified
strengths of the client(s)? Emily was motivated for treatment. 4.
What were the identified challenges faced by the client(s)?
Emily has a very limited support system, making it is easy for
her to isolate and for her selfharm to go unnoticed. 5. What
were the agreed-upon goals to be met to address the concern?
Working With Clients With Severe Persistent Mental Illness:
The Case of Emily / Page 3 of 3 © 2016 Laureate Education,
Inc. Emily wanted to feel less frightened of the voice she heard
and less driven to comply with its demands of her. 6. Did you
have to address any issues around cultural competence? Did you
have to learn about this population/group prior to beginning
your work with this client system? If so, what type of research
did you do to prepare? In reading scholarly articles about
trichotillomania I learned more about the importance of having
“good hair” among some African American women. I used this
information to open discussions with Emily about how she felt
about her hair and what caring for her hair and removing her
hair means to her. 7. How can evidence-based practice be
integrated into this situation? Using Emily’s treatment plan,
Emily and I were able to identify which interventions worked to
reduce the amount of time Emily thought of pulling her hair and
how often she actually removed hair. Adapted from: Working
with clients with severe persistent mental illness. (2014). In
Plummer, S.-B., Makris, S., & Brocksen S. M. (Eds.). Social
work case studies: Concentration year (pp. 25–26, 106–107).
Baltimore, MD: Laureate Publishing. [Vital Source e-reader]
Olatunji, B. O., Cisler, J. M., & Tolin, D. F. (2007). Quality of
life in the anxiety disorders: A meta-analytic review. Clinical
Psychology Review, 27(5), 572–581.
Note: You will access this article from the Walden Library
databases.
Work #1 Answer in APA format with 1 citations per paragraph

4. treat each answer as a separate work or file and each work or
file need separate references. At least 350 word each answer if
you can. Support your posts with specific references to the
Learning Resources given in this work. Be sure to provide full
APA citations for your references. Treat each work, file or
answer as a separate work and each work or answer needs
separate references.Be sure to support your postings and
responses with specific references to the resources and the
current literature given in the work using appropriate APA
format and style
Ivery
Client Initial Session Example (title of work #1)
Collapse
Top of Form
Total views: 12 (Your views: 1)
Good evening!
A link to an example of a client session is below. Take a few
minutes and observe how the clinician facilitates the initial
meeting with a client who presents symptoms of social anxiety.
1. What are your thoughts on the session?
2. What do you think was done well?
3. What would you do differently?
Client Video:
https://www.youtube.com/watch?v=XH2tF8oB3cw
Thanks!
Be sure to support your postings and responses with specific
references to the resources and the current literature given in
the work using appropriate APA format and style
Dr. Ivery

5. Work #2 Answer in APA format with 1 citations per paragraph
treat each answer as a separate work or file and each work or
file need separate references. At least 350 word each answer if
you can. Support your posts with specific references to the
Learning Resources given in this work. Be sure to provide full
APA citations for your references. Treat each work, file or
answer as a separate work and each work or answer needs
separate references.Be sure to support your postings and
responses with specific references to the resources and the
current literature given in the work using appropriate APA
format and style
Ivery
New Knowledge?
Collapse
Top of Form
Total views: 10 (Your views: 1)
Hi Everyone:
1. What have you learned this week about anxiety and
compulsive disorders that you did not know prior to the
discussion?
2. How do you think this knowledge may be useful in your
practice?
Thanks!
Bottom of Form
Bottom of Form
bb4cf480-962a-46
false
e46bc658-e1cd-4

6. false
PUBLISHED