Conceptualization of Client
My client Kelsey has come back to counseling after twenty years. She briefly caught me up on her life since the last time I saw her. Kelsey and Jin ended up adopting twin girls who they love dearly. Kelsey decided to quit her job and become a full time stay at home mother, while Jin continued to work. She is coming to counseling because Jin decided he was leaving the family. She knows there is no possibility of working things out because he is dating his twenty six year old assistant. At the same time Jin left her, her twins were moving away for college. Kelsey is now going through a divorce and empty nest syndrome. Kelsey needs guidance in finding her new identity and learning how to live with out her happy family. She is in search for direction and meaning in her new life (Laureate Education, 2013e).
Kelsey’s Developmental Challenges
…show more content…
It is time Kelsey reevaluates herself and her life. Kelsey is faced with issues that must be successfully addressed, in order for her to continue developing positively in older adulthood. Her experiences are filled with challenges, victories, and defeats, which she will conquer through in counseling (Henning, 2011). Kelsey’s first developmental challenge that needs to take priority in counseling is her lack of identity. The roles Kelsey has been playing for years are gone, which is leaving her to feel vulnerable and unidentified. The second challenge that will take priority in counseling is working through her empty nest syndrome. When Kelsey’s children moved away to college, she was left feeling sad and once Jin left, the empty nest syndrome became more tragic. Being alone without her children and husband makes stability questionable (Chen, Yang, & Dale Aagard, 2012). Through counseling, Kelsey will form reachable goals and learn interventions that will give her a sense of identity and confidence for
Mr. Gillespie is a 21 year old male who presented to the ED after an intentional overdose on 20 600mg of Gabapentin. Per documentation from ED staff Mr. Gillespie reported he became angry at his grandmother tonight and tried to "prove a point." Mr. Gillespe reported to staff threatened to overdose on his on pills, however dumped them in the toilet. He expressed after making threats to overdose on his prescribed Celexa did not phase his grandmother, he proceeded to take her Gabapentin. Per documentation Mr. Gillespe has been living with grandmother for 2 weeks and before that was living with his mother in Cary. At the time of the assessment Mr. Gillespie was calm and cooperative. He denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. He appears guarded during the assessment. He reports tonight his grandmother and he got into an argument over him getting a job. He reports his grandmother informed him he has to be out by Friday. Mr. Gillespe denies history of self harm. He
Since I have last seen the patient, she tells me she has been to see [Mary Bluen at Orchard Park in Portsmouth.] She has been seeing her in counseling now for the last six to seven weeks and her next appointment is tomorrow. She says she has been struggling lately with her feelings. She established a relationship with a superior at work who is married and she herself is married. She says this is something that she is trying to work through to figure out why she is making these choices. Her plan is to ultimately end her marriage. She is not sure if she will continue to see this male at work again or not. She is just not sure what her choices are. She said on top of all of this, she just found out today that she has been given a 90 day noticed, so she is not sure if she will even be able to keep the same job and she is fairly certain that this is follow
The entire time Sandy was dealing with her self-esteem issues, she was also trying to decide who she wanted to be. She faced what Erik Erikson called identity vs role confusion. Identity versus role confusion is the psychosocial conflict in which adolescents must form a coherent self-definition or remain confused about their life directions (Sigelman & Rider, 2015). Sandy knew she was an innocent person with good morals and she didn’t get into trouble, but
Client appears to be very sad in regards of the gunshot incident, and the fact that her friends were involved in the incident. It appears to be that although this incident did not happen to the client directly, she is very distressed by it, and she feels a lot of pain and sadness to accept this event. Client appears to be hesitated to share her emotions with her best friends in regards of the incident. It seems like client has difficulties to accept that her friends use humor to cope with the gunshot incident. It appears that client is angry at her friends' parents based on her description although client further denied it. Client seems to want to control over things that she does not have control of such as when client mentioned that she does not want her friends to go back to work yet. Although client is feeling a lot of distress from the incident, it appears that client is aware of the importance of self-care. Client would likely benefit from increase social support, and self-care
S.S. is a 24-year-old adult female, recently divorced with two young girls. She is also a full-time student living with her mother in Fort Belvoir, Virginia. She explains she is focused on finishing nursing school, so she can provide for her family. Patient falls under Identity vs Role Confusion in Erikson Stages of Development as she has transitioned into young adulthood and has begun to carry more responsibilities. S.S. did not what to elaborate on her previous marriage but insist she doesn’t feel the need to isolate herself or dwell on the past as the love from her daughters drive her to do and be better.
Helen Stonewall is a married 32-year-old African American female. Helen was brought into see me because she had to be removed from the middle of the street by the police where she was dancing in the middle of the city street half naked at 2am without having any sense of danger. Just before that she removed from a bar where she was dancing on the table and ignoring the bartenders request to get down. Helen had consumed only two drinks before these acts were committed her medical evaluation concludes that there was no excessive use of drugs. She said, “that she was high on life”.
The overview explained the motivation from writing this book, provided a list of work to do. The introduction talks more deeply about the importance of being a Pathfinder parent to give the children the opportunity of growing making their decision and having a healthy self-esteem, including to understand the importance of letting them grow. This chapter also present us with a series of questions to help us identify how much work we had put in our families; have instructions for writing journals, system recovery, and more. This book contains 50 principles and a questioner at the end of this chapter to help guide parents and therapist to work with families (Messina, JJ.
conceptualize their clients. I think it is important for clients to be aware of the fact that
Much like Maeve’s trial and error phase, Erikson’s theory of identity versus role confusion explains psychological conflict of adolescence. This theory states that this conflict is resolved positively when adolescents achieve an identity after a period of exploration and inner soul searching. If a young person’s earlier conflicts were resolved negatively or if society limits their choices to ones that do not match their abilities and desires, they may appear shallow, directionless, and unprepared for the challenges of late adulthood. (p. 314). Maeve luckily didn’t make many choices that were resolved negatively. These social and emotional changes weren’t always easy for the rest of the family to deal with, but they were a part of her growth. With us there to provide nurturing support, she was able to develop her own healthy identity after her period of “soul searching.”
Maturing, developing relationships, and human development are simply a fact of life and affect everybody to a different degree. The topic of human development is broad due to the wide range of lifestyles and cultures. The favorite daughter of the Kennedy lineage, Kathleen “Kick” Kennedy experienced a rather unique upbringing considering both the era that she was born into as well as the elite social and affluent economic status that she was brought up in. Having lived during World War II, Kick had some uncommon experiences in her early to mid-life such as experiencing the loss of many people close to her as well as some commonalities like having a significant other consume a significant portion of her life.
The client is aware of her emotions and how they affect her relationship with her husband and children. Her awareness of her unstable mental health situation will be useful later when these emotions are addressed in counseling.
Case Conceptualization A young female named Jane was concerned about her worsening condition of anxiety due to the fact that it coincided with her depression and she felt she was in a vicious cycle. She made inquiries and read from one of the originators and creator’s books. The treatment which the author explained she felt would be relatable and the passage that persuaded Jane to look further in to this approach was ”Rogers theory of development posits that conditional love leads to a distorted experience, which fostes an incongruent self –concept. Incongruence makes one prone to recurrent anxiety, which triggers defensive behavior, which fuels more incongruence ”
Erikson’s stage of Identity vs. Role Confusion (13-19 years old), was a crucial time for my brother and I, as my parents decided to put us back in public school. I was thirteen-years old at the time, just entering the eighth grade as a “new kid” in a very small rural community. This was beyond some of my toughest
My goals for the session were to introduce myself to the client, understand the client’s concerns, learn her background and current situation for several areas relevant to her life and her concerns, such as medical, family, legal, educational, and vocational. I
Throughout this process of the developmental process, Janice has successfully progressed through each 6 of the 8 stages, trust versus mistrust, autonomy versus shame and doubt, initiative versus guilt, industry versus inferiority, identity versus role confusion, and intimacy versus isolation; there is no doubt yet that she won’t be able to successfully complete generativity versus stagnation and integrity versus despair.