Client Name: Tommy

Client age: 8

Gender: M

Presenting Problem

Client has been increasingly disruptive the past few months. He has verbal outbursts and pushes classroom materials onto the floor after being given an academic task during quiet work time. His verbal outbursts include yelling that he is not doing the assignment, telling a student to shut up, using profanity, and calling student's names. His teachers do feel that they spend about an hour per day dealing with the behavior, and they usually respond to client's behavior by scolding him or by initiating an office referral.

General Background

Client is an 8-year-old bi-racial boy who enjoys baseball, swimming, and baking. He does not like art activities or large crowds. Tommy has a good sense of humor, but he can be irritable. He is fearful around new people and may become quiet and more reserved in those situations. His parents and teachers talk him through exposure to new people. Client is highly verbal and speaks in sentences. Client is above grade level in reading. He enjoys reading, and his favorite book is the Percy Jackson Lightning Thief. According to client, he dislikes writing. Most of his writing is simple sentences with a great deal of grammatical errors and little detail. He also struggles with math, in which he is approximately 2 grade levels below. He has recently learned how to pitch left-handed. Client has a new baby brother who is 5 months old.

School Classroom Environment

Client attends a regular K-5 public elementary school; however, client is new to the school. Client is in the 3rd grade. There are 19 students in his class. Client has two segments in a resource special education (SPED) class with five other students. Client also has one co-teaching segment for math. His teacher is very organized and structured; she is loving and understanding about the client's needs.

Previous Interventions

Tommy has attended this school for two months now. Initially, he seemed to acclimate to the new school well. However, things have gotten more difficult for him lately. Client's teacher set up some rewards for him to earn if he does not engage in the disruptive behavior. His behavior has not improved, and it has been difficult for his team to identify "why" he is engaging in the behavior.

Major Stressors

New school

Academics

New sibling

Describe the process of treatment using Narrative therapy theory. This should include a description of the length of treatment, the role of the counselor, and the experience of the client as they work from beginning to termination of therapy. Cite sources