In this assignment, continue with the client case scenario from the Week 3 assignment. This assignment should be considered a second session with a client
In this assignment, continue with the client case scenario from the Week 3 assignment. This assignment should be considered a second session with a client after the intake was completed and assessments considered. You will be required to review the client intake again with a specific focus on the body and conclusion of a session with a client. This assignment requires attention to current symptoms to effectively complete a treatment plan with goals and application of theory specific to those chosen goals. Use the Symptoms, Goals, and Intervention form from the Counseling Center Treatment Planning media and submit it along with your written assignment. You may use the Treatment Plan, Theoretical Intervention, and Documentation Template (given in the resources) to structure your paper.
Client Demographic Data Name: Markus Age: 43 Gender: Male Social-Cultural Information (race, ethnicity, religion, sexual orientation, and so on) African American, heterosexual, Christian-Baptist Current Employment Manager in a tire company warehouse. Educational Background or Training High school graduate who worked his way to management; training by company Military Background N/A Familial Background Growing Up Who was in family of origin? Describe family environment in childhood or adolescence? Special circumstances or events in childhood or adolescence? Dad was in and out of the house but loved the kids. Mom did primarily all the discipline and they felt loved. Immediate Family Marital or partnership status
Intimate relationships (romantic and other) Relevant relationship history (partnerships, marriages, divorces, distance family, relatives, unresolved relationships) Children Two Do you have biological, adopted or step children? Biological Age and gender of children? Relationship with children? Current Living Situation and Environment Housing (house, apartment, rent or own; shared living space) Who is living in the household? Social Connections (friends, co-workers, acquaintances, family members) Financial Situation Other Circumstances Legal trouble (past or present)
Transportation Personal History Major life events (divorce, moves, transitions, other events) History of trauma Physical or Medical Information Relevant physical or medical history Had gallbladder surgery in his 30s and has asthma. Current physical and medical state In good shape and work out but seasonal allergies impact the asthma. Reports having lost weight and difficulty staying asleep over the last two years. Use of medications and dose of each Inhaler (rescue), and Allegra Physicians Allergy doctor (cannot remember name) Surgeries Gall bladder out in 30s Substance abuse or addiction history Alcohol consumption Illegal Drug Use None. Legal Marijuana Use
None. Emotional and Psychiatric History He has been depressed for a year now, since his wife said she wanted a divorce, but no formal diagnosis. Previous psychological issues (depression, anxiety, other disorders) Anxiety about work. Previous Counseling (inpatient, outpatient, or other) Mental Health Hospitalizations None. Family history of mental or psychological issues History of violence? Any suicidal ideations or attempts by client? If so, when and how many? Any suicidal ideation or attempts by family? None Any suicidal completions in the family? None Current symptoms Easily agitated with coworkers, kids, and friends. I feel depressed, anxious and unable to stop my thinking, I feel something is wrong with me to have my wife choose another man, I worry about the future, fear I will always be alone, difficulty concentrating and focusing, isolating, weight loss and disruptive sleep
Treatment Plan, Theoretical Intervention, and Documentation
Start writing your introduction here (1-2 paragraphs). An effective introduction prepares the reader by identifying the purpose of the paper and providing the organization of the paper. Please double-space your paper and remember to indent all paragraphsdo not use block format! Aim to keep your writing objective by using third person. Unless required for the specific assignment, please do not include a table of contents, as it is not APA style. Review the assignment guidelines on page requirements and number of sources required (if provided). Unless citing a classic work, aim to cite research articles and texts published within the past five years. Please use headings throughout your paper that are consistent with the assignment's scoring guide to ensure you are adequately addressing all required areas.
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Exploration of Theory
In this section, specify the theory or theories chosen to meet the specified goals you developed. Provide a rationale for the theoretical choices and explore interventions aligned with the theories and supported by scholarly literature (e.g., CBT with the use of cognitive restructuring).
Exploration of Ethical, Legal, and Cultural Considerations
In this section, specify ethical codes to consider during the treatment planning and theoretical application process. Next, explore specific laws that are applicable and important to consider. Finally, explore cultural considerations when working with clients for effective treatment planning, including goals and application of theory.
SOAP Note Documentation
In this section, outline the S, O, A, and P and explore each component for this assessment. You can do this in the following format:
S = Client indicated, "1, 2, 3, etc."
O = Client was . . .
A = An assessment was completed, etc. . . .
P = Client will . . . before next session held . . .
After completing the SOAP note, demonstrate the ability to apply the interventions specific to the theory chosen by using the Symptoms, Goals, and Intervention form and attaching it with this document. Respond to three client statements with counselor responses.
Exploration of Treatment Tasks
In this section, the counselor (i.e., you) will provide a self-reflection regarding the rationale for the specified goals and theory. In addition, explore how you made connections with the client statements and counselor responses.
Conclusion
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