please summarize this and write about biological focus on the case of john

In Study Section Case of Jane

) Please state what biological issue should be acknowledged when working with John. (2) Next, what else might be addressed when counseling him? Jane (she/her) comes in for her first appointment and begins to address her primary issue:

"I work at the City in the horticultural department, primarily a male population, with just a few of us women there. I am anxious in life and worried about what people think of me all the time. The guys at work often comment on what I wear or how I look, and often those comments are very degrading. I am not going to go to my superior as I don't want to look like a child. It reminds me of when I was a child growing up and my mother always straightened my sweater, gave me a "cold look" of disapproval, told me I looked like a hussy, or my dad would criticize my figure. I just want to please my family, boss, and colleagues. My anxiety is through the roof, I find myself not sleeping, eating more, and just lying around. I am so disappointed in myself."

How do we examine "biological factors" with the case of Jane?

To begin, counsellors must be open-minded and hear what the client is saying without judgment. Slay-Westbrook (2017) suggests that our ability to allow the client to express and not be judged or shut down is one of the first principles toward building a respectful therapeutic alliance. We want to avoid any possible judgment. For example, when the client states that she is concerned about what people think about her, a counsellor would not ask her why that is so important or express surprise that she would worry about something like that. Instead, we would remain open and allow her to express her thoughts and experiences in order to build the relationship. The client's primary issue may be self-esteem.

Example of Understanding Biological Factors.

The client also expresses that she is not sleeping well (circadian rhythm or perhaps adrenal gland), not eating well (research what happens to our neurons/transmitters/other hormones when we do not eat well), and has a loss of energy (thyroid or adrenal gland) (these would be biological factors (neurons, transmitters, glands, circadian rhythm to mention a few). They are pre-existing, they tend to facilitate or contribute to or maintain the primary issue in the client's life). Pinel and Barnes (2021) discuss the importance of neural activity and how the brain functions best when we take care of it. It is important to determine the disruption of sleep, eating, and energy levels. We could also listen to what happens to the client when she experiences little sleep, appetite, and has lower energy. Therefore, we could start by focusing on one area, such as sleep, and explore paths to better address this biological factor and its impact on the primary issue.

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