• Referring to the theoretical approaches identified in the Module Three journal activity (Cognitive Behavioral Therapy and Person-Centered Therapy), describe the methods (interventions, procedures, and techniques) that you believe would be most effective with this client. Include in parentheses the theory or theories behind them. Note that you can combine methods from different theories. You should know the theoretical source of each method.
• Provide a justification for why these methods are the best for this client. What makes them better than the ones excluded?

Case Study: Katie N. HSE 352 Final Project Case Study (This case study supports Final Project I, the counseling approach paper.) Katie N. arrives to her first appointment with you and explains that she was charged with DWI and completed the program; she is now required to attend intensive outpatient counseling and services with your agency. Katie is a 32-year-old mother of two children. Her husband is a 34-year-old businessman. Presenting Problem(s): During the first session, Katie explains why she is at your office. "I got a DWI- but it wasn't my fault. That cop was there waiting for me! I had three drinks, just three. I needed to relax; I know I'm supposed to eat something, but I was so busy talking to my girlfriends. It had been so long since we got together. The kids and all, school, soccer practice..." Substance Use History and Present Use: When asked about her substance use history, Katie states that when she was about fifteen, she was at her friend's house and they tried some alcohol in the cabinet in the dining room. "That first drink was like, 'wow!" It made me feel so happy, and I haven't felt happy in a long time." After finding her mother's alcohol at her own house, she began sneaking drinks. She states that when she was in high school, she was the life of the party. One of her friend's mothers caught her drinking, but the friend's mother and father both said that it was "just a phase" and never told Katie's parents or any other student's parents. "I didn't have a problem; I was just doing what every teenager lea does." She states that she tried marijuana but felt paranoid when using it, so she stopped after only a few times. After high school, she was introduced to cocaine at a party. She also admits that she was drinking heavily during that time period, becoming so drunk that she wouldn't remember what she did. She said, "I'm much more fun when I'm high," and "It helps me forget how anxious I am and everything." She says she had a boyfriend that got her into ecstasy for a while, but she stopped that after a few months, sticking to cocaine and alcohol. "Do you know how much you get done when you are high?" At this time, she continues to drink alcohol. Katie states she stopped snorting cocaine when she had children, realizing it was just too expensive. "I did go to Cocaine Anonymous for a while, but didn't need it. Who wants that God stuff shoved down their throat?" She adds: "But I love my wine-it relaxes me and makes me fun, and I'm not going to give that up." Family History and Current Functioning: When you ask about family history, Katie tells you her story, beginning with an incident in her family when she was nine. She states that she is one of three children. She had two sisters, Sarah and Amanda, but one is deceased: Sarah died in a crosswalk accident when Katie was nine. Katie and Sarah had been walking to a friend's house and they started to cross the street, but Katie was distracted by a stray cat that kept her on the sidewalk as she tried to pick it up and take it home. Sarah went ahead, and while she did look both ways, a driver wasn't looking and went through the crosswalk as she crossed the street. Katie saw the whole event and wouldn't talk about it to anyone despite the fact that her parents tried to get her into counseling. Katie thought her sister's death was her fault because if she hadn't been dealing with the cat, she might have been able to prevent her sister from being hit. She refused to talk about it. Katie's sister Amanda changed after that event and became angry, often running away from home and talking back to her parents. Further, the family noticed that Amanda wasn't eating, and she was later diagnosed with an eating disorder. Katie describes her childhood as filled with a darkness after her sister's death. She noticed her mother started drinking heavily and her father hardly talked. Her father would often take care of her mother after her drinking bouts by calling in sick for her at work, or taking her to bed when she passed out on the couch. Her sister Amanda continued to struggle with an eating disorder. Katie also tells you about her immediate family. She explains that she met her husband, Joe, at a local bar, and that they were married after one year of dating. They had their first daughter, Sarah, who is now ten years old, and then a few years later they had their other daughter, Jennifer. She states that she and Joe fight often about money and her drinking: "He just doesn't understand how stressful everything is, between working and the kids." She says that she relies on her daughter Sarah to help her both emotionally and physically (with the household and with Jennifer). "I don't know what I'd do without her. I can talk to her about anything." She states that her sister, Amanda, is doing much better now that she finished treatment and is in recovery. She visits regularly, sometimes babysitting the children. Her parents, on the other hand, eventually got a divorce. Education/Career: In terms of her academic and career opportunities, Katie stated that during her high school years, she took an art class and realized how much she loved illustration. However, her father stated she would make no money as an artist and she should be a doctor instead. She never checked out schools or submitted any applications. She admits, however, that she wanted to stay home and take care of her sister Amanda, who had some trouble with the law (shoplifting) and truancy in addition to her struggle with an eating disorder. Her parents were having trouble managing Amanda, and Katie just wanted to help in any way possible. When Amanda was admitted to a residential program for eating disorders, Katie finally moved out and into her own apartment. She worked as a grocery clerk and was promoted up the ladder to manager of the evening shift at the local grocery store. Legal History and Functioning: In terms of her legal status, Katie states she only has the DWI, which she still believes is "a crock of s***." As she states, "Those cops are always waiting to nab someone. Gotta earn the fees for their new police cars." Psychological History and Functioning: In terms of her mental health, Katie stated she sometimes has trouble sleeping, so she is "ugly" in the morning (i.e., cranky). She often thinks that she has no purpose and sometimes dreams of earning her undergraduate degree. She says she feels down "a lot" and wishes she could go back to using cocaine "to feel better and get more things done." She says, "I think I might be depressed." She also admits to thinking she is a loser when she looks at her friends from high school who are working in better jobs. "I wish I stuck with my illustration. And my dad is still upset I never became a doctor. He said I had what it took to be a doctor."