Psychotherapay

Please help me edit and finalized this paper. I attached the instructions, also created an outline of the points I want to make. Please help me create the sentence as an assay. It is about 70% complete. Please follow the evaluation criteria. I already did the references.

FINAL ASSIGNMENT

 

DUE DATE: THURSDAY, DECEMBER 10th

 

Select one of the following options:

Length 9-11 pages for either option

Number of References: At least 6 in APA style for either option

Option 1:

 

Choose a client (individual or family) that you are presently working with or worked with during your first year:

 

1. Provide a 1 to 2-page case description of your client(s), including relevant information about gender, sexuality, ethnicity and other social and environmental factors. Include the presenting problem, a description of your agency, and how the agency context influences your current work with your client.

 

1. Select two of the following theories/models:

 

• Cognitive behavioral theory
• Solution focused therapy
• Any other theories reviewed in class that might be helpful for this client situation (Critical race theory, Queer and transgender theory, Anti-oppressive theory and practice, etc.)

 

1. For each theory or model, discuss:
   1. your understanding of your clients’ issues  
   2. the goals of your intervention 

 

For example, what would be your understanding of the issues and goals if you were using (1) CBT or (2) object relation theories/models?

 

1. Present the intervention strategies that you would use with your client for each model.  Describe at least two intervention strategies per model.

 

1. Critically assess the strengths and weaknesses of the two approaches for your case and discuss the approach that you would use with your client(s).  Justify your choice.

 

 

Length:  9-11 pages

 

Evaluation Criteria   (also, please see guidelines for written assignments in course syllabus)

Assignments are evaluated according to the following criteria:

 

1. Conceptual analyses, which includes:

 

• organization of the paper
• coherent presentation of issues/cases
• solid understanding of the theories, models, and interventions
• critical assessment of the theories, models, and interventions
• thoughtful integration of literature
• professional and personal reflections

 

2. Presentation style, which includes:

 

• correct spelling and use of grammar
• adherence to APA style references

 

Provide a 1 to 2-page case description of your client(s), including relevant information about gender, sexuality, ethnicity and other social and environmental factors. Include the presenting problem, a description of your agency, and how the agency context influences your current work with your client.

For each theory or model, discuss: your understanding of your clients’ issues

the goals of your intervention  For example, what would be your understanding of the issues and goals if you were using (1) CBT or (2) Solution Focus oriented?

Present the intervention strategies that you would use with your client for each model.  Describe at least two intervention strategies per model. Critically assess the strengths and weaknesses of the two approaches for your case and discuss the approach that you would use with your client(s).  Justify your choice.

 

 

 

 

 

 

Rosa (name has been changed for confidentiality reasons) is a 37-year-old Hispanic, Spanish speaking undocumented immigrant, who identifies as a female. She is the mother of two children, a six-year-old and a nine-year-old, both boys.  She was widowed while she was pregnant with her six-year-old and when her nine-year-old was two. Her husband was found dead.  Rosa is currently 8 months pregnant. The father is absent and denies responsibility.

She was referred to mental health services by Administration of Children Service (ACS) to discuss domestic violence. A 911 call was made because of a domestic incident involving the patient and that took place in front of the children. The ACS case was opened as a result of that incident.

Presenting symptoms are depressed mood, anxiety and despair.  She has stress due to numerous appointments at the different agencies needed to comply with agency requirements. Patient reported feelings of despair and was referred to a primary care physician offered by Morris Heights Health Center (MHHC). Patient does not have insurance so services will be at no cost to her.

 

Write a brief bio-psycho-social-cultural-spiritual assessment including facts pertinent to the client’s current situation.

1. Family History:
   1. Her parents are both died when she was 17 years old.
   2. Patient has an older brother and sister, Sister offers some support
   3. Family health history: No mental health diagnosis, alcohol abuse and no drug abuse
2. Patient History:
   1. Suicidal ideation when husband died six years ago- no mental health treatment
   2. Life event trauma and domestic violence
      1. Physically abused & Emotionally abused by ex-partner two years ago
      2. Physical fights in front of children ACS intervened

3. Mental status evaluation
4. Appearance, behavior, mood, affect, orientation, attention, memory, thought content are within normal range.
5. Evidence base tools used for assessment: The Columbia-Suicide Severity Rating Scale (C-SSRS) denies suicidal ideation, intent, method or plan.
6. I also administered the Cross Cut Level 2 for depression – result mild
   1. Diagnostic and Statistical Manual of Mental Disorders (DSM–5) – Cross-cutting symptom measures may aid in a comprehensive mental status assessment by drawing attention to symptoms that are important across diagnoses.
   2. CAGE Substance abuse screening is negative
   3. Life Events Checklist (LEC 5) post-traumatic stress – low on the spectrum.
   4. Patient denies any psychotic symptoms
   5. Other psychosocial contextual factors:
   6. Financial difficulties
   7. Living conditions

iii. Undocumented statue

What are the clients coping mechanisms and strengths?

1. Her family values of a “gurrera women,” high level of resilience, and The pride of being a mother.
2. Her coping mechanism:
   1. The hope for her children who one day will take care of her financially
   2. Sees herself as a strong woman
   3. She arrives on time and complies with her appointments.
   4. She takes written notes in session

What is the understanding of what the you client and I are working together?

1. The stress generated by the complexity of the legal process: planning her appointment  and  documents organized
2. Communication with her children
3. Self-care.

How does this match with the client’s expectations?

1. She was very enthusiastic and took notes during our meetings, she sees me as part of her team
2. She’s learning self-advocacy
3. Coping skills to reduce symptoms of depression and anxiety

How does the service reflect the agency mission and goals?

1. MHHC Mission – Morris Heights Health Center shall be the vanguard for quality, affordable and accessible health care for all.
2. Providing a bilingual therapist
3. Supplying material and assessments in Spanish
4. Patient has access to a culturally relevant staff
5. Medical care and psychiatry in her language
6. Free care because she does not have insurance
7. Free school supplies for kids

 

Reflect upon the time frame you are working in and discuss the ways it influences the relationship with the client and services provided.   What are the benefits and drawbacks of this time frame?  Solution Focused therapy and CBT

1. The framework is short-term (5 months) because my internship will be completed in August
2. Crisis intervention – Crisis interventions to intervene at a micro, mezzo and macro level. (Hepworth, Rooney, Storm-Gottfried, 9th, 2013, 399).
   1. Feelings of endangered, disconfort, disorganized anxiety
   2. The specific goal is support with the children, delivery and postpartum
   3. She is frozen, thinking distorted and before she got deep depression on her last crisis, her Negative Automatic Thought (NAT) is that  ACS is going to take her kids away
3. Cognitive Behavior Theory (CBT), when we become emotionally distressed our normal information-processing abilities tend to become faulty because we introduce a consistently negative bias into our thinking, thereby maintaining our problems Neenan & Dyden,  2011, ).
   1. Reflective questions and  Open-ended questions
   2. reality checking What is the worst that can happen?
   3. Suggest – could it be that ….. ?  could it be that you feeling afraid? Yes, that is it.  The one that resonates
   4. Suggest the opposite – make them disagree with us so that we can see what is really their ANT.
   5. Out of all the feeling to pay attention to the one is more prominent to them
   6. Homework assignment – practice with you –
   7. Exploring double standards –  her sister
   8. Do homework in treatment-  list of things to prepare  before and after delivery
   9. Roleplay – communication with kids

 

 

1. Cultural Countertransference- Clinicians from background similar to their clients must also be mindful of cultural countertransference because their assessment could be biased by subjectivity (Lesser & Pope, 2017, p.376).
2. Transference is when clients associate the social worker with someone in their life and start treating the social worker like that person, negative or positive.  Countertransference is the same thing for social worker who associates the client with someone else.  Similarities – gender, culture, values and belief system, mother, same generation (Ward & Mama, 3rd, p.179).
3. We share similar demographic: Gender, race, ethisity, sexual orientation, and values.
4. Supervisor pointed out- thesis of her domestic violence case consistent with my cultural competency
5. I am addressing feelings frustration  dues to client consistent lies

 

 

 

 

 

 

 

 

References

American Psychological Association (2010). Publication Manual of the American Psychological

Association (6^th ed.). Washington, DC: Author. http://www.apastyle.org

 

American Psychiatric Association (2017) Diagnostic and statistical manual of mental disorders, (5th ed.) DSM-5

 

Advanced Solutions International, Inc. “American Association for Marriage and Family Therapy.”

American Association for Marriage and Family Therapy, www.aamft.org

 

Berzoff, J., Melano Flanagan, L., & Hertz, P. (2016). Inside out and outside in: Psychodynamic clinical theory and psychopathology in contemporary multicultural contexts (4th ed.) .

 

Hepworth, D.H., Rooney, R. & Larsen, J.A. (2017). Chap. 13. Planning and Implementing Change- Oriented Strategies. In Direct social work practice: Theory and skills (10^th ed.).

 

Lesser, J.G., & Pope, D.S. (2011). Human behavior and the social environment theory & practice. (2^nd ed.). Boston, MA: Allyn and Bacon.

 

Lukas, S. (1993). Where to start and what to ask: An assessment handbook. New York, NY: W.W.

Miller,W.R & Rollnick, S. (2012). Motivational Interviewing: Preparing people for change (3rd

ed.).NY:  Guilford Press.

 

Silver School of Social Work MSW Student Manual

http://socialwork.nyu.edu/content/dam/sssw/academics/msw/pdf/msw.student.manual.pdf

 

Ward, K. & Mama, R.S. (2016). Breaking out of the box: Adventure-based field instruction (3rd

ed.). New York, NY: Oxford University Press.