If necessary, she will be offered help via rehabilitation centers to deal with the alcohol and drug issues. It is important to help her understand that the alcohol and drugs are merely symptomatic of the deeper-lying issues that are related to the abuse, and that they can only be addressed once the root problem is eradicated.
V. Case Process
Initially, the client was somewhat hostile and completely unwilling to talk. The counselor did not attempt to push her into saying anything. The counselor did not make any attempt to start an unrelated conversation, but asked the previously determined questions one at a time. At first, with no response from the client, long periods of time passed without any conversation. Gradually the client began to open up and share her thoughts. She revealed very deep-seated feelings of guilt and fear related to the abuse. In addition, her sense of shame that she did not reveal the abuse, and the guilt for wanting to kill her father instead of herself drove her to the suicide attempt. She also felt guilty with regard to her other siblings and family members, feeling that she let them down by not implicating her father, and on the other hand feeling guilty about her negative emotions relating to her father.
The counselor worked on the client's feelings of self-respect and -esteem via a number of exercises and questions. The client was also required to do home exercises such as journal writing in order to develop a stronger sense of self-worth through the honest evaluation of her feelings. The positive progress in this regard can be used as a springboard for later counseling regarding the drug and alcohol issues. Rehabilitation will probably be necessary due to the longstanding nature of the client's habits.
A positive prognosis is given, as the client is now more aware of the reason for her feelings...
Adolescent Depression: Overview and Annotated Bibliography Few periods in one's life are filled with more change or tumult than the stage known as adolescence. Defined by dramatic physical, hormonal, social and intellectual transition, adolescence is distinguished by the maturation of puberty. And perhaps more than at any other point in one's life, this maturation leads to a significant transformative period which finds the individual at a midway point between childhood and
Adolescent Substance Use Screening Instruments: 10-Year Critical Review of the Research Literature Over ten million teenagers in the United States admit in a national survey that they drink alcohol, although it is illegal under the age of 21 in all states. In some studies, nearly one-quarter of school-age children both smoked cigarettes and drank alcohol. Over four thousand adolescents every day try marijuana for the first time. The dangers of use,
His article does an excellent job of discussing in comprehensible terms the recent research which has addressed the current state of knowledge about the relationship between substance abuse amongst teens and mood disorders and provides a breakdown of possible treatment options. Flaherty, L., & Flaherty, M. (2005). Adolescent psychiatry: The annals of the American society for adolescent psychiatry (Vol. 29). Hillsdale, New Jersey: Analytic Press. This resource is from a special
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Accountability: Accountability is an extremely important issue with regard to ethics, as guidelines demonstrate a volume of information that is assumed to be known and practiced by school psychologists, the individual is therefore accountable for the appropriate application of them, as well as any other laws or rules that govern their direct contact arenas, as well as other areas of the broad practice. (Medway & Cafferty, 1992, p. 333) In the NASP
(1999) which are: 1) Those with serious mental illnesses such as schizophrenia, bi-polar disorder with major depression and who use alcohol and drugs to self-mediate to cope with the symptoms; and 2) Those with borderline personality and anti-social personality disorders including anxiety disorder that is complicated by use of alcohol and illicit drugs. (Mather et al. 1999) Presenting further difficulty is the establishment of problems with alcohol and illicit drug use
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