SOCIOLOGY
Sociology: Social Work Clinical Practice
Part 1
Answer to Prompt 1
Since the client is a young adult aging out of foster care, he is unaware of how they would respond to him when they would get to know he belongs to a foster home. Also, he is worried about employment opportunities in the outer world since he has learned that there are not many bright chances for young adults like him in the practical world. His negative feelings about the outside world and worries about his employment are the problems that he faces currently.
The clients problem could potentially guide my intervention since changing attitudes towards the outside world and eliminating employment worry would be a short-term therapy. The clients problem would be determined by formulating goals and setting the timeline, which is already detected in this case. The cataloging of tasks and planning them in order reflects the clients actual problem identification for an accurately targeted CBT intervention.
Social workers or clinicians need to be familiar with CBT since they must ascertain the clients risky thoughts or mannerisms that would lead the clinician to conceive a preventive program without delay. CBT is a treatment that is developed with the choice and willingness of the client so that a decrease in his high-risk or urgent attitudes should be concentrated on immediately. To prevent future or long-term psychological problems, clinicians should be familiar with CBT interventions for eradicating hazardous problems. Social work encapsulates empowerment desperately needed for those who might need CBT treatment. The clients might not seek help on their own, and to detect their correct problems, there should be someone qualified to make the clients independent and free of their issues. The theoretical knowledge that the social workers should possess regarding CBT would be translated into practical implications for supporting their clients to achieve the targeted change. The abstract theories and concepts that social workers should discern must be used to alleviate personal or social distress for creating an amplified betterment for the society since a clients friends and family members would also be satisfied when the client is properly treated with CBT, which is only possible through clinicians familiarization and conceptualization of CBT.
Answer to Prompt 2
The client discussed above is suitable for CBT intervention like cognitive restructuring since he seems to be overgeneralizing the outer worlds perceptions towards him. He needs to learn not every person experiences the same situation each time. He might be placing far too much importance on minute details that direct him to stress himself excessively. He needs to discern that negative thoughts about the outer world and his self-perceived fears of facing the world should be changed, for which CBT intervention is required.
The client is a good candidate for CBT as he needs to be exposed to the outside world for the first time after coming out of the foster home. He needs to face his fears of not getting a satisfactory job, possibly being a foster child. Exposure therapy would be helpful CBT intervention for this young adult as he should confront his fears. The counselor would slowly expose him to similar fears before coping with them. The client should be able to digest things slowly, one step at a time, with small increments in CBT intervention so that strengthening of his coping abilities could be certified. He needs to understand that failure would be inevitable initially, and he also might not be able to get a fine job on his first try. However, it should not de-motivate him, and he should not continue to overgeneralize negative thoughts. This is the situation that asks for...
…Anxiety Scale (LSAS) and Brief Social Phobia Scale (BSPS), and self-reported scales encompassing mini-spin, social avoidance, and distress scale, and fear questionnaire social phobia subscale, etc. The reason these assessments were selected is that they are considered valuable by the research for checking the social phobias of the client and the specific indicators that trigger his symptoms. If the counselor is an expert himself, he would be able to better analyze the clients condition deeply with these assessments and his cultural background, sexual orientation factors that activate his anxiety, etc. The frequency of these assessments is believed best before and after the CBT intervention. Once his condition before intervention is marked, any improvement signs could be noticed post-intervention.HBSE theories would help inform my ongoing assessment since the micro and macro-level indicators would be best diagnosed with the selected assessment tools. Particular behaviors that show the presence of troubling behavior of the client would be studied under the theories for examining whether close networks like friends and family could be used as emotional support in the CBT intervention. Also, the political and economic factors cannot be controlled as they are external, the assessment tools would assist in proclaiming that his cultural background under the HBSE theory and his future economic condition would shape his social phobic behavior in terms of this phobias eradication or exaggeration once he steps out of the foster home.
The client has a positive potential for recovery since he exhibited enthusiasm for going out of the foster home and exploring himself. He had issues with his racial background and suffered from minor social phobic disorder symptoms. Still, he wants to learn new things. It indicates that he would become better once psycho-education techniques are disseminated to him with CBT intervention, for which accurate assessment with the tools mentioned earlier…
References
Hartney, E. (2021, November 13). 10 cognitive distortions identified in CBT. Very Well Mind. https://www.verywellmind.com/ten-cognitive-distortions-identified-in-cbt-22412
Letamendi, A. M., Chavira, D. A., & Stein, M. B. (2009). Issues in the assessment of social phobia: a review. The Israel Journal of Psychiatry and Related Sciences, 46(1), 13–24.
Nash, J. (2021, December 3). How to perform psycho-education interventions: 14 topics. Positive Psychology. https://positivepsychology.com/psychoeducation/
National Institute of Mental Health. (n.a.). Social anxiety disorder: More than just shyness. https://www.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness#:~:text=Social%20anxiety%20disorder%20(also%20called,to%20make%20and%20keep%20friends.
Pietrangelo, A. (2019, December 12). 9 CBT techniques for better mental health. Health Line. https://www.healthline.com/health/cbt-techniques
Psychology Tools. (n.a.). Safety behaviors: Information handout. https://www.psychologytools.com/resource/safety-behaviors/
Psychology Tools. (n.a.). Unhelpful thinking styles: Information handout. https://www.psychologytools.com/resource/unhelpful-thinking-styles/
Ranjbar, N., Erb, M., Mohammad, O. & Moreno, F.A. (2020). Trauma-informed care and cultural humility in the mental care of people from minoritized communities. Focus: The Journal of Lifelong Learning in Psychiatry, 18(1), 8-15. https://doi.org/10.1176/appi.focus.20190027
Sharma N. & Gupta V. (2021). Human behavior in a social environment. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK574501/
Wright, J.H., Brown, G.K., Thase, M.E. & Basco, M.R. (2017). Learning cognitive-behavior therapy: An illustrated guide (2nd Ed.). American Psychiatric Pub.
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