Kate two person therapy approach (2)

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Southern New Hampshire University *

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Psychology

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Jul 2, 2024

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Kaylee Barnes Southern New Hampshire University 6/01/2024

Kate’s case study When looking at Kate's case study there are a few issues that I would like to work through with this client is the death of her sister, the substance abuse that she is dealing with, and the dependency that she has on her daughter. In her younger years, the client witnessed her sister, together with her siblings, being hit by a car and dying. As a result of being distracted and not paying attention to her sister when she was in the crosswalk, the client believes that she could have prevented this accident. In addition to refusing to discuss this accident, she said that her mother, herself, and other family members began drinking heavily because of this incident. This traumatic event likely triggered survivor's guilt in the client. She may feel an overwhelming sense of responsibility and self-blame for her sister's death, believing that she could have prevented it. This guilt, combined with the heavy drinking within her family, has likely deepened the emotional and psychological impact on her. Then for her substance abuse in high school, the client began drinking alcohol after finding a friend's alcohol at their house. She stated that the first drink made her happy and she hadn’t felt that happy in a very long time. Her friend's parents caught her sneaking alcohol from her mother's house, but they called it a phase and did not tell her parents. She began sneaking her mother's alcohol at home. Using substances, such as alcohol, can provide temporary relief from the intense emotional pain and guilt associated with traumatic experiences. The client may have turned to alcohol as a way to numb her feelings and escape from the overwhelming sense of responsibility and self-blame. This self-medication through substance abuse could further exacerbate her emotional and psychological struggles, creating a cycle of dependence and worsening mental health. In addition to believing that she wasn't responsible for her DWI, she also considered herself to be a "normal" teenager. After high school, she began using cocaine saying that it helped her forget everything and become less anxious, and she also discussed her drug use, mentioning using marijuana but stopping because it made her paranoid. As a result of the high cost of cocaine, she eventually stopped using it. It was also expressed that she wished she could use cocaine again to feel better about everything. , I would like to discuss the client's dependency on her daughter, who is only 10 years old. She relies on her daughter a lot to help her with the younger children. To reduce the client's dependency on her daughter, it would be beneficial to explore and establish alternative support systems for her. This could involve connecting her with local community resources, such as support groups, counseling services, or parenting classes, that can provide her with a network of individuals who can offer guidance, assistance, and emotional support. Additionally, exploring the possibility of involving extended family members, close friends, or trusted neighbors in providing additional assistance and support can help alleviate the burden on the client and create a more balanced support system. The client seems to put more burdens and responsibility on her daughter than herself by saying that she wouldn't know what to do without her daughter. This dependency on her daughter not only places a heavy burden on the young girl but also prevents the client from developing the necessary coping skills and self-reliance to navigate her own challenges. It is crucial to address this issue and encourage the client to seek alternative sources of support to ensure the well-being and healthy development of both herself and her daughter.

Theoretical approaches As her therapist, I should provide Kate with unconditional positive regard and show an empathetic understanding to the client. By using person-centered theory, we can build the foundation of our relationship and get to know Katie, which will make her feel heard. She can learn about herself and heal properly when you provide a safe environment where she can learn about herself without fear. Person-centered theory can support Katie's healing journey by emphasizing empathy, unconditional positive regard, and genuineness. By creating a safe and non-judgmental space, she can freely explore her thoughts, feelings, and experiences, promoting self-discovery and self-acceptance. Some specific techniques for showing empathetic understanding to Katie may include active listening, reflecting back her feelings and experiences, and validating her emotions. These techniques can help create a safe and supportive environment for Katie to explore her thoughts and feelings, and to feel truly heard and understood. This therapeutic approach can empower Katie to heal and grow at her own pace, enhancing her overall well-being. The key principles of person-centered theory include the therapist's genuine and empathetic understanding of the client's subjective experience, the provision of unconditional positive regard, and the belief in the client's capacity for self-actualization. These principles create a supportive and empowering therapeutic environment where Katie can feel validated, accepted, and encouraged to explore and express her authentic self, ultimately facilitating her healing and growth journey. In contrast to other therapeutic approaches that may focus on interpretation and analysis, person-centered theory places a strong emphasis on the client's subjective experience and the therapist's genuine presence. This approach believes that individuals have the capacity for self-direction and growth and that the therapist's role is to provide a supportive and non-directive environment for the client's self-exploration and self- actualization. I also want to use Cognitive Behavioral Therapy along with a person-centered approach, CBT was founded in the 1960s by Aaron T. Beck. the concept that your thoughts, feelings, physical sensations, and actions are interconnected, and that negative thoughts and feelings can trap you in a negative cycle. Cognitive Behavioral Therapy includes many techniques that can help a clients deal with trauma that they haven't dealt with in a healthy way or at all. We can then teach the client to disconnect from those habits that have become habitual by establishing connections with triggers and negative behavior. Having a healthy thought pattern will help the client understand why they need to break the cycle that they were following, whether it was self- medicating or in another way. The experience will enable Katie to gain self-awareness of herself as she develops problem-solving skills that she may have lacked before. Some specific techniques used in CBT for trauma treatment include exposure therapy, where the client gradually confronts their traumatic memories, and cognitive restructuring, which helps the client challenge and replace negative thought patterns. These techniques, along with others, aim to help the client process and cope with their trauma more healthily and adaptively.

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