AnnaTruttier2_CaseConceptualization_u09a1

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Case Conceptualization Template Case Conceptualization Assignment 9 COUN-R5863 Anna Truttier Dr. Azra 1
Case Conceptualization Client Description Name: Jenny Age: 18 Presenting Issues Jenny is eighteen years old, a senior in high school, and living in Greenwich, CT. She came to counseling on her own accord. She lives with her mom, dad, and grandmother. She is an only child, and her mom is a stay-at-home mom. She presents feelings of uncertainty—lots of fatigue and sleeping inconsistently. She mentioned that she is deciding on her next steps for the future. Her heart races when thinking about her next steps. Jenny is a third-generation Asian American. Her dad works on Wall Street and is in finance. Her dad is pushing for Jenny to follow in his footsteps. Jenny spoke about her passion for music. She has been playing the violin since she was a young girl. Jenny has stated, “She wishes she could pursue a music career, but I know my father expects me to be successful like he is.” Jenny received four scholarships to prestigious colleges and is involved in extracurricular activities to boost her college transcripts. She has very little involvement in her community. Jenny has a small group of friends that she is close with. She said she prefers to have a small circle of friends. Jenny seems to be timid, and she has minimal effect when speaking with her. She appears to internalize a lot of her emotions, and when asked how she copes, she stated she “turns to music and plays her violin.” Jenny comes from a collectivist culture where any decision heavily influences family. Emphasis on attending to others, and many Asian cultures have distinct conceptions of individuality and its fundamentalism (Krys et al., 2022). Cultural 2
conflicts exist when it comes to assimilated views. Jenny is assimilating to the Western society of individuality views. There are no known issues of addictions, history of trauma, no legal issues, no disabilities, no known health issues, and no behavioral issues. Jenny is cognitively present with no history of mood swings. Jenny is an introvert, seems adaptable, and has good time management skills. Her extensive support system comes from her grandmother, who lives with her. Her grandmother is a big supporter of her violin and music. Assessment A few presenting issues were observed after assessing and speaking with Jenny. First and foremost, there is a discrepancy between Jenny’s parents, their culture, and Jenny trying to assimilate into the mainstream culture. This leaves Jenny incredibly confused and unsure of what to do. Her family comes from a collectivist culture, as stated above. Jenny is trying to forge her own identity and make decisions for herself while still trying to honor her family and culture. She said, "She does not know what decision to make, but she needs to make one fast.” This uncertainty shows up in different areas of Jenny’s life. Like lack of sleep, inflated heart rate, constant fatigue, and stress. Asian American adolescents and emerging adults navigate a multicultural global world by utilizing variability to play up and down cultural identities, their Asian American heritage, and the white-dominant culture in which they live (Nguyen & Ferguson, 2019). Furthermore, Jenny is now in an essential stage of life that she is trying to navigate. Jenny needs to decide on her career and school path. According to Erik Erikson, the period she is in is Identity vs. Role confusion. Currently, in a young adolescent's life, they are trying to understand who they are, their values and ideas, and how they feel and think (Mitchell et al., 2021). This 3
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essential developmental stage can greatly determine a person’s adult years. Erikson’s psychological stage model posits that identity formation is a critical developmental task for adolescents and that successfully resolving the identity versus role confusion crisis at this time of life is essential to psychosocial development through adulthood (Mitchell et al., 2021). Moreover, Jenny is trying to figure out her identity and where she feels she belongs. To properly assess Jenny, a few assessments could be vital for her success in therapy. First, using the Beck Anxiety Inventory will be beneficial to gauge the severity of Jenny’s presenting symptoms of anxiousness. The Beck Anxiety Inventory is a self-report for measuring anxiety’s severity in psychiatric populations ( Kalibatseva et al., 2014 ). Another assessment that Jenny’s clinician should facilitate is the Myers-Briggs assessment. This assessment can be used to assess Jenny’s personality to understand better who Jenny is, along with being used to help make decisions about her career and future. Furthermore, adding a depression assessment, such as the Beck Depression Inventory for Jenny, is essential. Although there are no presenting symptoms now depression is high in the Asian American community. How hard you work and pleasing your family is tied to self-worth (Kalibatseva et al., 2014). This could cause a lot of internal struggles that are not necessarily spoken about or recognized. Having a baseline of these presenting issues is something that Jenny’s clinician can monitor as they work together. Ethical and Legal Considerations/Implications: Using ethical and legal insight while working with clients is crucial as a professional. This maintains the integrity and safety of the therapeutic relationship. Professional clinicians are to enhance human development throughout the lifespan. Honor diversity and embrace cultural differences, supporting the worth, dignity, potential, and uniqueness that each client brings to the table, fighting for social justice, safeguarding the therapeutic relationship, and practicing skillfully (ACA, 2014). 4
While working with Jenny, confidentiality is going to be essential. Jenny is of legal age; she will not need her parent's consent to engage in counseling services. However, because family is such a driving force in Jenny’s culture her parents may want to know from the counselor what is being discussed. At this point, the clinician must maintain Jenny's privacy and understand what confidentiality means to their family. According to ACA codes (B.1.a, B.1.b, and B.1.c), confidentiality and privacy are to be withheld as a few sustainable considerations, such as understanding that confidentiality and privacy have different cultural meanings (2014). Jenny is a third-generation Asian American. So, ensuring that Jenny’s clinician is cognizant and culturally sound is pertinent. According to ACA Code (E.5 Comprehensively explore the ethical considerations and legal implications of the case and then recommend actions to mitigate risk. Take a deep look into the legal aspects that might be present in this case, as well as the appropriate ethical code related to your professional identity and setting of practice. What do you do as the professional counselor to mitigate the risks? Use the appropriate code of ethics and legal resources specific in your state, as well as professional literature to support your considerations (minimum of two paragraphs). Multicultural Considerations: Discuss any multicultural/diversity aspects of the case. As a counselor, explore any personal biases or triggers that may affect your work with client. This section can be written in first person. Use the literature to support this as you consider practicing in a multiculturally competent manner (minimum of two paragraphs). Self-Awareness: As the professional counselor, explore any personal biases or triggers that may affect your work with the client. Provide strategies to address personal bias, triggers, et cetera, as well as support your practice in a multiculturally competent manner. Use literature and codes of ethics to support the strategies mentioned to address personal bias, triggers, et cetera. This section can be written in the first person (minimum of two paragraphs). Interventions: Discuss possible interventions appropriate for the client, presenting issues, and setting, including opportunities for collaboration and consultation . Utilize literature to support the interventions selected below (minimum of four paragraphs). 1. Individual counseling interventions connected to theory. 2. Group counseling interventions specifically selected for the presenting issue and effective in the professional setting. For example, relapse prevention, grief support, coping skills group. 3. School-level interventions such as programs, classroom guidance, and interventions connected to the Individuals With Disabilities Education Act (IDEA). 4. Community interventions appropriate for the presenting issue in the case. 5. Whom else would you collaborate with or consult with in your professional role as school counselor? Consider the various roles of counselors such as advocate, consultant, or facilitator of system change. 5
Conclusion: This is a narrative (one or two paragraphs) that provides an overview of the case. References American Counseling Association. (2014). 2014 Code of Ethics - American Counseling Association. Code of Ethics. Retrieved August 10, 2023, from https://www.counseling.org/resources/aca-code-of-ethics.pdf Links to an external site. Kalibatseva, Z., Wu, I. H. C., & Leong, F. T. L. (2014). Assessing depression and suicidality in Asian-Americans. In L. T. Benuto, N. S. Thaler, & B. D. Leany (Eds.), Guide to psychological assessment with Asians (pp. 181–198). Springer Science + Business Media. https://doi.org/10.1007/978-1-4939-0796-0_12 Links to an external site. 6
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Krys, K., Vignoles, V. L., de Almeida, I., & Uchida, Y. (2022). Outside the “Cultural Binary”: Understanding Why Latin American Collectivist Societies Foster Independent Selves. Perspectives on Psychological Science , 17 (4), 1166–1187. https://doi- org.library.capella.edu/ 10.1177/17456916211029632 Meyer, O. L. (2011). Culturally-Competent Treatments for Asian Americans: The Relevance of Mindfulness and Acceptance-Based Psychotherapies. Clinical psychology: a publication of the Division of Clinical Psychology of the American Psychological Association , 18 (3), 215–231. https://doi.org/10.1111/j.1468-2850.2011.01253.x Mitchell, L. L., Lodi-Smith, J., Baranski, E. N., & Whitbourne, S. K. (2021). Implications of identity resolution in emerging adulthood for intimacy, generativity, and integrity across the adult lifespan. Psychology and Aging , 36 (5), 545–556. https://doi.org/10.1037/pag0000537.supp (Supplemental) Nguyen, J., & Ferguson, G. M. (2019). A Global Cypher: The Role of Hip Hop in Cultural Identity Construction and Navigation for Southeast Asian American Youth. New Directions for Child & Adolescent Development , 2019 (164), 99–115. https://doi.org/10.1002/cad.20279 Paul, A. (2023). The effect of the thinking and feeling preferences in Myers-Briggs type indicator (MBTI) on perceived stress levels in Asian adolescents. International Public Health Journal, 15 (2), 171-186. 7