Case Study- Jeanette

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Case Study-Jeanette Mandi Thurston Southern New Hampshire University COU-520 Diversity in Counseling March 3, 2024

Observe Jeanette has self-reported for therapy due to feelings of emptiness and not fitting in. She has shared that she has experienced bullying since a young age due to having moles and marks on her body that have caused her to feel stigmatized and isolated since her youth. (Reicherzer, 2021) She indicated that she has been the target of name-calling and exclusion since elementary school sharing that she was often called a monster and that other children did not want to touch items that she had touched. She also indicated that people have always stared at her but that she has grown accustomed to the attention. She was raised in an evangelical household where her parents indicated that the solution to her concerns of being lonely, humiliated, and excluded was to pray more rather than address the underlying concern of being bullied. Despite the difficulties of her childhood Jeanette has worked very hard to pay for her schooling and is working towards a Psychology degree with plans on moving forward with graduate school. Jeanette's sense of otherness is multi-cultural spanning her physical appearance, her religious background, her career, and her educational background which has impacted how she sees herself and how she interacts with everything around her. Reasoning Jeanette is nearing the completion of her bachelor’s degree and despite her academic successes, her strong work ethic, an empowered desire to improve upon herself and to help others she is struggling with feelings of emptiness. She has indicated she feels alone, empty, and touch-deprived. She has come to counseling to address these issues because she is unable to receive the required emotional support from her parents due to her strained relationship with them. Additionally, because she has distanced herself from relationships with others, she has very little in the way of a support system and has sought external help. Barriers

Several factors can be looked at as barriers for Jeanette. The first one is a financial barrier. Currently, Jeanette is working two jobs to self-pay for her education. This could be a barrier as much of the funding that she receives from her job will be split between her education and the required necessities for survival, such as shelter, food, clothing, heat, electricity, etc. Ensuring that she has the financial means to add another bill to her already strained income could be a barrier to consistent visits. An additional barrier could be her religious upbringing, as her parents have indicated as shared by her the solution to her problems was prayer. This could have imparted a bias against seeking mental health services, it could be frowned upon and could be looked at negatively by her parents and any other additional family members as she is not utilizing the expected spiritual practices. Another important barrier is the fact that Jeanette has typically kept people at arm's length due to the experiences she had in the past of exclusion. It may be hard for her to open up to a stranger, and to develop a trusting relationship with someone for fear of facing that same humiliation or exclusion. Steps To ensure that I provide the best possible experience for Jeanette, the first thing needed would be to educate myself on social isolation, bullying, and the impact of religious backgrounds. It is important to address her concerns with empathy and understanding, to make her feel like she is in a safe non-judgmental space. It is also important to understand that she may not be willing to be fully open for some time and that it will be essential to work with her to develop trust. Having an open dialogue with her to ensure that she understands that I am there to support her, and to ask questions to understand how I can help her feel safe and what she feels like she needs to develop a trusting relationship. It will also be important to connect with my colleagues and to seek supervision to ensure that I can examine and understand any biases that I may have so that I may address and challenge them and remove myself from the situation if necessary.

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Consideration As a counselor in training who identifies as an older Caucasian woman who comes from a strained socioeconomic status, and who has a very diverse sense of otherness and open sexuality as well as a very different belief regarding religion it will be important that my otherness does not supersede Jeanette. While I understand that this is an important aspect of who I am and a part of my genuine sense of self, my beliefs are not the same as Jeanette's and I must consider my own biases and continuously challenge them to ensure that they do not influence Jeanette's experience. My goal is to provide a culturally sensitive, safe, and non-judgmental space where Jeanette can feel that she is supported and able to speak to me about anything in her life without fear of reprisal or judgment. My own different beliefs about religion mustn't impact Jeanette's evangelical background or reduce its overall importance in her life as this is an important aspect of her sense of self and culture. (Duan & Brown, 2016)

References Duan, Changming, and Chris Brown. Becoming a Multiculturally Competent Counselor. SAGE, 2016. Reicherzer, Stacee. “I Knew I Was Other.” Dr. Stacee Reicherzer, 17 Feb. 2021, www.drstacee.com/other/. For additional information on APA Style formatting, please consult the APA Style Manual, 7th Edition .

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