1. Information of Client 1. 1 General/Background Information of Client The clients’ name is Katharine Lee. She is 28 years old and single. She has completed her Diploma in Media Design at Nanning Polytechnic, Degree in Graphics Design and is currently employed by Liquid Advertising Private Limited as the Head of Design. She enjoys long working hours and the stimulating environment her workplace provides. She has a socioeconomic status(SES) of a white collar as she is highly paid but is still considered middle class citizen. Her family is made up herself, her mother, father and her 2 sisters.

Katharine mother, Jessica Liana, is 51 years old, married to Shannon Lee, 53 years of age. Katharine sisters, Joan and Liz, are 15 and 17 years old respectively. Joan is currently completing her Secondary education at Haying Secondary School. Liz is currently completing her NITER in Business Administration at Nag Mo Ski Institute for Technical Education. 1. 2 Background Information of Client Katharine, my client, has a high alcohol dependency and consumption for about 4-5 years. She has had Chlamydia for about 2-3 years in the past and has received treatment and medication.

Additionally, she has been admitted to hospital twice for excessive alcoholic intoxication. Client is currently not on any form of medication or treatment dialysis currently. No record of suicidal ideation and/or tendencies. Client has history of family illness. Grandfather had heart problems. Presenting Problems The client is an alcoholic in the sense that she needs to drink at least 5 days a week, be it at home or when out with her friends. Katharine describes her outings as just casual but upon further clarification, her outings are a result of her parent’s being to restrictive, from her point of view.

She has explained that her nightly consumption of alcohol helps her to relax and take her mind off pressing issues, be it at home or at work. She enjoys going out with her colleagues for drinks, but is not aware of her alcohol tolerance level which causes her to suffer intoxication or even fainting due to excessive alcohol intake. Secondly, the next situation would be her want to be independent. Recently, she has developed a sense of emotional detachment from her family as she is not with them most of the time. She is either at work or at the bar or club with her colleagues or friends.

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She is in a state of dilemma s she does not want to remove herself from the family, but feels that her parent’s are too constricting despite her age. She feels that she can be independent but she is afraid of how her parent’s will react towards her decision of moving out. Additionally, she is to be a role model for her 2 younger sisters. As their older sister, she expected to be there for the family. This issue pressurize her as there are a lot of expectations that are required from her. Assessment The Client wore bright colored clothing, signaling that everything is going well and perky.

However, when seated, she slouches, with a hunched back, looking down in embarrassment. Her facial expressions were very vivid. When asked about her parent’s controlling near, seen Ana a very stern expression Ana near tone AT evolve when explaining her issues were aggressive. However, when questioned about her drinking habits, she giggled softly. She does not beat around the bush. The client has a tendency to play around with her fingers which shows her nervousness. Additionally, she has big hand gestures. Overall, the client is afraid but uses happy emotions to hide her problems.

Counseling Approach I have chosen Cognitive Behavioral Therapy as my approach to Katharine case. CB is a very effective and humane form of therapy and is widely used by many of the renowned therapists around the world. An expert in CB, Beck, created a structured, temporary, present-oriented psychotherapy, directed toward solving current problems and altering dysfunctional, irrational thinking and behavior(Beck, 1964). CB can also be used to treat alcoholic clients by helping them to face their problems straight away and not using alcohol to forget about the issues at hand.

Updates in conduct connected with liquor are likewise a major explanation for purposeful and unintentional damages, either to the consumer or to others. It is additionally a vital explanation for professional absenteeism and level execution, and also family abuse and interruption. Liquor is likewise a powerful iteration and an explanation for neurological and psychiatric aggravations. (Haycock, 2009) Qualitative reviews have concluded that CB is more effective than no treatment (Month and Response, 2003).

Dumping also found a positive association between female participants and effect size in a meta-analysis of treatment in 2003 with individuals with co-occurring substance abuse and other mental health disorders. To approach this alcohol problem, I would first find out how much she drinks in a eight and the frequency. Secondly, I would explore the client emotional responses before drinking and how she feels after she has had a drink or two. Exploring her emotions would pry deeper into her unconscious state of mind to clarify her unknown side of her psychological being.

This can also help to identify thoughts and circumstances of the client. The goal of using CB to treat an alcoholic client is to help her learn or relearn new ways to cope or deal with their problems. To achieve this goal, it may take about 3-4 sessions of in depth sessions to dig into the clients linings. By the end of this few sessions, After the abuse of alcohol has been handled, the next problem to be addressed would be her controlling parent’s. Controlling parent’s fail to allow their children to assume controlling parent’s fail to allow their children to assume responsibilities appropriate for their age.

These parent’s make decisions for their children well beyond the age at which this is necessary. These parent’s are often driven by a fear of becoming useless to their children. This fear leaves them feeling unwanted when their children become independent (Forward, 1989). On the other hand, these children frequently feel rebellious towards their parent’s, powerless due to numerous restrictions. Transitions into adult roles are quite difficult, as these adults frequently have difficulties making decisions independent from their parent’s.

When they act independently these adults feel very guilty, as if growing up were a serious act of disloyalty. Even if controlling parent’s are a problem, if the client is affected by how her parent’s feel about her detachment from home, she would be experiencing emotional incapability to let go from her parent’s. This could stem from past issues. Her parent’s may have en taking care AT near every need Ana very uses to near Tanat near Telling wall De affected when she does anything. However, she has a right to be independent as she is 28 years old. But, she is emotionally unstable which meaner that she is in a state of incongruence.

This meaner that her thoughts and actions will directly be affected by her feelings, restricting her ability to do anything. Therefore, we would have to dig into her emotional attachment issues towards her family. This can be done by asking her a series of questions about her family and how strong the relationships are. The goal of counseling is to help the client achieve what is right by making the client realize it by herself. To do that, the therapist has to ask questions directed at her, targeting the areas of her psychological intellect to help her know what she needs to do, not want.

For example, questions like is it necessary? Do you want to move out or are you annoyed by your friends teasing you that you feel the want to move out? As family values are important, the client must also bear in mind how the parent’s will react and feel as they were the ones who brought her up, taking care of her every tepee of the way till she started being independent. Values affect a wide range of variables. Ravioli and Meaning (1987) showed that values related to work affect the judgment of people as well as the ability to make good decisions.

As a recommendation, the client would be tasked to go home after the session and slowly reflect and think about how her life would be after she has moved out. This would help the client realize the positive and negative sides of moving out. To cope with her alcoholism, a recommendation to her is to refrain from alcohol, or slowly cut down for the time being as alcohol impairs Judgment. During this time, the client will slowly realize more important details and if effective, she will be able to limit her alcohol intake and gain control.

Additionally, this can prove to her parent’s that she is capable of handling herself if she moves out of her parent’s house. Why is CB the best approach? Using Cognitive Behavioral Therapy, I can guide Katharine to understand how her beliefs and attitudes can be a strong influence to the way she expresses emotion and her reactions. L, as a therapist can help by letting the client explore her presenting problem, and provide information about how she can solve it, and to help her reverent a relapse of her issues in future. When I use CB, my aim is to teach clients how to be their own therapist.

I have also chosen CB because CB therapists like me believe that the clients change because they learn how to think differently and act on that learning. I believe that a strong trusting relationship is essential. With trust, the client would feel less resistance to share information. This would help the therapist understand the client’s emotions, behaviors and the way the client thinks. The Cognitive Behavioral approach tasks to understand how these three components interrelate and how the can be influenced by any events and/or stimuli which have occurred in the past which may have triggered psychological distress.

As a therapist, I have to help the client correct them. In Cognitive Behavioral Therapy, there are some limitations to keep in mind. Sometimes, so much focus is put in resolving the problems presented that the clients’ underlying messages may not be expressed. This may mean that the client may not be able to obtain a deeper understanding of the problem at hand and may ignore the clients need for self fulfillment and feelings T sell worth. Bonaventure may change out ten Telling wall not until something Is cone about it.

Multicultural limitations however, is a separate ethical issue to bear in mind as well. For example, I may think that I am not biased but by holding certain beliefs, my practice would be affected. I would have to be sensitive towards the unique cultural background of the client. Assumptions about self disclosure can be harmful especially if they are based on cultural biasness. In cognitive behavioral therapy, I must be aware of my own bias feelings and thoughts about human behavior. When questioning about feelings, I would have to put aside my own bias thoughts.


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