COUN-R5863_CaseConcept NatashaTheard

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Case Conceptualization Template Case Conceptualization Assignment 9 COUN-R5863 Natasha Theard Dr. Rhett Brandt 1

Case Conceptualization Client Description: 44-year-old, cisgender male, identifies as Cherokee Indian, previous military history. Name: Keyan Age: 44 Presenting Issues: Case description including presenting issue(s), referral source, identification of any personal, social, emotional, family/family of origin, relational, or academic/career issues. This description should include specific examples, incidents, and support from the literature. Cite references within the text as you describe the client (minimum of two paragraphs). Keyan is a 44-year-old cisgender male with a history of military service. Keyans’ current full time. employer sought counseling for him after he encountered problems with alcohol use resulting in missed work, being hung over at work, and visible bruising which as the result of physical aggression towards his spouse. Keyan enjoys a variety of activities, is socially active with the Cherokee Nation, and hangs out nearly every week. He also has enduring friendships. His mother, father, and a grandpa who, according to Keyan, has abstained from alcohol for decad es are among his ancestors. Keyan reports that he has engaged in drinking since his teen years with a recent increase to daily use impacting his relationship with spouse and work He frequently has a depressing and solemn expression and expresses worry about the future.He mourns the passing of a longtime friend someone he had worked with in the military, someone h e had been socializing with, but who committed suicide, making it harder for him to sleep. He acknowledges that he drinks at home to relax and avoid conflict; but recently noticed this can lead to his increased aggression. He also disclosed that he had recently had a drunken argument with his wife. The loss of his companion and Keyan's alcoholism are critical aspects to look into.Reingle et al. ( 2014) claims that heavy drinking on a regular basis interferes with the neurotransmitters needed f or psychological wellbeing. Even though people may feel peaceful after a drink, alcohol affects their mental health and can c ause emotions of hopelessness and anxiety as well as make stress harder to handle. Since excessive drinking is linked to alcoholism, therapists who work with clients who abuse or depend on alcohol may find it difficult to diagnose their patients' mental problems. Assessment: Discuss the process of assessing for and identifying additional issues/needs of the client. In this section, identify what you think might be going on with the client. Use literature to help determine the assessment process and support choices of formal assessments selected (minimum of two paragraphs). 1. This is based upon a synthesis of what has been presented in the previous section. It might include a possible diagnosis, social or emotional challenges, developmental stage, or impact of family (minimum of three paragraphs). Use literature to support your synthesis and other details in this section . 2

Although he is qualified and enjoys his job, he is plagued by numerous issues. Keyan was convinced to seek counseling to assist with his goals since the depressions and melan choly brought on by the death of his friend are causing him to worry while making decisions abo ut his next course of action. Keyan's use of alcohol to deal with his low mood and worries of the future are considered while completing assessment. According to Essau et al. (2018), anxiety and substance use disorder (SUD) are highly comor bid in childhood and emerging adulthood; recognizing and further assessing the alcohol use will allow for increased intervention utilization to support managing anxiety in a realistic way. The progression of Major Depressive Disorder (MDD) and anxiety disorders over the four life st ages examined by Essau et al. (2018) is a crucial additional aspect to consider. Keyan's circumstance presents a conflicting dilemma because substance misuse needs to be addr essed. 2. Describe how would you assess for this (that is, diagnosis, other concerns, social or emotional challenges, et cetera) in your setting (school, community/agency, or treatment center). What formal assessments could help you or whom would you collaborate with to determine what is going on and what interventions might be appropriate? Use literature to support your synthesis and other details in this section . Keyan was persuaded to seek counseling to help him achieve his goals since the grief, loss, and melancholy mood brought on by his friend's passing are causing him to worry while deciding what to do next. When planning the assessment, Keyan's usage of alcohol to combat his anxiousness is also taken into consideration. Essau et al. (2018) found a strong correlation between anxiety and substance use disorder (SUD) in adolescence and emerging adulthood. Another key factor to consider is how Major Depressive Disorder (MDD) and anxiety disorders develop over the four life stages Essau et al. (2018) investigated. Ethical and Legal Considerations/Implications: 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). Therapists should always aim for professional behavior and use consultation as appropriate. Standard C.5. Nondiscrimination (ACA, 2014), which stipulates that counselors do not discriminate against potential or existing clients, is one of Keyan's ethical considerations. Counselors should be careful not to damage Keyan by failing to understand his alcohol usage, and they should ask him for clarification as he is the one in charge of shaping his persona. According to Standard C.2.a Boundaries of Competence, counselors should only practice within their level of competence and pursue training as required. Keyan's therapist should also follow standard E.2.a, which deals with proficiency in utilizing and interpreting evaluation tools. Counselors need to receive proper training in using different tests. Using an assessment but omitting to tell the customer the results can cause considerably more damage. When clients take tests, they are given labels, and therapists must 3

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