Case Conceptualization

Topics: Cognitive behavioral therapy, Anger, Aggression Pages: 10 (3553 words) Published: June 18, 2010
Identifying Information

Giuseppe is a 14-year-10 month-old, Latino male in the 8th grade referred for counseling through AB3632 from Hollywood Senior high School under the Los Angeles Unified School District. Giuseppe’s school counselor indicates Giuseppe has difficulty controlling his anger towards peers. She also shares that Giuseppe fights with his peers leading to a suspension from school for three days due to fighting. Giuseppe’s mother reports that at home he is very oppositional especially with his father. Giuseppe’s mother has made multiple threats to call the police and have him spend time at Juvenile Hall if the behaviors persist. The counselor and mother, both report that Giuseppe has an attitude problem and frequently argues with them. According to Giuseppe, he believes he cannot control his anger and resorts to hitting. When asked why he is in counseling, Giuseppe responds, “I have an anger problem.” When asked what an anger problem meant to him he responded, “I will never back own from anyone.” Fro the initial interview with Giuseppe this behavior is culturally accepted. He has repeatedly indicated that his father encourages him to defend himself. He has stated that his father has often told him he “…is not raising no punks…” Parents are part of a street gang although they are not actively participating in any gang activity. Giuseppe denies gang involvement. Background Information

Parents currently living together as roommates. They have a roommate relationship. Both parents are actively dating and Giuseppe indicates it does not bother him. He is satisfied because he has both parents. Giuseppe and his siblings are the only children to both parents. Giuseppe reports that he and his brother have grown up with cousins. He describes his home as the “house where everybody goes to.” Cousins vary in ages from a 21-year-old male to a 12-year-old female; he adds there are at least 4 cousins that frequent the home. Giuseppe’s younger brother, Nathaniel, is 8-years-old, Arkemedes is 11-years-old and his older brother, Equivocal is 16-years-old.

Giuseppe reports his family has a history of domestic violence. He states that Equivocal is currently detained at the California Youth Authority detention center, although Giuseppe is not sure why, and the other brother Arkemedes is in a foster home, in which he also does not know the reason. Giuseppe indicates he and Nathaniel were placed in foster care for one to two years, and again, Giuseppe is not sure why. According to Giuseppe, they returned home to their parents in 2008.

According to Giuseppe, he gets into fights with his father because he thinks he favors his younger brother. Giuseppe states that his father punishes him all the time and never punishes Nathaniel. Giuseppe also mentions he always fights with Nathaniel, both physically and verbally, because Nathaniel bothers him and hits him. Giuseppe believes he gets along “cool” with his mother, and he likes his cousins always being over. In her household, it seems Giuseppe fights with his brother and his father most of the time.

Giuseppe’s family appears to have a lower socioeconomic status. Giuseppe indicates his father had recently been out of work because he had been “fired.” According to his statement, his father’s employer had to cut back on personnel because of the economy. His mother is also unemployed at this time due to a back injury since the summer of 2009. The household unit is now receiving CALWORKS, Food Stamps and social security. Current Health Status of Client

According to Giuseppe, he is currently taking medication for seizures and behavioral problems. He states he takes 250 mg of Depakote to help prevent complex seizures, which began occurring in October 2002. Giuseppe also reports she is taking two 20 mg pills of Concerta for behavioral and anger problems and .5 mg of Abilify because he hears things. When questioned about hearing things, Giuseppe responds, “I don’t want to talk...

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