Topics: Psychology, Thought, Psychotherapy Pages: 6 (1441 words) Published: July 19, 2015
Scenario #3



Donna Stefanick
Student ID: L25837755

Liberty University Online
Lynchburg, VA

The purpose of this paper is to evaluate Scenario #3 case study that describes the client as a 40 year old male by the name of Roger. Roger entered treatment for several different issues including suicidal ideation, loneliness, depression homosexual thoughts, and self-image issues. Roger also has health issues due to his battle with obesity which has contributed to developing diabetes and high blood pressure. The client needs a clear treatment plan to establish goals of treatment. In order to provide a comprehensive treatment plan, the counselor must explore the client’s background, client’s overarching goals for treatment, theoretical approach, building a therapeutic process and examining their own biases for treating the client. This paper will explore the importance and the process for each of these areas in order to develop an appropriate treatment plan for this client.

Personal information
Gathering personal information is vital in a counseling environment. In order to have a clear picture of the issues the client has and the course of action to take, the therapist needs an understanding of the client and family of origin. The gathering of personal information begins to lay the foundation for therapist to determine if there are any issues that may prevent the development of a therapeutic relationship or if there are personal biases or limitations for the therapist to consider in treatment. Failure to understand the impact of family dynamics and past relationships could cause the therapist to overlook contributing factors of core issues with the client. Core issues tend to lead clients into poor decision making process or into developing poor coping skills to deal with unpleasant feelings. In a study by Saffierie, the anti-fat attitudes of children 6 years of age were monitored. They characterized silhouettes of an overweight child as "lazy," "dirty," "stupid," and "ugly." (Fabricatore, & Wadden, 2003).  It is these types of encounters as children that can begin the process of creating a core issue. Roger’s background is important to understand to see if there are any areas in his past that have wounded him. These old wounds could be the basis for some of the current issues Roger is bringing into treatment. Personal Biases and Limitations

According to the American Counseling Association (ACA) “Counselors refrain from referring prospective and current clients based solely on the counselor’s personally held values, attitudes, beliefs, and behaviors,” (American Counseling Association, 2014, A.11.b.). Therapists must continually evaluate their personal biases and limitations to ensure that no harm comes to the client. The imbalance of power in the therapeutic relationship allows the therapist to have influence of the client. If a therapist has a bias against homosexuals, then dealing with Roger’s homosexual thoughts may turn into a hurtful experience if the therapist condemns Roger from a place of sin or moral judgements. The bible instructs Christians to love the sinner but hate the sin. Dealing with client issues from a sin perspective can be detrimental to the client. Hypothetically, if Roger is feeling shameful for having homosexual thoughts and the therapist begins to condemn Roger for his sinful nature, Roger could abandon therapy entirely. Worse yet, Roger could walk away from a relationship with God. Roger may begin to feel judged or mocked for his lifestyle choice, thus blaming God and the therapist. This is the type of harm that is described in all of the ethical guidelines. Goals

The therapeutic alliance is the most important thing to create with the client, however, goal come close behind. Goals are important for many reasons. First, it encompasses the issues that the client...

References: American Counseling Association Code of Ethics. (2015). Retrieved April 14, 2015, from
McInnis, K. J., Franklin, B. A., & Rippe, J. M. (2003). Counseling for physical activity in overweight and obese patients. American Family Physician, 67(6), 1249-1256.
Fabricatore, A. N., & Wadden, T. A. (2003). Psychological functioning of obese individuals. Diabetes Spectrum, 16(4), 245-252. Retrieved from
Martyn-Nemeth, P., & Penckofer, Sue,PhD., R.N. (2012). Psychological vulnerability among Overweight/Obese minority adolescents. The Journal of School Nursing, 28(4), 291-301. Retrieved from
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