Introduction to Mental Health Counseling
Advocacy is an important aspect of every counselor’s role; therefore, counselors need to help remove environmental barriers that hamper client’s well-being by increasing the client’s sense of personal power and to foster environmental changes that reflect greater responsiveness to client’s sense of personal needs. Outreach, empowerment, social justice, and social action are all apart of advocacy. Counselors need to help the client prevent psychological distress by helping them develop resources and strengths while reducing negative influences. There are three models: the wheel of wellness model, the indivisible self- model, and advocacy. These models emphasize the importance of enhancing individual strengths and environmental resources and decreasing individual limitations and social stresses.
Sally Jo Jacobs, 34, Female client whom is Caucasian and divorced with four children and two living at home, youngest is living in Arizona with his Father, her ex-husband She hasn't seen him since '03. She is divorced from him because he was abusive to her physically and mentally. Her oldest son is living In Seattle and working, going to college, and has his own radio show from the college at Green River Community College. Client has one older sister, who lives in Alabama, which is on her 5th marriage due to her inability to deal with the abuse sustained when they were growing up. The client has two younger brothers, who were abused, but not sexually by their father.
Her and her children are now living in the area with no family support or even communication with her parents. Client states she has a violent relationship with her father. Client states her relationship with her mother is on and off.
The client was referred by her regular Physician for depression and unable to come up with healthy coping skills. The client doesn't drink but twice a month, quit smoking in '03, doesn't gamble, doesn't do street drugs, but is on prescription drugs due to chronic pain from a previous work injury and her physical abusive ex-husband.
She loved working on cars and trucks, roller skating, going 4x4ing, gardening and yard work. She states that she has a very limited ability to do these things she loved to do and is having a hard time dealing with the fact that she can no longer do the things she loved to do.
Client states she is taking Percocet 7.5 325 mg, 6 pills in a 24 hour period of time, Cymbalta 60mg in the morning, Flexerall,10 mg and a sleep aid at night. It is important for the counselor to be aware of what medications the client is on in order to help in the relation to the client’s well-being.
Client states that she has nothing to do and she thinks about what happened when she was growing up with the abuse and her accident on a constant basis, which leads her to depression. She says that when she was growing up there was sexual and mental abuse by her father, that her father abused her and her sister when their mom was working or out bowling. She has very specific memories, she remembers from when she was in a crib to her last day of high school, which was the last time her father touched her in an inappropriate manner. “Childhood abuse and neglect may be markers for other factors that have an impact on the developing child or may share with PTSD a common origin in a disrupted and disorganized childhood. Another concern is that previous research has suggested that abused and neglected children are at increased risk for early behavior problems and conduct disorder. Behavior problems in childhood or adolescence may be associated with increased risk for engaging in risky behaviors. In turn, such behaviors may lead to increased risk of exposure to traumatic events and to subsequent PTSD. A third possibility is that childhood victimization may be associated with...
References: Cathy, S. W. (1999). Posttraumatic stress disorder in abused and neglected children grown up. The American Journal of Psychiatry, 156(8), 1223-9. http://search.proquest.com/docview/220471620?accountid=27965
Gladding, S.T., & Newsome, D.W. (2010). Clinical Mental Health Counseling in a Community and Agency Setting. (3rd Ed.). New Jersey: Pearson Education.
Hodges, E. A., & Myers, J. E. (2010). Counseling Adult Women Survivors of Childhood Sexual Abuse: Benefits of a Wellness Approach. Journal Of Mental Health Counseling, 32(2), 139-153.
Montana Coalition Against Domestic & Sexual Violence (2010). Retrieved from- http://mcadsv.com/
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