Unpacking a Vignette for HUSV 103.docx

Unpacking a Vignette for HUSV 103.docx - John Williamson...

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John Williamson HUSV 106 Dr. Connolly 8 Nov 18 Unpacking a Vignette A 23-year-old male, named Rodney recently became sober, he wants to have a recovery program that he can complete because he is out of rehab. Rodney will have to complete a physical exam; dental exam; get an appointment with a dietician, eye exam, along with an exercise program to observe his personal hygiene’s. Rodney has the hallmark of body dysmorphic disorder by his preoccupation with an imagined of perceived flaw in physical appearance. If the flaw is observable to others, it is extremely mild. Rodney possesses obsessive-compulsive-disorder (OCD), repetitive thoughts are usually present. Repetitive behaviors include frequently checking themselves in the mirror, participating in excessive grooming behaviors, being preoccupied with their physical appearance, and needing almost constant reassurance about his looks. A virtue beginning would be to have these items completed within the first four weeks of the intake date. Explain in detail that the the recovery process is his so understanding and conforming to requirements will encounter tough decisions from him. Future discussions at different intervals, during the sessions will require honesty from him for the duration of his program. Rodney’s background, work ethics, employment history, military background, suicidality/homicidally, or any other ethical issues to be discussed further during the treatment program. Inform the client that he will be instrumental in developing and creating this treatment plan. Adjustments will be made as he progresses; do let the client know that all progress will be up to him. George the counselor at Newbury Treatment Center provide inputs to Rodney based upon his need and desire. George input will provide guidance, encouragement,
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Williamson 2 establishing bond and builder of self-esteem, to help Rodney to understand that this program is his and not the counselor. Rodney sought help on his own, he is a good candidate being open about his requirement and what he expects to gain from the treatment program. An issue is to see how he expect to pay for the program, does he have sufficient funds or is he relying on an insurance plan? This will enable the counselor to see how reimbursement for service rendered. The second meeting with Rodney focusing on psychological issues such as intelligence. Thinking and speaking abilities, his attitude, readiness for change. His ability and desire to join the chapter for changing events such an asking for help in recovery from his past propensities. Observation of emotional expressions of what got him into this situation, habits, addictions to other substances. During this session develop plans for education approaches to fit his interest.
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  • Summer '18
  • Dr. Connolly
  • Rodney

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