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Unit 10 Assignment 1 P a g e | 1Unit 10 Assignment 1COUN5239- Theories of PsychotherapyDr. Debra MooreTraci FuchsMarch 15, 2019
Unit 10 Assignment 1 P a g e | 2IntroductionThe client is a 64-year-old white female original from Denmark. The client has three children that she was apart from for many years during her adult life. The client is being seen for schizoaffective disorder-bipolar type and unspecified psychosis: not due to substance abuse or known physiology conditions. The client in the past has been resistant to tradition treatment stating that she is fine and does not need therapy or medication. The client has been on a decline since her daughter has come to live with her. The daughter is recovering from substance abuse and states that her daughter is not well enough to care for herself. The client has a trauma historyof domestic violence and the death of her youngest child. The client has been managing her carealong with her daughter’s care. The daughter can care for herself however the client feels that she needs to care for her. The client would like to set boundaries with her daughter due to the client’s physical health declining. The client needs assistance with shopping and errands outside the house. Case GoalsThe client would like to work on setting boundaries with her adult daughter. The client feels that the adult daughter has been using manipulative behavior and confusing interaction withher to control the client to care for her. The daughter will make statements such as “You were such a bad parent, that’s why I got into drugs and in recovery you have to help me.” The client feels guilty and self-blames for what has happened to her daughter[ CITATION Cor17 \l 1033 ]. The client has been experiencing emotional manipulation which is typically unconscious, and thedaughter believes in her stated position. The daughter is accusing the client of being the attackingand hurtful one. This interaction results in the client doubting her own perception and guilt.
Unit 10 Assignment 1 P a g e | 3These interactions have weakened the client creating vulnerability to surrender one’s own mind, merging with her daughters’ projections and losing touch with what’s true. The client is in fear that setting boundaries will destroy the daughter and their relationship. The client needs to learn that setting consistent limits in a firm, dispassionate way can have a positive stabilizing effect on the relationship.