Courim Elementary Counseling Conceptualization.doc - Elementary School Individual Counseling Case Conceptualization and Treatment Plan James Courim Jr

Courim Elementary Counseling Conceptualization.doc -...

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Elementary School Individual Counseling Case Conceptualization and Treatment Plan James Courim Jr. EDCE 661
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Introduction Geoffrey is a 10-year-old African-American male student who has come for counseling because of anger he is experiencing since his parents’ recent divorce. Geoffrey was distraught with tears, with disheveled hair and dirty clothes. He slumped over in the chair with clenched hands stating that now because his mother must work, he is not able to spend time with her and he does not feel like his father cares enough to see him on his days of visitation. He expresses how he hates to hear them fight when his father does visit, and he overheard his mother say his father would lose his job if he does not stop drinking and doing drugs. Geoffrey stated that sometimes he is numb and other times he gets angry enough to explode. He feels with the divorce he is now alone and being ignored and he does not understand how his parents suddenly stopped loving each other and him. He mumbled under his breath, “I just wish I could disappear and maybe then they would be sorry, and I wouldn’t have to hear them fight anymore.” Component #1: Case Conceptualization and Appraisal Informed Consent and Confidentiality Informed consent is first discussed with Geoffrey along with the limits of confidentiality. It is explained that he can trust me with any information so that we can work together to help him, there are certain limits to the amount of information that can be held confidential from his parents and that his parents would have to be notified to move forward with his first session. I inform Geoffrey that I will make a phone call to his parents and send a form home for them to sign. Geoffrey was allowed to proceed with his parents’ permission. While most of the information that Geoffrey will share in any given session will be held in the strictest of confidences, it is important for his parents to know that he is seeking extra help because of what is going on in his family. While Geoffrey’s parents might feel upset because he went to me instead of them, they need to understand that it may be because they are too close to the situation
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and might not do what is best for Geoffrey, just for themselves. Also, he is informed that any information about doing self-harm or harm to others will lead to a break in confidentiality. Established Goals Geoffrey mentions that he feels his disappearance would bring peace between his parents so to ensure that he is safe, his parents are notified, and they are given instructions to watch him carefully, and to remove any objects they feel he could use to harm himself. Also, it is important to watch that Geoffrey does not run away. I would also notify the parents and they should contact anyone with which Geoffrey may attempt to run. Next, Geoffrey is obviously dealing with anger issues to the point that it disrupts his rational thinking. Lastly, Geoffrey’s teachers should be
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