abuse may face negative consequences. Using motivational interviewing strategies, the counselor can work with a student’s resilience rather than against it by allowing them to communicate openly in a supportive, non-threatening environment (Vernon, 2009). c. Depressive disorders in children and adolescents- Depression is a serious condition that effects all ages. Although there have been efforts in differentiating adolescent and adult depression, counselors often use the criteria and strategies that have been developed for adults. Signs that may be associated with depression in adolescents are physical complaints, fatigue, school absences, poor academic performance, talking about running away or other self-destructive behaviors, lack of interest in activities they once enjoyed, social sensitivity, and substance abuse. Prevention should be implemented in an early stage using treatment strategies that involve the school, family, and the community. Cultural variables must be taken into account while focusing on life skills training. Treatment of adolescents must be treated developmentally in consistent ways in which adolescents express their depression. The use of an antidepressant may be considered as they have shown positive outcomes. One of the most serious symptoms of depression is suicidal thoughts and behaviors and if this is sown, the counselor must go back to the suicidal prevention strategies (Vernon, 2009). 2) When would you have to breach confidentiality and what obligations do you have to your young client with regard to privacy? Many school counselors are faced with a common ethical challenge when providing services to minors. This issue is whether or not to disclose certain information to parents or guardians especially in cases when the client has explicitly asked the counselor not to. Many times this type of information involves the client’s involvement with drug and alcohol use,
17 sexual activity, contraception, pregnancy, abortion decisions, and mental health treatment. There is also the issue of disclosing information about someone else physically or sexually abusing the minor and requested that the minor not to tell. School counselors must remember that they are held by law and a code of ethics that requires such information to be disclosed to appropriate parties. The counselor should remind the client that in the beginning of their time together there was an informed consent and confidentiality agreement signed and by showing it to them as a reminder in a loving, caring, and empathetic way, may help the client come to terms with what needs to happen for their own safety. The counselor is also responsible for providing the client with any preventions necessary to bring health and safety to their lives, (Reamer, 2003).
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