Foundations of Counseling Discussion

At the veteran’s center you are assigned to counsel an adult client who has been diagnosed with PTSD. He is a 34-year-old veteran who is starting to have flashbacks and is afraid of being identified as mentally ill. He also has problems with his abusive father and has issues with authority. Bring this case to the next staff meeting to discuss with the team. Explaining your initial counseling plan, initial concerns, and back-up plans for this patient, including 1-3 sentence responses to all of the following: a description of at least 1 type of therapy you could use to assist this client effectively an explanation of how you would utilize the chosen therapy a description of at least 2 benefits and 1 drawback it provides how you might convince him to try therapy how you plan to build a therapeutic alliance with this client Are there potential transference issues? If yes, explain what it might be and why What you can do to guard yourself against potential projective identification? If yes explain what it might be and why If so, give one way you might handle this Do you feel that you may have potential counter-transference issues with this client? If so, name one and how you might handle this if it comes into play. Respond to classmates posts as if you were in a team meeting discussing this case. Think of 2 positive statement you could make regarding the case and 2 challenging statements you might make to brainstorm this case. Example: You might say, “ I can see why you would choose this……. It has its value which is……..but I think this ……might also be a valuable strategy with this client…..because of……….” Feel free to play a constructively critical role and challenge them using the worst case scenario.

As the counselor assigned to this client, I would like to present this case to the team for discussion. My initial counseling plan would be to use Cognitive Processing Therapy (CPT) to assist this client effectively. CPT is a type of therapy that has been shown to be effective in treating PTSD by helping individuals to change the way they think about and react to traumatic events.

To utilize CPT, I would work with the client to identify and challenge the thoughts and beliefs that are contributing to their PTSD symptoms. This would involve helping the client to identify and reframe any negative thoughts or beliefs that are contributing to their distress. I would also help the client to develop coping strategies for dealing with their flashbacks and other symptoms.

Two benefits of CPT are that it is a relatively short-term therapy (typically lasting 12 sessions), and it has been shown to be effective in reducing PTSD symptoms. One drawback of CPT is that it can be emotionally challenging for the client, as they may need to confront difficult thoughts and memories.

To convince the client to try therapy, I would emphasize the benefits of treatment and provide them with information about the effectiveness of CPT. I would also work to build a therapeutic alliance with the client by being empathetic, non-judgmental, and supportive.

One potential transference issue is that the client may have difficulty trusting authority figures due to their past experiences in the military and with their abusive father. This could potentially impact the therapeutic relationship, as the client may struggle to trust me as their counselor.

To guard against potential projective identification, I would work to maintain clear boundaries with the client and ensure that I am not overly influenced by their feelings or experiences. I would also engage in regular supervision to discuss any issues that arise in the therapeutic relationship.

If counter-transference issues do arise, I would work to recognize them and address them in supervision. One potential counter-transference issue is that I may feel frustrated or overwhelmed by the client’s reluctance to engage in therapy. If this occurs, I would work to explore these feelings and find ways to remain supportive and non-judgmental with the client.

In discussing this case with the team, I think it’s positive that the client has sought out counseling and is willing to engage in treatment. Additionally, CPT is a well-established treatment for PTSD that has been shown to be effective in many cases. Some potential challenges that we may face in working with this client include their difficulty with trusting authority figures and their reluctance to identify as mentally ill. We may need to work to build trust with the client and emphasize the positive aspects of seeking treatment for PTSD. Additionally, we may need to be flexible in our approach and adapt our counseling style to best meet the client’s needs.

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