Case Study Example of Reflective Being attentive in Counselling

Case:

Savita is a 33 12 months old woman. Her marriage broke up more than 10 months earlier. Prakash and Savita have been married for a decade, and had two children, Rakesh aged 6 and Rohan aged 1. 5 years. Presently both children are with Savita. Savita arrived for counselling after being known by her DOCTOR who thinks she has early symptoms of despair.

Background

Savita and Prakash attained in university where they were learning BCS. After graduating they both worked well in independent companies and were going out with for many years before getting married. Savita persisted her job after marriage until the birth of their first child Rakesh, Savita got a break and to work part time. Prakash worked regular and received a number of deals.

Savita was working part time until the beginning of their second child Rohan, then she again needed a break to provide for both her children. She received a new job and was about to commence to work when 1 day Prakash shocked her by informing her that he was departing her for another woman who functioned at his office. Per month later Prakash transferred out of their home. He has not contacted Savita or the children since that time. Savita has too depressed to come back to work and is currently in danger of sacrificing her job with the company.

Session Details

Upon Savita's arrival, the Counsellor put in some time growing talking with Savita to make her feel comfortable and relaxed.

Counsellor began the procedure by requesting Savita whether she had any questions about the counsellor and answered them about her experience and work in counselling. Counsellor proceeded to ask Savita what possessed brought her to counselling.

Savita kept looking at the floor and after a couple of seconds started crying, "My hubby still left me. He likes another woman; I just can't overcome it. "

Counsellor responded with a paraphrase and reflection of being "You sound devastated by the behaviour of your husband Savita. "

Savita replied "Yes I am, but it was many months ago, I should can get on with my entire life. I don't know why I am still so annoyed. My family and friends say that I have to move ahead. But I miss Prakash a whole lot and the children cry for him every day. "

Counsellor: "So, you and the kids are still very sad yet your family and good friends think that it is approximately time you began living again?"

Savita: "Yes, maybe I am taking too long to get over him. What do you consider?"

Counsellor: "I want to ask you Savita. Do you think six months is long enough for your sadness about your relationship?"

Savita: "No I don't. "

Counsellor: "And you're the only person knows how you are feeling and whether you can get over your marriage with Prakash, Savita. "

Savita extended her report about her life with Prakash and how she has struggled going back ten weeks without Prakash. Savita referred to the distressing situation and exactly how she actually is has looked after the children on limited income. She also spoke about her concerns and uncertainty about her own and her children's future.

Counsellor focused on Savita to encourage her to speak about her feelings and her pain.

Counsellor summarized Savita's issues and said "Savita, you've just defined a very distressing time in your health you must have had to make a lot of changes to your daily life during this time period. You have the duty of two children, you have to care for the home and manage your finances. At exactly the same time you are facing a lot of pain in regards to to your matrimony. That is quite a lot that you will be managing in your life right now. "

Savita: "Yes, my situation is very bad. It didn't seem to be so very bad when Prakash was living with us. "

Savita cried a great deal and advised the Counsellor about her years as a child dream about getting married in a joint family the way they show on TV and in the passionate Yash Johar family movies. She continuing to cry about how precisely she will never be able to fulfil that goal. She also spoke about her thoughts of anger and blamed herself for not having the ability to offer with her situation and become a good parent.

Through open questions, paraphrases and thoughts, Counsellor was able to help Savita her emotions of anger and also helped he know very well what being truly a 'good mother' designed to her. Savita spoke about her own mom who was simply a stay at home full time Mom.

They also spoke about different parenting standards of living of the past and today. The way the role of women has evolved in the Indian world and how friends and relatives are treating Savita.

Savita said that she missed her job and the satisfaction it provided her to have a job. Counsellor helped show you Savita's thoughts and understand what Savita liked about her work and her talents and functions.

Savita: "I am convinced that, maybe I possibly could speak to my company to get me to work part time for some time until I can get my entire life organised a lttle bit better. I've a few family member and friends who might be able to help me out with the children. "

Counsellor smiled at Savita and helped her make up her head for herself and her future.

Savita: "Yes, I will speak to my employer on about any of it. "

Then, Savita's appeared more comfortable and comfortable. Counsellor asked if there was other things she'd prefer to discuss today. Taking a look at her watch said that the children would be looking forward to her. She also said that if she had a need to talk she would come back.

Counsellor replied that she was most welcome and wished her luck.

Session Summary

In the program, Savita was given the flexibility to speak about her pain in a location packed with empathy, genuineness and unconditional positive respect.

A RESEARCH STUDY 1

Samantha is a 38-year-old Anglo-Indian woman who acquired abused lots of substances, including cocaine, heroine, alcohol, and marijuana over the past 15 years. She kept high school and proved helpful as a prostitute for 5 years. Later she found a job as a sales clerk at a home furnishings store. Samantha possessed two children in her early twenties, a little princess who is now 15, and a son, aged 18. Because of her drug abuse problems, they lived with other family who decided to raise them. Samantha was in treatment consistently and had continued to be substance free for the last 5 years, with several minor relapses. She have been married for 24 months, to Steve, a carpenter; he was chemical free and recognized her attempts to stay away from chemicals.

Few months ago she became symptomatic with Supports. She was diagnosed with HIV-positive for 5 years but had not developed any health issues related to the condition. Samantha had practiced safe intimacy with her man who knew of her HIV position. Lately, after learning from the medical doctor at her center about her HIV symptoms, she commenced to "shoot up, " which led her back into treatment. Out of dread, she came to go to a counselor at the clinic one day after work who she was asked to meet by her medical professional. She viewed all concerned about her marriage and that her husband would be devastated by this reports. She was reluctant she was no more strong enough to stay from drugs since discovering the starting point of Assists. She was also worried about her children and her job. Uncertain of how she would keep on living, she was also terrified of dying.

The counsellor employed in reflective being attentive, his words were of approval to Samantha and her recent, and he clarified her current situation and emotions. He was empathetic of her thoughts and thoughts and was at complete congruence with her feeling and thought move. As Samantha developed trust in the counsellor, he began to emphasize her positive characteristics and her potential to make meaningful choices to become the individual she wished to (and could) become. The counsellor also helped her develop sufficient understanding so that she could make choices that represent more closely the prices and rules to which she aspired. During this time, she talked about her will to see her man about her symptoms and try to strengthen her relationship.

During the period, when Samantha started to feel guilty about her past as a prostitute, the counsellor proven understanding of her struggle to accept that aspect of herself, highlighting the fact that she did eventually choose to leave it. He talked about that she performed the best she could at that time and underscore her current commitment to choose an improved life. He counselled Samantha, that she would be supported and accepted, not criticized. She was completely involved with the counsellor. She expressed her concern with death and the result this fear experienced on her behalf. Samantha happened to say that this was the first time in her life that someone was unconditionally recognizing of her or focused on her strengths somewhat than her failings. What was found was that she possessed the capability to solve problems, which was shown by her return to counselling and her information about requiring help. She pointed out that by being known and accepted, her self-esteem and sense of trust begun to increase and her shame begun to diminish. She had thought supported to make critical choices in her life and well informed to job application her recovery.

A Case Study 2

Shashank was a 36 12 months old man who did the trick as an admin staff for a little family business. The business was declining and Shashank was bothered that he'd probably have to get started the process of "winding it up" in the near future. His determination to the business enterprise and his friends, the business enterprise owners, got intensified the level of stress he was being because of this of the business collapse. He had taken weekly off focus on sick leave and felt too "stressed" to come back to work. Revati, Shashank's partner, had approached the counselor because she was greatly worried for her man. She was bothered that Shashank was frustrated as he was refusing to go to work. She stated that he previously agreed to go to guidance if she planned an appointment, however he didn't think it would help him. Shashank attended four classes with the counselor over a ten week period. Shashank possessed reported the following symptoms: decreased desire particularly with regards to his work, strange outbursts of anger, panic whenever he thinks about his work or attends his workplace, and difficulty sleeping. He explained that these symptoms commenced when he recognized that the business enterprise he was working for might commence to fold and have increased to the point that he's finding it difficult to complete his regular responsibilities and "doesn't wish to accomplish anything". In the first procedure, the counselor involved in reflective tuning in, his words were of acceptance to Shashank and his situation, and he clarified his current situation and feelings. He was empathetic of his feelings and emotions and was at complete congruence with her feelings and thought stream. As Shashank developed trust in the counselor, he started to inform the counselor a great deal of facts which were lying profound within him. He informed the counselor that he previously did the trick as an admin worker in smaller businesses going back twelve years. About eight years back he was working with another business that required him to close it down. He referred to that experience as extremely distressful. He felt that the process had included a lack of loyalty from organizations from the business and that he found this as a "personal harm" against him. He also believed he had been subjected to people who would do everything they could to get whenever you can from a "crumbling company".

In another period, Shashank reported that he felt he was "depressed" (using his own knowledge of the word). He explained that the depressive disorder commenced as the retail business he was working for started deteriorating. During that time he felt betrayed by people he had respected and he sensed "conned" and tricked by many "colleagues", and for that reason, he had believed like a failing. He explained that he was now experiencing an extreme concern with having to feel the same experience again. The counselor recognized the seriousness of the occurrences that had resulted in his level of stress and normalized Shashank's reaction. To manage the present degree of stress that Shashank was experiencing, the counselor advised he continue his non permanent respite from work which he had to implement some rest strategies like regular physical exercise, doing things that he relishes and things that he locates soothing. Shashank was very concerned about what he should do about his return to work. He said that he didn't believe that he could return back. The counselor recommended that he try not to think about the decision relating to his go back to work until the next session which was in fourteen days In the following session, Shashank reported that he thought "more relaxed", although he prolonged to feel unmotivated to return to work. He referred to walking regularly and avoiding stressing too much about work. He also said that he had vanished into work for two brief periods during the two weeks and acquired experienced a high level of stress and irritation when he does, although he reported some comfort from the utilization of the leisure methods.

The counselor used a four step decision-making model to aid Shashank to come to a choice about his work.

Step One: What's the problem?

Step Two: What exactly are your options and what are the relevant issues associated with each one?

Step Three: What's the best option?

Step Four: What do you need to do to implement the best option (include possible contingency programs)?

The counselor recommended that Shashank acquired to develop a written plan for managing and balancing all the areas of his life (leisure, enjoyment, hobbies, family relationships, and work) that would be reviewed at another appointment.

In the 3rd session, Shashank described that he had taken any occasion for a week with his better half and had delivered "refreshed" and with new insights into his life. He also explained that his stress continuing to lessen. He identified a "new conviction" to balance his life more. At that time, he felt he could be able to go back to the place of work full-time, or he might opt to resign from his position and proceed to another area to start out again. He said that he realised that whenever he does not have any clear course and feels uncontrollable, he gets very pressured. He described these exact things as the sets off for the strain he has believed in this situation and similar situations before. He therefore decided to ensure that he always has a feeling of course and control in the complete of his life by taking the focus away from work. The counselor supported and encouraged his continuing self-reflection and perseverance. This move is dependant on his decision to balance his life more and he was excited about his family's ideas. He previously commenced playing a sport with friends one night weekly and was walking regularly. He stated that he previously realised it would take some time to change his way of measuring success / failing, however, he'd continue to treat it.

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