instructions:
This paper is about 2 individual that attended parenting class group therapy
select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session (parenting class group therapy).
Then, address in your Practicum Journal the following:
• Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
• Describe (without violating HIPAA regulations) each client, and identify any pertinent history or medical information, including prescribed medications.
• Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), explain and justify your diagnosis for each client.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.
Group Therapy Progress Note American Psychological Association | Division 12 http://www.div12.org/ 1 Client: __________________________________________________ Date: ___________ Group name:________________________________________________ Minutes:________ Group session # ______ Meeting attended is #:______ for this client. Number present in group _____ of _____ scheduled Start time:________ End time: ________ Assessment of client 1. Participation level: ❑ Active/eager ❑ Variable ❑ Only responsive ❑ Minimal ❑ Withdrawn 2. Participation quality: ❑ Expected ❑ Supportive ❑ Sharing ❑ Attentive ❑ Intrusive ❑ Monopolizing ❑ Resistant ❑ Other: _____________________________________ 3. Mood: ❑ Normal ❑ Anxious ❑ Depressed ❑ Angry ❑ Euphoric ❑ Other: _______________ 4. Affect: ❑ Normal ❑ Intense ❑ Blunted ❑ Inappropriate ❑ Labile ❑ Other:_______________ 5. Mental status: ❑ Normal ❑ Lack awareness ❑ Memory problems ❑ Disoriented ❑ Confused ❑ Disorganized ❑ Vigilant ❑ Delusions ❑ Hallucinations ❑ Other:__________________ 6. Suicide/violence risk: ❑ Almost none ❑ Ideation ❑ Threat ❑ Rehearsal ❑ Gesture ❑ Attempt 7. Change in stressors: ❑ Less severe/fewer ❑ Different stressors ❑ More/more severe ❑ Chronic 8. Change in coping ability/skills: ❑ No change ❑ Improved ❑ Less able ❑ Much less able 9. Change in symptoms: ❑ Same ❑ Less severe ❑ Resolved ❑ More severe ❑ Much worse 10. Other observations/evaluations:________________________________________________________ In-session procedures: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ __________ _____________________________________________________________________ Homework: 1. 2. 3. Other Comments:
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Group Therapy
Group Therapy
Family Session
Client One
The family session comprised of two clients, a couple, who are married and their son. Client one involves the couple who came for the therapy session after their elder son reported to a social worker that his father disciplines him harshly. According to the father, no one has gone for parenting lessons, and they should raise their children the best way they see it fit. The couple is also unavailable for all the therapy sessions since the husband has to work extra hours to make ends meet. They believe they inherited the punishment from their parents, who also disciplined them severely. The father explains that the punishment worked for them and made them who they are today. They thus believe punishing children is a prerogative of the parents and there is no set standard.
Client Description
According to HIPPA laws, client description requires no identification of the real identity (Sheperis et al., 2020). The clients will thus be identified without using their actual names. The husband, identified as Peter for the purposes of the description, is a 27-year old male married to one wife, and together they have two children. He works at the airport in the luggage section. He was punished by his father severely while growing up. He has no history of mental or psychiatric conditions. He works extra hours to make ends meet. He is not taking any drugs at the moment. The wife, identified as Lois for this assignment, works as a baby sitter in the neighborhood.
Diagnosis
The presenting symptoms among the clients indicate the possibility of post-traumatic stress disorder. One of the major symptoms is a negative emotional state, such as anger or bitterness (Weathers et al., 2018). According to DSM-5, PTSD presents through negative cognition, avoidance, negative mood, and arousal. The criteria also show that irritation, hostility, and hostility are other symptoms of PTSD (Weathers et al., 2018).
The couple is suffering from the condition since they severely discipline their children such as Alberto. They have little regard for the pain the children go through. One of their major tenets is that they were punished as children as well. The husband also believes that it is the policies that protect children and not their style of disciplining children that should change.
Legal and Ethical Implications
The legal and ethical implications in counseling are essential in providing quality and client-centric care. One of the ethical considerations is respect for autonomy. It is important to respect the client’s opinion and show them that their actions could override others’ rights (Gregory, 2020). Voluntary participation is another implication that requires all clients to consent to participate in the therapy. It is also important to uphold confidentiality and assuring the clients that all information will not be shared. Therapists should also provide a disclaimer that information can be shared if their lives are at risk (Gregory, 2020). Therapists should apply beneficence to ensure they make the best decisions that will enhance the quality of life. They should exercise the duty to care and harm the clients irrespective of their beliefs (Smith & Okech, 2016). It is also important to avoid dual relationships since they can undermine the quality of care. It would also increase the risk of bias that would be detrimental to the therapy.
Client Two
The second client is the son who reported the incidence to a social worker who believes it is harsh to discipline children severely. The parents punish the son by asking him to kneel and hold an encyclopedia in both hands. He reports to a social worker who takes the action of involving the parents.
Client Description
Alberto, 10, reported the case to a social worker, but he has no significant history of mental or psychiatric issues. The parents have punished him severely for a long time. He believes the punishment is not friendly. Alberto is currently a student. He lives together with his parent and one brother. Both parents appreciate that disciplining him severely will shape his behavior for the future.
Diagnosis
The son is also affected by PTSD since he is traumatized by the punishment. It has been ongoing for a long time, but he has not dared to report the issue. The son is also at risk of traumatization due to the severe punishment. If the punishment’s impact continues for a long time, the child is at risk of punishing his children in the future (Weathers et al., 2018). He can also develop a fear of expression and low self-esteem.
Legal and Ethical Issues
Confidentiality is another important aspect of therapy. Therapists should keep all information confidential except when the life of a client is at risk. (Gregory, 2020) For instance, the therapist should uphold confidentiality in case the second client shared any information in private. Violating confidentiality would undermine trust and breach ethical considerations in counseling. Therapists should also exercise the duty to care (Gregory, 2020). It helps them to make all decisions for the welfare of the clients. The legal and ethical implications are important in fostering better outcomes.
References
Gregory Jr, V. L. (2020). Cognitive-behavioral group therapy and buprenorphine: Balancing methodological rigor and community partner ethical concerns in efficacy-effectiveness trials. Ethics & Behavior, 30(5), 364-384.
Sheperis, D. S., Ordway, A., & Lamar, M. (2020). Legal and Ethical Challenges in Online Counselor Education. Professional Counselor, 10(1), 106-119.
Smith, L. C., & Okech, J. E. A. (2016). Ethical issues raised by CACREP accreditation of programs within institutions that disaffirm or disallow diverse sexual orientations. Journal of Counseling & Development, 94(3), 252-264.
Weathers, F. W., Bovin, M. J., Lee, D. J., Sloan, D. M., Schnurr, P. P., Kaloupek, D. G., … & Marx, B. P. (2018). The Clinician-Administered PTSD Scale for DSM–5 (CAPS-5): Development and initial psychometric evaluation in military veterans. Psychological Assessment, 30(3), 383.
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