Final Exams

Crisis Intervention

Final #2

A 16-year-old male, Joe, comes into your office after a break up with his girlfriend of 6 months. He presents with a sad affect and was tearful throughout your meeting. Joe comes from a stable home. His parents are married and appear to be a middle-class family. Joe is the oldest of 3 children. He has a younger brother and sister. Joe shares with you that he is depressed and stressed out. Joe relayed he feels his parents pressure him to get straight A’s and to be the best in sports. His grades are good as he is getting all A’s and one B which is in ELA, sharing his parents are upset with him about the B. Joe had a lot of friends, however when he started dating his girlfriend he stopped hanging out with his friends and now they don’t call him to do anything anymore. His girlfriend is 17 years old and they met through some friends as she attends a different local high school. Joe relayed his girlfriend was a “free spirit” and didn’t care what people thought of her and this was intriguing to Joe because he has always been a rule follower and wanting to please his parents. He stated he did some things with his girlfriend that he knows his parents would not approve of. He shared he used Marijuana and then tried heroin a couple of times but stated he stopped using it because he was afraid of what could happen. He continues to use marijuana. Joe relayed he and his girlfriend did have sex throughout their relationship. Sometimes they used protection and other times they did not. Joe shared with you that his girlfriend contacted him the other day and told him she was pregnant. Joe became more tearful. He stated he doesn’t know what to do. He shared his girlfriend wants to keep the baby. He is scared to death to tell his parents as he knows he will be a “disappointment” to his parents. Joe shared that he tried talking his girlfriend into having an abortion; however, she refuses. Joe feels like he has no one to talk to as none of his friends will talk to him because of how he treated them when he was with his girlfriend. He was close to his grandfather, however Joe shared that he found out yesterday that his grandfather passed away. Joe is feeling hopeless about his situation and doesn’t know where to turn or what to do. He doesn’t want you to tell his parents about his girlfriend being pregnant or that he is using marijuana. He wants to continue to try and talk his girlfriend into having an abortion. He denies any suicidal ideation, intent or plan. He denies self-harm.