Final Project

Student Name:

Final Project Part One

Theoretical Orientation and Integrated Personal Approach

As far as the presented patient is concerned, i.e., Charles “CJ” Jones, an essential integrated individual approach may be described and the one that will be important for helping the person to recover from the problem being experienced. The appropriate personal approach that will be applied in this case is that of the adaptive information processing model. In this model, an appropriate information will have to be obtained from the patient and such information include whatever that transpired and which led to Jones feeling lost and withdrawn from friends as well as the money issue that the person is experiencing. Therefore, in this model, the therapist will be trying to retrieve or acquire information from the patient as much as it would be possible and this is one that will be important in coming up with an effective treatment plan and the one that will be appropriate for treating this person.

When it comes to the manner of using this theory or model in conceptualizing the problems that the client is experiencing, the theory will be used in acquiring the basic and essential information from the client and this will be a form of evidence-based treatment in that the identified information will be vital for the treatment of the patient. The acquired information will also be vital when it comes to developing the appropriate treatment plan and also the right counseling for the client.

Background Information

[Include demographics, age, disability, religion, social class, sexual orientation, indigenous background, national origin, gender identity, family unit, highest level of education, employment, military background, current and past legal issues, relationship status/social history, and substance abuse and treatment history if applicable.]

Regarding CJ who is the client under consideration in this case, an appropriate background information may be presented. The background information is one that will contain aspects such as demographic information of the client, age, disability and also religion as well as aspects such as social class among others. The other information may entail indigenous background, nationality, family unit and also highest level of education and issues to do with employment and relationships. As per the presented information about the client, Charles Jones is a 21-year-old and also a single and straight man. He is also of the origin of African-American and Lakota man. Regarding the family affairs of this person, he has ended his three-year romantic relationship and this is all that occurred four months ago. The individual also has no ideal employment condition since he has been searching for a job for around five months at the moment the information about the client was being taken. Regarding the financial situation of this person, he has been supporting himself especially since his high school moment and he has also been struggling to make ends meet. After facing this financial problem, the person tries to approach a family friend for financial assistance which ends up being turned down and leading to more worries on the side of this person. The education level of this person is that he is a full-time undergraduate student who is in the final year in the college and is pursuing computer science. As a way of trying to make ends meet, the person also works like a full-time and works as a midnight-shift warehouse worker. Concerning the family unit of this person, he had been raised as a single child by his mother and lived with the mother’s extended family and these members are all that identify him as an African-American guy. When it comes to remembering of the child’s past experience, the guy remembers that he has been spending time with some members of the family at church and is currently being identified as being a spiritual person as opposed to being a religious individual. The guy is also one that can remember being a good student and also a popular child during his early ages and all of these are the important characteristics that have been remembered by this person.

Comprehensive Overview of Presenting Concerns

The problem that Charles Jones is experiencing is that of being depressed and also feels lost as well as being withdrawn and also highly worried about the lack of money which he is experiencing. The symptoms of the problem that Jones is facing from include feeling lost, withdrawn from friends and also being worried of the lack of money. Loneliness is also a notable symptom that can be seen or experienced from this individual. The intensity and frequency of this problem is high since it has led to this person being depressed. In case the individual was not depressed, then the intensity would be described as being low but due to the instance of being depressed, then it appears that the intensity and frequency of this depression is high. The potential harmful behavior is that depression is an issue that would lead to an individual committing suicide. Despite that Jones claim not to have been having any plan or decision to commit suicide, there is a great possibility that depression would lead to Jones committing suicide though this is only a potential behavior or action. As far as the family history is concerned, no related information or history that has been presented regarding Jones or the members of the family.

Based on the background information of the client’s history, the triggers that are associated with this person’s problems may be described as being events. As an example, this is a child who has struggled to pay his fees for a long moment. The same event that may be associated with this issue is that the person was trying to reach a relative that would be of great help and failed to help when the help was highly required. Additionally, the person is looking for a job to sustain his desires and this job is not forthcoming and this forces him to become a part-time worker so that he can sustain his needs. Therefore, all of these events are those that are activating the intensity of the problems being experienced by the client.

Maladaptive Patterns:

Regarding the background information as well as the Current Trigger’s sections, the thinking and also the feeling of the client is that lack of employment has been the key thing that has led to his suffering. After struggling to study to study, the client thought that he would acquire a job that would have helped in changing the situation that this person was experiencing. However, the same job is not forth coming and this adds insult to the injury that this child is facing. Regarding the manner of behaving about the problem being experienced, the child is positive and the reason for claiming like so is that this child is trying as much as possible to recover from the incidence that is being experienced.

Developmental Influences:

The human developmental theory that was used in guiding the acquisition of information concerning this client is that of Jean Piaget also regarded as Piaget’s cognitive development theory. The theory is based on the sense or idea that children are those people that construct knowledge and wealth as they explore and grow. The above idea is one that limes well with Jones since this is a person that is gaining knowledge through exploration. Regarding the issues that have led to the client being in need of counselling, he has experienced lack of financial support from a family friend and has also struggled much in his life and these are all the things that may be associated with the adaptive functioning as well as the essential human developmental theory that has been used in describing the situation that this person is experiencing.

Protective Factors:

Spiritual factors appear to be the most important in mitigating the risk associated with this person and also the support adaptive management of stress associated with the person. As an example, one of the spiritual factors is that of being supported by the Supernatural creature or a religious leader. The leader or the creature is one that may help people in overcoming such instances of being affected by stress and instances of depression.

Co-occurring Disorders:

Mental Status Exam:

The aspects that would be used in describing this person’s situation is that of being on time, attitude and also place and time as well as situation. Other observable symptoms can also be seen. Regarding the aspects of being on time, the person has tried much to study and has a positive attitude or behavior. The mood of this person was also upright at first despite that it changed from being upright and moved to a negative mood. Due to the prevailing circumstance, the mood of the person changed from a right mood to a negative one due to the negative ordeals that this guy had been experiencing. The observable symptoms or behaviors that can be observed from this person is that of feeling lost, and withdrawn as well as getting worried from time to time.

Cultural Considerations

Cultural Identity:

The essential cultural identity that may be used to describe this person is that of race, ethnicity, gender and also that of sexual orientation. As for the race and ethnicity, the individual is of Lakota race and ethnicity. As for the gender and sexual orientation, Jones is a male individual and who bears the male category and behavior associated with the male individuals.

Cultural Stressors:

The level of adaptation to a dominant culture as seen from this person is high. Being of the Lakota origin, the person appears to be highly stressed due to belonging in this origin. Stress-rooted acculturation also appear to be a key factor since the person is of African-American origin. Therefore, the person may appear to be of an inferior culture and this could also be a probable factor leading to the stress being experienced by this individual.

Cultural Influencers:

Religious beliefs are also those that are associated with the cause of a stress or an impairment or even a given situation. As an example, religious inferiority is one such a factor that could lead to such problems or impairment in the conditions of an individual. Despite that this client is strongly anchored in religious, the same religious inferiority could be a cause of this impairment.

Personality Patterns:

As of this client, a mix of cultural as well as personality dynamics are evident. In the first place, the individual is of a mixed culture, an African-American culture. Therefore, these dynamics are highly evident and they are those that may have led to this personality pattern being portrayed by this individual.

Summary

Theory-Driven Case Summary:

The history of the client’s problem may be one that may be associated with his family. As an example, this is a person who comes from a single-parent family since his family left his mother at the moment he was being brought up. The mother to the child lived with him in her extended family and this is an activity that shows how this person suffered due to being brought up in a single-parent family. The individual also has numerous strengths such as struggling to make ends meet and supporting his studies as well as education. However, notable barriers also exist such as being unable to secure a job and this is a thing that appears to deal him a big blow.

Summary of Conceptualization Presented to the Client:

Regarding this section, it is important to begin the summary by saying that this is a person that requires some counselling. As of the model developed above, it is important to gather the relevant information about the history of this client and the family and also try to get his medical history and also that of the family. Gathering of all this information is one that may be regarded as evidence-based treatment of the person. The focus on the object of change of this person is coming up with an effective program or plan of treatment for this individual to relieve him from the problems he is experiencing.

Final Project Part Two

Diagnosis

Primary Diagnosis and Justification:

After assessing Mr. Jones’ information, it is evident that he has acute adjustment disorder with depression. According to the DSM-V, Jones’ issues is acute adjustment disorder with depression since his symptoms connect to the criteria. The condition occurs for people exposed to stressful events in their lives recently or even in their past (Sissons, 2020). The process of generating the diagnosis involves assessment of situations in Mr. Jones’ life to determine what triggered the recent feelings of being lost, withdrawn socially, and having financial issues. The main issues that Mr. Jones identified were ending his three-year romantic relationship and lacking the appropriate employment.

Assessments:

It is possible to assess the situation of Mr. Jones by applying a dimensional approach which offers accurate assessment of his behavior and impact between his personal life and finding an effective method of collaborating with external conditions. Mr. Jones was exposed to a lot of issues in his childhood that resulted in him adjusting to social situations where he had to form maladaptive behavior. The dimensional diagnosis approach focuses on placing abnormal behaviors in a patient’s life and connecting them to the frequency in occurrence and level of severity when attempting to find effective solutions. There is a connection between the abnormal behaviors in a person’s life and their ability to form an agreeable personality based on their social problems.

Secondary Diagnosis and Justification:

The study of Mr. Jones’ condition requires analysis of his behavior to determine an effective method of managing his personal factors and ability to connected with proper social development. The diagnostic criteria for depression are required to determine the types of behaviors Mr. Jones displays and they can lead to future solutions. A person with depression would have moody behavior, little interest in pleasurable situations, weight loss, restlessness, fatigue, feeling of being worthless, and reduced concentration (Truschel, 2020).

Assessments:

The appropriate assessments for Mr. Jones are substance abuse assessment, psychological testing, and individualized treatment. The process of performing substance abuse assessment is imperative to connect to Mr. Jones since he reported that he had been using alcohol and marijuana in his childhood. This issue is detrimental in the case of Mr. Jones since it is difficult for him to function properly yet he has not recently engaged in alcohol abuse. Mr. Jones’ problem would have to get solved early to ensure he does not resort to alcohol and substance abuse to manage his feelings of low self-worth. Mr. Jones need to access health improvement measures that target his mental balance.

Tertiary Diagnosis and Justification: The ICD and DSM-5 codes that are important for this diagnosis include acute adjustment disorder. The overall descriptor of diagnosis is the problem that this person is experiencing, i.e., depression. The criteria that has been met is that of identifying that this person needs some counselling and the behaviors that have been used in meeting the diagnostic criteria is out of feeling depressed and being lost as well as feeling that the family friends are unsupportive to this individual.

Assessments: The assessments used include identifying the behavior portrayed by this person as well as his struggles. The other assessment is that of looking at his struggles and strengths as well as barriers and these are key in making the diagnosis. There is also the cultural aspect and family background or setting especially the manner that this child has been brought up in a single-parent family and living in an extended family.

Additional Diagnosis and Justification: The overall descriptor of diagnosis as well as the behaviors and criteria that have been met is as described above. The additional information is that of the V Codes which include the variations in the behavior of the individual as well as the potential action that would be taken by the depressed individual. As for the cultural considerations, it is important to consider the mixed origin of this person since he appears to be coming from two varying cultures.

Assessments: The family background of the person

1. The potential action to be taken by the person.

2. Struggles, strengths and barriers by this person to succeed.

3. The background information of this young person.

4. The available support to help this person in becoming successful.

Final Project Part Three

Client-Centered Goals

Goal 1: Targeting on the presenting problem as well as using the SMART format, the long-term goal for this patient is trying to change his situation such as helping the person to change his perception toward life and his culture or even the family setting that he has been brought up.

Objective 1 of Goal 1: The short-term goal is counselling the person and helping him to overcome the issue of depression which he is experiencing.

Intervention 1:

The specific intervention that the counselor will apply is that of cognitive behavioral therapy. In this therapy, the counselor will try to change the behavior of this person and induce a positive attitude toward life to this individual.

Intervention 2:

The specific intervention in this case will entail trying to reach to family friends who will act as important help to this person and guide him in overcoming the problem being experienced.

Intervention 3:

The third intervention will be trying to seek for a job or any other financial support to this individual as it is among those problems that the child is facing.

Objective 2 of Goal 1: Using Cognitive Behavioral Therapy to deal with the problem that the person is experiencing.

Intervention 1: Use of medical equipment in the first stages.

Intervention 2: Use of advices

Intervention 3: Financial support.

Objective 3 of Goal 1: Dealing with depression.

Intervention 1: Medical facilitation especially anti-depressants.

Intervention 2: Financial support.

Intervention 3: Approaching the family for support.

Goal 2:

Objective 1 of Goal 2: Changing the way of perceiving life

Intervention 1: Provision of advice especially by advising the person that he can also make it.

Intervention 2: Financial support.

Intervention 3: Medical facilitation.

Objective 2 of Goal 2: Family support

Intervention 1: Helping the person to trace the family members

Intervention 2: Financially supporting the family

Intervention 3: Dealing with the cultural and ethnic perceptions.

Objective 3 of Goal 2: Use of advisors

Intervention 1: Seeking friends’ support

Intervention 2: Seeking family’s support

Intervention 3: Use of counsellors

Prognosis

Guidance

Reevaluation of Treatment Plan

Guidance

SOAP Note

Guidance