discussion

    

Post by Day 3

• The case study you selected, the client and mental health issue you identified, and the intervention you selected for treating the issue in counseling.
• Explain the findings of the article and how the research article results match or were different from what you expected to find.
• Did your findings change your perception about the intervention?
• Would you choose to use this intervention with your client in the case study based on the contents of the article?
• Cite content from the article you identified to support your post. Also, include a reference for this article in your post.
• Attach a PDF of the article to your post .

Natasha is a 40-year-old Latina woman who is self-referred to counseling. Natasha reports that she is in love with a woman, Nicole, and she is afraid that if her family finds out she is a lesbian they will disown her. She describes her family as “die-hard Catholic” that views homosexuality as a sin. Natasha has lost 20 pounds worrying about what will happen when her family finds out she is gay. She experiences nightly sleep disturbances and frequently tosses and turns and gets less than 2 hours of sleep. She has stopped participating in activities and spends most of her time at home isolating herself. She reports that she is no longer able to enjoy being with friends or participating in things she enjoys such as yoga or bicycling because she can’t think about anything but her family. Because she is not eating or sleeping well, her performance at work has deteriorated and her boss has put her on a performance improvement plan. 

In addition to her concerns about her family, she is now also worried about losing her job. Her partner, Nicole, has a very accepting support system and has never experienced the anxiety of being rejected for her sexual identity. Nicole's family is accepting of Nicole's identity and her family has been a safe place for the two of them to be themselves. Nicole is angry at Natasha's parents for not being accepting of Natasha and because of Nicole's protectiveness of Natasha, their relationship is strained. Natasha feels torn between the woman she loves and her family who has raised her. This has caused conflict in the relationship because Natasha feels that Nicole is being insensitive toward her circumstances. Their communication has deteriorated and Natasha fears “losing everything” including her family, her partner, and her job. Her daily functioning is impacted by her inability to find joy in activities and her sleep and appetite disturbance. She doesn’t know what to do.