Revision

Client Intake Report

Client Name: Kate Damaris Age: 28 Yrs. Gender: Female

Counselor: Venice Scott Date: 6/19/2015

Brief Description/Behavioral Observations:

The client hails from San city , she is three years married with a one-year-old daughter, and she looked a little bit older than her stared age. She was decently dressed, though casual, and she exhibited a friendly mood. However, the client appeared depressed and mentally disturbed .

Presenting Problem/Reason for Referral:

“I have been laid off from my four years’ job as a clinical assistant due to poor performance. I had no interest in the job because it was not my career choice. …I was interested in becoming a TV journalist but my parents insisted that I pursue studies in health sciences as a nurse and clinical assistant. I am even so frustrated now that I have lost my job, though I had no interest in it .”

Educational Background:

The client has a Bachelor’s degree in health sciences nursing option . She had completed her secondary education with excellent scores in languages and performed averagely in sciences. She was selected to enroll at a state multimedia college upon her request but the parents declined, terming it an unprofessional career. The client was forced to study nursing at a state university , where she obtained a degree in health sciences.

Current Occupation & Employment:

The client recently lost her job as a clinical assistant at a nearby health care facility where she had worked for four years.

Career History (School, Work, Etc.):

The client attended a local primary school, after which she enrolled in a national girl’s secondary school following her good results. She completed her secondary course with remarkable scores in languages and social sciences and matriculated to a renowned state university for a course in health sciences. The client worked in a state hospital as an intern for one year before being transferred to a community health facility as an assistant nurse, where she worked for four years. The client is currently unemployed after the hospital management terminated her services.

Relationship Status & History:

The client is in a three-year-old marriage and she has a one year-old son. She has, however, demonstrated considerable rampage in her marriage on various occasions owing to the depression of not realizing her dreams as a journalist .

Relevant Medical and/or Psychological Problems (if any):

The client exhibits angry moods and social rampage when her missed journalism career engulfs her thoughts .

Relevant Legal Problems (if any):

The client declined having been associated with any legal injustices apart from a few household destructions following her reckless action when she remembers her career that was to be .

Family of Origin Occupations (may substitute career genogram):

The client’s elder brother has been a successful journalist and reports for the CNN international . Her mother is also an editor for a local newspaper and prolific writer and publisher of articles and journals on nutrition improvement. The client’s father is a retired gynecologist who worked for the AMREF international as an armature . He was then transferred to a state hospital where he was given an early retirement for reasons that the client coyly refused to disclose.

Career Aspirations/Occupational Daydreams:

The client wishes to return to school and pursue her career in journalism.

Results of Tests/Inventories:

This was the first initiative of the client to seek career counseling and there were no previous test results.

Case Formulation:

The presenting client is well groomed and organized. She is friendly, although she appears depressed and suffers rampage and mood swings following her beliefs that she has failed herself. The client wishes to return to school and pursue a journalism career in order to attain inner satisfaction and rejuvenate her happiness. However, due to her age and family responsibility, I will advise on how she can develop interest, cope up with her nursing profession, and renounce her journalism dream.

Provisional Treatment Plan:

The treatment plan will involve scheduling the client to a biweekly guiding session. Besides, we will help the client secure a new employment and request the management to consider her case. In addition, we will ask colleague nurses to establish close friendship and provide peer advice that help her adapt to the profession.

Counselor Signature & Date: Supervisor:

Venice Scott 6/19/15 Marsha Goodman 6/19/15

�Where? Do you mean someplace like San Francisco, San Jose, etc.? The only “San City” I can find is a German-born stallion who competes in dressage – and I’m sure that isn’t what you meant!

�It’s always a good idea to provide descriptors that capture your meaning. That is, what did you notice that made her seem to be depressed or mentally disturbed? The more clear-cut and objective the observation, the better.

�This is an excellent quote to open up with. It says so much about the case. We have a person who feels that she was pressured into an unsuitable career, complied unhappily, and basically “went through the motions.” She basically wanted out of the field, but didn’t really want to be “kicked” out. It looks like a passive-aggressive response to the perceived pressure. There is probably a lot of pent-up anger here. As a career counselor, we don’t want her anger and inner conflict to interfere with her ability to work. Emotional upset isn’t central to careers work, but it can’t just be ignored either. Don’t be surprised if there are moments of indecision, little angry outbursts about how her parents’ preferences affected her, and so forth. But without invalidating her experiences, try to gently redirect her onto the task of finding her own way in life.

�Is this different from a nursing major? For example, is she or is she not an R.N.?

�It’s worth letting her open up about the nature of this “force” and her response at the time. And of course to show empathy for her plight!

�It’s usually a good idea to name the schools attended.

�Imprecise wording. A “rampage” would be an all-out attack, complete with physical destruction. I don’t think that’s what you mean! Probably you’re saying that she has been dissatisfied in her marriage and displayed anger, maybe even outbursts of rage directed at her husband?

�This looks like a weak rationalization, really. Was her husband the one who prevented her from becoming a journalist? No. So either she is displacing her anger (more appropriately directed at her parents and herself) onto this “safer” target, or else the anger is just there anyway & would manifest itself in any setting. I have no idea which is the case.

�As before. If “rampage” is even close to accurate, this is a serious social problem.

�She needs to have her feelings validated to some degree. She also needs to work through the mourning for what did not happen in the past. Ultimately, though, she needs to prepare herself to move on. You should be prepared for resistance to this redirection. And possibly even anger directed at yourself for “not understanding.”

“It is so sad that you couldn’t do what you chose, follow your dream when you were 18 and so full of enthusiasm.”

“If you spend the next 20 years raging against your parents and rubbing their faces in your unhappy failure, you will succeed in making them unhappy. But will this make you any happier? Or would you rather look for a path through life that will meet some of your wishes, bring you some happiness? Even if you have to give up punishing them?”

That’s putting it pretty baldly, but it’s the sense I get from your narrative.

�Your writing style is unusual, and sometimes I’m not sure whether you’re putting things in an idiosyncratic way or it’s the client. For example, did she use the phrase “legal injustices?” That would imply that she blames the legal system for her troubles.

On a different note, if she really wound up arrested for destroying household belongings (her husband? Her parents), that’s pretty extreme. She is deeply involved in her sense of having been cheated in life.

�Rubbing salt in her wounds.

�Wow! A flying doctor!?

�The framework on which a sculpture is built? No, that isn’t the word you want.

�I wouldn’t be too sure this is the route to follow. Even if you believe it to be in her best interest, pressing her in this direction won’t be likely to succeed. You’ll only stir up resistance. At best, she’ll go along in the end, albeit reluctantly, and add you to her list of people who’ve pressured her into the wrong direction. Not to mention the likelihood that she will perform poorly again!

She is actually quite young, and could regard her abortive nursing career as a false start. And being married with a young child doesn’t prevent one from pursuing further education. Much depends on the extent to which her spouse can/will be a support in this.

I would say to have her look into journalism-related careers as well as alternative uses of her nursing training. And at some point, when she has information on several options, I might raise the question: “Is there any way, I wonder, that you could put your medical training to work in journalism or writing?”

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