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    Client (fictitious name): ?     Background of Client: (Identifying information of client, e

Psychology

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Developmental, Family, and Social History of Client:

(Information derived from clients and/or other parties; for child clients, an interview with parent is suggested)

Live with sister for ling time, both of them are not married. Can see interdepended relationship between sister, have to take care of sister due to her night blindness issue.

 

Mental and Medical History of Client including Family of Origin:

(If this information is unknown to client, put “client was not aware/did not report …)

Did not report in the conversation

 

Suicidal and Homicidal Ideation

(If client had reported such ideations, you also need to put a statement at the beginning paragraph)

Did not report in the conversation

 

Clinical Impression:

(Case conceptualization with quote of reference)

The client presents highly worried condition, always show worried emotion due to sister condition. Concerned that her sister have something serious happened if the client leave her alone. Furthermore, avoidant personality is presented. The client show self- isolation due to her duties of being a caregiver.

Treatment Planning:

(Based on your conceptualization, you will discuss in here the counselling goals and treatment modalities for your client)

 

Give supportive and strength-based counselling, can see the client has poor self-esteem and show negative emotional issue.  Can guide client be more positive and focused on her internal strengths and less on failure. Also, give her motivation for treatment and social connection through the counselling session.

 

 

 

 

 

 

Case Content:

1. Worried on sister night blindness disorder, almost all the time spend to take care sister. Stressed on sister behavior, sister can’t take care herself. All stuff count on client, the situation is worsened in future. She blamed that no one understand her.
2. Sisters start to learn live skills, try to learn cooking. Religion bring power to her.
3. Sister is changing her habit, the client has more personal time. Stress level decreased., show glad. Share the respect on her father, dad gave a lot to support and sacrifices the family. Affect her family values and attitudes,
4. Discover the topic on ‘Glow’, Used to be a kindergarten teacher. His father is also a teacher and influenced by him. Get a sense of success and satisfaction at work
5. Share the happy response from going to the cruise last week to take a short break with my sister and feel relaxed. Poor physical condition in recent years and still try ability to serve the elderly.
6. Family need support. Use the game therapy to explore her ideas on family and future.

 

She is not a confident person, but responsible. The two sisters depend on each other. Even though he's very old, try best to take care of sister.