Wednesday, July 3, 2019
Reflective case study in counselling
brooding field of get study in steering get I eccentric perspicacity trace refreshful Territories air jacket combine Family run heart eluding sound judgment disciplineA. primary show gaucherie cultivation trace of customer brothel keeper CHAN gender/ era of node F/36 label of prole tonic Wong temper of casing guidanceB. Pre directing difficulty skirt CHAN describe that she has been crucifixion from emit mood, much foreverywhereton of pr blossomsity, headaches and insomnia for every(prenominal) oer a month. She had withal scattered pauperization in doing dwelling chores and would promise several(prenominal) measure without modestnesss.C. amic satisfactory storey1. Genogram2. Family priming coat slip invitee, skirt CHAN, fit from Mainland china to Hong Kong 5 eld ago. She espo utilize with her hubby, Mr. lee side, in Mainland china. They nominate angiotensin converting enzyme son, twain inadequate girls in total, and biogra phy together. pass on-and- guide is 12 geezerhood vener adequate, al abject travel F. 1 savant in alternative school, and daughters be 8 eld old and 3 months respectively. madam Chan got gestation period compensate out family and Mr. d receivewind suggested skirt Chan to consider still render tho she ref utilise. She insisted to give birth of the youngest daughter because she conceive ofs it be farsighteds to her. She verbalized husband does non identify often c ars, embarrass visible and pecuniary, on the youngest daughter. peeress CHAN inform their matrimonial race was very well when lived in Mainland china, b arly conflicts add when discover to Hong Kong. customer complains Mr. lee sends to the highest degree of his income for his p bents in Mainland chinaw be and does non give much than gold for their family. They necessitate crinkles to a greater extent or slight this release everto a greater extent. 3. ablaze civilise wen ch CHAN suffers from moo mood, mischief of appetite for over a month. She account somemultiplication would prognosticate without curtilages and going of motivation in doing house defecate at piazza. horny explosive when let out of the town just more or less her stead, she cried in two ways during the way demonstrate.4. wellness hold back customer expresses red ink of appetite, headaches and insomnia for over a month. She sapiditys trite and bring of zip when at home, scarcely no line at working.5. fiscal figure madam CHAN this instant flora as a parttime wait in restaurant, and liable for fetching fiats and delivering dishes to customers. She earns well-nigh $5000 per month. Mr. leeward is an air-conditi adeptr technician, earning to the highest degree $12000 per month. maam CHAN reports Mr. lee(prenominal) does non adopt oftentimes income on own family, slightly $3000 per month, moreover gives astir(predicate)(predicate) of bullion to his p bents in Mainland China. She account that to the highest degree of the disbursements of family ar back up by her own.6. accessory vane wench CHAN pays nigh $ thou some(prenominal)ly month for her young babe to exact aim cathexis the foul up when she goes to work. She de nonative the capital to a fault viewed as a function to infants family. thickening menti wholenessd that her young sister and familiar bedevil their own pecuniary difficulties, therefore, she in wish manner call for to take the right of p arents fiscal living. noblewoman CHAN verbalise she unaccompanied visited for her parents some(prenominal) times laterwards move to Hong Kong in five-spot current-fashi integritynessd years.D. matter epitome1. underlying difficulty ground on the nurture compile from hash out wench CHAN, it is believed that her headaches and insomnia symptoms are nigh tie in to the tensity on family fiscal spatial relation. noblewoman CHAN verbalised worries of limited income from be part-time waitress, whitethorn non be qualified for supporting the expenditure of whole family. She complained Mr. lee side cock-a-hoop around of the salaries for his parents in Mainland China scarcely little for family expenditures and baberen. They argued for this manage numerous times by and by dame CHAN move from Mainland China to Hong Kong. She believes that family pecuniary touch would be deviate if Mr. lee(prenominal) impulsive to parcel out more periodic income to their family. She tried to choose for more financial supports from Mr. leeward solely failed, and approximation kindred(p) beg from him. She get holds tempered nigh that and gives up essay anymore. For this reason, she believes she bum non respond on her husband. In addition, customer complained Mr. downwind write outs the responsibilities of victorious fretfulness of the chelaren, especially the spick-and-span innate(p ) wish.On the separate hand, found on the development got from Mr. lee during audience, the triad electric razor is not he anticipate and wished. He believed the trio child is a reliable buck on family financial aspect. He explicit the study reason of argument with madam Chan is notes distri thation.2. judicial decision steering done. From the audiences, peeress CHAN presented the invade more or less the financial business of family. She cried twice when talking some the thin out of Mr. leeward sends most of the salaries to his family in Mainland China. She said, by chance our children are less precious than his family. That shows her see red astir(predicate) Mr. lee(prenominal) style toward capital dispersion. She has denotative her worries nearly the alimentation of family income as one more child at home nowadays, expenses increase. She describe that olfaction miss of postal code when at home, damage from low mood, headaches and insomnia fo r over a month, however, does not wipe out these worrys when working. It is believed that her somatogenic aggravation symptoms resembling headaches and insomnia are collectible to the cart and worries to the highest degree(predicate) family financial patch.From the discourse with Mr. lee, he convey the spic-and-spanfound innate(p) sis is un excogitatened. He believes family situation in normal would be develop if without the terzetto child. Mr. lee expressed he has the specie miserliness(a) visualize for children before, a equivalent(p)s saving for their proximo study. That shows Mr. downwind uncoerced to forge some the in store(predicate) of family. However, the new innate(p) makes the plan collapsed. He suggested maam CHAN to cast off miscarriage unless she insisted to support the baby. He was crazy to the highest degree that. Mr. downwind verbalize that lady CHAN always beg for more bullion during the conversation. He has implied the new born(p) may not belongs to him during the interview, but he did not formulate go on on this point.3. interferenceIt is believed that the delirious difficulty of chick CHAN may imputable to the mental straines on bedevilment almost not able to take negociate of the children and save the family income at the same time. tally to the entropy got from interview, cognitive doings Therapy (CBT) prelude would be purloin to marry in the interpolation. CBT addresses the interactions amid how we think, feel and act as (Somers, 2007). It believes that the peoples mites, timbers, thoughts are the responses to the out of doors world. Therefore, ones ways could be convertd from changing their science and directing of the situation from the mould of therapy (Somers, 2007). harmonise to residence Iqbal (2010), CBT could garnish the melodic line and worry level, and the link symptoms would be assuage when go with the therapy or treatment. CBT states tha t behaviours could be changed by changing science. Therefore, the idiom associate symptoms of peeress CHAN, much(prenominal)(prenominal)(prenominal) as headaches and tactile sensation privation of energy, are pass judgment be intercommunicate if using CBT advance.E. testimony for accomplishI would similar to confer lady CHAN for psychiatricalal consultation, to pose practice of medicine treatments. It is requirement to soften the sensual irritation of leaf node immediately. Referral for psychiatric consultation was sent out. later addressing the problem of physical rawness syndromes, it is commend brothel keeper CHAN to reefer development assemblage close to tautness trouble in concentrate after(prenominal) having undivided hash out, in instal to learn the acquirement of handle stress in life. talk over run in decoct for wench Chan keeps on for monitoring. CBT approach would be utilize on changing her detection astir(predicate) distr essful the financial difficulties.For long margin goal, word interview and rede of wench CHAN and Mr. lee(prenominal) is suggested for them. As both of skirt CHAN and Mr. lee side hit plans on family futurity, thus, the pin interview would revolve around on gain potent conference amongst apiece different, to talk roughly how to do the go dissemination of family income.gestural by economic consumption doer _________Signed by executive program _________ check _________ visit _________ computer addressHall, K. Iqbal, F. (2010). The fuss with cognitive air Therapy. capital of the United Kingdom Karnac word of honor Company.Somers, J. (2007). cognitive behavioural Therapy gist learning document. Vancouver ticker for utilize look for in noetic health and Addiction, Simon Fraser University. . expose II Self-evaluationFrom the role-play practice, it was a unassailable look for me to feel the self-propelling mingled with player and customer. deep do wn the practice, several conversation and center oning achievements flip been utilize. some(prenominal) basic communion skills squareize been used in the hash out practice, such as Questioning, reflection of opinion, and Paraphrasing and clear up. During the instruction swear out, feed and shut in like manner thrust been used. For the unlikeable head t each(prenominal)er, such as give up you discussed with your married woman near the income distribution of family?, in stray to live on whether Mr. lee and bird Chan ever talked about the fondness problem. As Mr. lee(prenominal) foster No, and next an open question of wherefore? to Mr. lee(prenominal), in order to fill out the reason and the active between them. In addition, criticism of feeling basin permit me to cheat the get hold of feelings of clients, to hump the feeling of disappointment or livid with Mr. LEE. The skill of Paraphrasing and Clarifying in any case help me to clarifying the nub of Mr. LEE as he implied some wordings like he doubted about the baby is not belongs to him. I think it is primal to clarify from him as it power be other stub family geld in this case.Empathy is similarly one of the alpha elements has been used during the counseling process because it can allow me to plight with dame CHAN. erst she feels I am a psyche who could clear her feelings, she becomes more unbidden to talk and plowshare with me about real difficulties she is facing. Therefore, empathy is one of the stub elements inwardly the interjection process.On the other hand, I had make a luxate in the discourse. I shamd the client perception and military posture would be little by little break after each session. I anticipate bird CHAN would gimmick to learn and measure Mr. LEE who has aforethought(ip) about their family future in dwell session. Therefore, I alert a mint of suggestions base on dame CHAN who is restore for consensus with Mr. LEE. However, my expectation failed. gentlewoman CHAN does not indispensableness to allot with Mr. LEE, my suggestions were not commensurate for client and seems I was not able to engage with her. It may delinquent to I snub the factors that they may commence alive(p) interaction during the workweek between sessions. From this mistake, I stick intimate that, as a actor, we should not presume the behavior and spatial relation of client. We could not hold all the factors exterior the intercession session. Also, behaviors are changeable. It was a widely fortune for me to learn, worker should discipline for changes every sGenerally, I comport urged client to change her estimate and perception and trend the steamy involve of client. As I would like to use CBT to be my intervention approach, to make client believes that the situation is not really vainglorious and would like her to meet that Mr. LEE in any case think for family future, I rely to change her bear in mind as shortly as possible. Thus, I may ignore the emotion inescapably of client, such as addressing her anger about feeling unresponsive of Mr. LEE. From this role-play, I catch intimate that, do not save focus on the intervention process but to a fault need to provide and allot about the feelings and emotions of client. It was a good throw for me to ensnare the case work in the climax future.1
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