Case Presentation Form Assignment for Individual Counseling Sessions 1. Counseling intern’s name: Shelby Namba Name: Age: 15 Grade: 10" Gender: Sexual Orientation: Straight Race/ethnicity: Religion: Unknown First generation: Unknown Family Background: is a middle child and lives with her mom, step dad, older sister ( ), two young sisters, and uncle (step-dad’s brother). also has other older, siblings who do not live at home. She has a closer relationship with step-dad, uncle, and younger sisters. However she has tense relationships with her mother and older sister who she lives with ( ). Biological father died when she was young. 3. Date of session: 2/4 Session #: 6 or 7 Length: 40 minutes 4, Use $.0.A.P, (Subjective, Objective, Assessment, Plan) notes to capture the presenting issue: Subjective: Academically, is doing great. However, at home she is experiencing a lot of tension with both her mother and older sister. She feels they are demanding so much from her (often unreasonable) without doing anything for her in return, feels itis unfair how much she is expected to care for her two younger sisters after school until the late evening as no one else is home to do so. She originally came to see her counselor (who referred her to me) because she was experiencing symptoms of depression, self-diagnosing herself with Seasonal Affect Disorder. + Objective: is always well groomed and appropriately dressed for her age and the weather. She consistently attends school but often skips classes she does not like (but still receives As or Bs). She generally seems to be happy and outgoing, but on occasion she will come in to see me with a noticeably sadder demeanor. On these occasions, she says less, speaks softer, and makes poor eye contact. + Assessment: does display some symptoms of depression. She may linger in her thoughts a little more than most girls her age, but not enough to be alarming. Her symptoms seem to be a result of multiple factors including low self-esteem (perhaps from an unaffectionate mother/sister), few trusted friends, family dynamics, etc. It is my opinion that the stress ‘experiences as a result of her home situation definitely impacts her personal and social development, but not in a significantly negative way.+ The plan includes what the counselor and client will do to address the presenting problem, The plan should be specific, measureable, attainable, reali (S.M.AR.T. goals). Be detailed in your S.0.A.P. write-up. As you consider the intervention plan, identify which level of intervention is needed and explain why (or if intervening on all three domains is necessary): a. Counselor: | will continue to meet with ‘egularly, as she has confirmed that being able to talk and vent about her stresses with home-life is both helpful and relieving. b, Advocate: | will continue to support '—mostly socially since she is doing fine academically. Not much more support is needed at school as far as collaborating with teachers; perhaps if family issues worsen | will act and support accordingly (ie. family meeting/call home/etc.) Scholar: | will continue to stay up to date with culturally and age relevant research that aims to help teenage girls having parental responsibilities, build self-esteem, and relieve stress related to difficult family dynamics. 1. What multicultural factors are at play? How multicultural factors influence the client- counselor relationship? | believe the factor of and | both being Asian American females is positively influencing the counselor-client relationship for two main reasons: | believe that because of our similar ethnic backgrounds, she is easily opens up to me and feels that | can relate to some of her culture. | also believe that since she has not had very positive female role models, | am able to partially fill that void. 2. What counseling theory are you using in this session and what evidence do you have to support this? Strengths-based; | like to focus on what she is doing that is positive. When she is story-telling, | tend to high-light and repeat what she Is doing that is good. Yay: 1. Ilistened attentively; | always clarifying | am understanding her correctly. 2. Ivalidated feelings as well as aS a person. 3. I maintained good rapport—she continues to trust me Improve: 1. I think I can make the boundaries more clear; for example, rules for what our counseling relationship should be used for (i.e. not getting out of class even when she’s excelling in it). 2. Less story-telling, more productive conversations (i.e. going more in-depth and using more intentional responses). 3. Slowing her down, especially when story-telling.