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Magaly Soto-Sanchez
MFT 596
Student referred herself to counseling services due to feeling depressed and holding in a lot of anger. Student shares that she has been through changes in her life and has had a hard time dealing with it. Student shares that her parents recently separated. Student shares that she is close to her mom and has an "okay" relationship with her dad. Since her parents separated student lives with mother in a room that they rent out from a friend of her mom. Student explains that she feels sad, emotional, and angry with everything going on.
F43.20 Adjustment Disorder, unspecified
Z59.9 Unspecified Housing and Economic Problem
Z63.5 Disruption of Family by Separation or Divorce
Cognitive behavioral therapy is based on the cognitive model: the way we perceive situations influences how we feel (Nichols & Davis, 2017). In addition, CBT involves uses psychoeducation, skills training, and mindfulness. Adding ‘relaxation’ and/or ‘mindfulness’ elements to CBT appears to further contribute positively to the effectiveness of interventions for aggression problems (Deffenbacher, 2011).
Solution focused therapy focuses on the client's strengths in order to influence their perspective to find solutions to their problems (Nichols & Davis, 2017).
Clinician: Last week you mentioned that you were at a 6? How about this week?
Clt: I don't know, maybe I'm at a 8 this week.
Clinician: What made it an 8?
Clt: I had a good weekend. On Friday we won our softball game and Saturday I was able to go to the beach and play volleyball.
Clinician: That's great to hear. It sounds like your enjoy playing different sports.
Clt: I do, I've always been part of a team and if I am not, I work out.
Clinician: What about it do you like?
Clt: I like that my team knows each other and we know how to run plays during softball games.
Clinician: Communication between team members is key when it comes to playing
Clt: Yeah! I remember when we started our season, the girls didn't really know each other and we would lose games! Like 2-14, it was bad. But now that we know each other more and talk, we play better
Clinician: It's awesome that you're able to reflect on the growth your team has made. How do you think communication can help with how you've been feeling?
Clt: ...I think it can help if I can share my feelings with my mom. I've been so angry about a lot of things and I've always kept them to myself, it leads to my mom and I having arguments. If I just talked to her about how I feel everything maybe she will understand.
Clinician: It could be just like what happened with the team. You and your mom will communicate and become closer in order to deal with the things that are going on.
Deffenbacher, J.L. (2011). Cognitive-behavioral conceptualization and treatment of anger. Cognitive and Behavioral Practice, 18, 212–221.
Nichols, M. P., & Davis, S. D. (2017). Family therapy: Concepts and methods (Eleventh Edition ed.). Hoboken, NJ: Pearson.