Present at Session: Aneeqa & Kai
Present at Session: Aneeqa & Kai
Session Agenda: Explore socratic questions and
some of the YSQ
Measures Administered and Results:
Client Functioning and Progress (reported/observed): Kai reported she gets stomach aches and panics when she wakes up to go to work but as soon as she is there it stops.
Risk Status: She mentioned she feels trapped and isolated.
Homework Outcomes: Completed YSQ and discussed some socratic questions
Summary of Session Content:
Kai mentioned in our 2nd session she is really confused how her new contract she gets is on the same day she works not a day earlier. she is having alot of clashes at work regarding her hours she is not getting paid for. She said she only gets paid for 12 hours whereas other 6 hours she doesn't get paid and she will be talking unfair work. She feels like there were some miscommunications with the manager but she feels like she communicates alot but feels maybe manager is not listening and then she gets blamed for.
Kai's childhood memories are so fuzzy she doesn't remember much but all she remembers is that she always had to listen to parents no matter what. she said decisions were controlled by her parents and with them it feels like bury my emotions and move on. She opened up that how rational person she is and she really doesn't express her emotions. She view herself as a failure and unsucessful person, she always used to have stomach aches when she had exams at school just like she has stomach aches when she goes to work.
She is avoiding friends at this stage as she feels like it takes alot of here time as they want to spend the whole day instead of couple of hours. she said she would like to communicate more with her friends but says it takes alot of her time as she likes to home most of the days when she is not working.
Homework Assigned: Rain technique worksheet to explore mindfulness techniques in anger moments.
Plan: Next session focus on case formulation like 5P's and she mentioned she really wants to focus on schema therapy and explore her goals.
Present at Session: Aneeqa &Kai
Session Agenda: Discuss Confidentiality and informed consent form, 1st session gathered client background information.
Measures Administered and Results:
Client Functioning and Progress (reported/observed): Kai mentioned she is going through alot of challenges at work.
Risk Status: Kai reported occasional stress and frustrations but denied any current thoughts of shelf harm.
Homework Outcomes: No homework was assigned for first session.
Summary of Session Content:
Kai discussed challenges at work that she has been going through for last 2 years and at times that is making her frustrated at work and her anger self comes out.
kai talked about the struggles she is having at work. how she feels like she is always the one to blame even though she is willing to help the manager but she feels like she is never listened to. I explored some questions with her regarding her family relationships and friendship. she mentioned her relationship with family is not the best she rated 4 out of 10 and 10 being very good. she had one friend in past but she doesn't talk to her anymore often.
She talked about her relationship with boyfriend is not the best as she feels like she is not heard or supportive at times. She is unsure of her goals what she wnats to do as she sometimes believe like she is a failure.
She has spoken alot about work issues like how she was treated unfairly at work and how it has impacted her. she said she feels hopeless and frustrated.
She really wanted to focus on how to cope with her anger and emotions and she feels lost with things and lonely.
She doesn't like to open up more these days thinking what if she gets hurt and what if she doesn't expect what she was expecting from them as a response.
Homework Assigned: YSQ and core beliefs worksheet
Plan: Next session explore more of her feelings and what does she do in the moment she is feeling angry. Next session 20th June 2024 10AM perth time.
Present at Session:
-
- Session #7 Zoom (2-hour session to make up for a missed session)
Session Agenda:
- Emotion Log (see attached)
- Case Formulation - Predisposing (see attached)
Measures Administered and Results:
YSQ: elevated scores across 3 sub scales. The three highest scoring were Self-sacrifice (4.67), fear of losing control (4.75) and unrelenting standards (4.86). Additional non elevated subscales to note are failure (3.50) and emotional deprivation (3.40). Additionally social isolation increased to 3.20 from 2.40 from when she previously filled it out.
Client Functioning and Progress (reported/observed):
MSE conducted see attached. No concerns observed.
- Mood rating: 6/10 (10 being comfortable with myself and the people around me) due to her feeling more in control of her life right now. Such as organising her trip overseas next year.
Risk Status:
no risk identified
Homework Outcomes:
- Completed emotion log (see attached) - Client reported feeling impassioned when she was with Alex's cousins and saw that they were speaking positively about him (e.g., he's so helpful, he tries). This made her feel impassioned because she did not believe it to be true. Client reveals that's she does not tell people about her concerns with her relationship as she usually gets told to "break up with him". It was discussed the pros and cons of staying with him. Same reasons mentioned last week.
Summary of Session Content:
- Emotion log (see attached). Client additionally reported questioning her sexuality, whether she may be asexual and is afraid to explore it. Client also reported her friendship with Lily being one sided and she feels an obligation to care for her (e.g., when she is suicidal). She describes her closest relationships to be with her volunteering friends who she has known for 5-years.
- To conclude the emotion logging discussion, client reported that while she does see a benefit to it (she is becoming more aware) she does not see the point in doing it for the overall goal. The therapist did psychoeducation on that when we become more aware of our emotions, that informs our behaviour. Client started to understand but was still hesitant as expressed by her saying "I guess".
- Case formulation (see attached) - client engaged responded well to discussing her parents as a predisposing factor.
Homework Assigned:
- continue emotion log
- Client to reflect on what she has learnt over the 8 sessions.
Present at Session:
-
- Session #6 Zoom
Session Agenda:
- reviewing emotion log
- Discussing life satisfaction and relationship with partner
Measures Administered and Results:
YSQ: non elevated across all subscales. The three highest scoring were Sel-sacrifice (4), fear of losing control (4) and unrelenting standards (4). The subscales below that are failure (3)and emotional deprivation (3).
Client Functioning and Progress (reported/observed):
MSE conducted see attached. No concerns observed.
- mood rating, client put her baseline mood at a 3.5-4/10 (10 being positive). See homework outcomes emotion log for details.
Risk Status:
no risk identified
Homework Outcomes:
- Completed emotion log (see attached) - noticed that she typically only logs negative emotions. Client also noticed that she observed her positive emotions are not positive, but are instead an absence of negative emotions. She has felt at a 3.5/10 since 4 year ago when she started her PHD and got into a new relationship. More recently it has moved up to a 4. When asked why it has not changed as her PHD finished, client reported that she is not satisfied.
- YSQ - client self-scored and noted that she under-reported. Client will do the YSQ again for next time.
Summary of Session Content:
- The session was spent exploring client's thoughts and feelings about her relationship and how it has affected her. Client reports that due to her parter being complacent in his own life and in their relationship, she has also become complacent. Client reports thinking this might be because if she is too goal orientated it would put too much of a gap in where they both are in life. Client reports fearing that there might not be anyone out there for her if she breaks up with Alex (her partner). When asked, client reports she does not intend looking for a relationship. Client reports that there is also another person (Jojo) who has expressed his feelings for her. Client reports that she does not like him as he is too emotional (one time made pasta from scratched for her when she was craving it).
- it is observed that client may be avoidant of emotional attachment. It was also observed and discussed with the client that she feels uncomfortable with too much emotions is that she is pressured to try harder to be the better person, whereas with Alex, she does all the work.
- Client reports feeling envious of her other friends for experiencing the lives they want to live. Client reports not feeling proud of her relationship and being worried about what people think of their relationship.
- Client reports communicating all of her thoughts and feelings to her partner, and reports that he expresses wanting to change it, which he sometimes implements, but does not take it seriously and reverts back. For example, making goals because she told him to but not genuinely committing to the goals.
- Despite being unsatisfied in the relationship, client reports feeling secure as Alex (her partner) does not pressure her with sex, has already built a life with him (bought a house together, currently living with his family, on a partner visa), has worked hard on getting him to start doing what she needs (e.g., helping her with housework). When asked if she sees him ever fulfilling what she needs, client reports that he will ever reach 30%.
Homework Assigned:
- continue emotion log
Present at Session:
- Session #5 - Zoom
Session Agenda:
- Discussing lack of meaningful relationships
- Goal setting
Measures Administered and Results:
Depression and Anxiety Stress Scale (DASS) from last session scored as Depression 10 (moderate), Anxiety 8 (severe), Stress 11 (moderate).
Client Functioning and Progress (reported/observed):
MSE Conducted: See attached.
Risk Status:
No risk identified
Homework Outcomes:
N/A.
Summary of Session Content:
- Client reports not have having any meaningful relationships. Client reports feeling that they are one sided, they ask for her help and need her help however they do not do that in return. Client reports that it is because she does not feel safe. We continued exploring that safeness might be an issue. Client reported that she feels connected to her best friend that she grew up with in Singapore however they only speak a few times a year as their lives are busy. Client reports that her best friend understands her compared to anyone else - however they avoid topics of religion. Client additionally reported feelings that her relationship is more out of obligation, however it feels like the better part of her life right now.
- Client is observed to be protective of her relationship. Client reported being "envious" of her friend and her lifestyle however it was more about her friend being happy and exploring. Giving supporting evidence that client may not be ready to explore areas outside of her relationship.
- Goal setting - it was discussed that her goal is to identify where her problems may lie and explore it further to then carry on after termination for her to work on. Client reported that this is uncomfortable because she is very structured and wants structure however she was open to explore this approach as she sees the benefits.
Homework Assigned:
- Youth Schema Questionnaire (YSQ)
Present at Session:
-
- Session #4 - Zoom
Session Agenda:
- Review emotion log
- Case formulation
- Goal setting
Measures Administered and Results:
Depression and Anxiety Stress Scale (DASS).
Client Functioning and Progress (reported/observed):
MSE Conducted: See attached.
Risk Status:
No risk identified
Homework Outcomes:
- Client reported they found the emotion log helpful overall but wanted to know the point of them. Therapist advised that it is for identifying emotions for when it gets explored when we do interventions.
Summary of Session Content:
- We explored emotion log (see homework outcomes)
- Case formulation (see attached): We explored the problem and precipitating factors to her problem. Client reported that she wants to focus on her interpersonal skills, as she is unable to find meaning in her relationship. It was observed that it is not clear to the client what her goals are, as evident when she struggled to articulate whether she wanted to focus on her relationship or creating meaningful relationships socially.
- Goal Setting: We discussed identifying core beliefs and focussing on distress tolerance which are the foundation work.
Homework Assigned:
- Continue emotion log
Present at Session:
-
- Session #3 - Zoom
Session Agenda:
- Continue clinical interview, daily functioning.
- re-establish goals
Measures Administered and Results:
N/A
Client Functioning and Progress (reported/observed):
- MSE complete: No concern observed
Risk Status:
no identified risk
Homework Outcomes:
N/A
Summary of Session Content:
- Clinical interview was completed. See attached.
- Establish goals: Client reported wanting to learn coping skills to manage her relationship. Therapist advised that because this is not couples counselling, it will be based on the clients reactions, her thoughts and behaviours rather than to expect change from her partner. Client reported to understand this.
- Summary of session: Client reported feeling like she talks too much and goes off topic. We discussed that the therapist will cut her off in future if she goes off topic.
Homework Assigned:
- How we feel app - emotion logging
Assessment 2
Assessment Type Case Formulation and Presentation
Due Date Developed during semester (weeks 2-10) in Clinical Supervision sessions and independent study time, with final case presentation during Weeks 10 and 11 of trimester. Final presentation documents and synopsis submitted Week 12, Monday at 4 pm (AEST/AEDT)
Learning Outcome a) Demonstrate effective engagement in group supervision and placement, developing self-awareness and critical reflection through effective application of feedbackc) Demonstrate ethical thinking and decision-making in counselling practice, with respect for the rights and autonomy of clients and therapeutic boundariesd) Demonstrate competency in the application of counselling skills and interventions for diverse client cases in counselling practice in supervision
Weighting 25% - marked as Satisfactory or Not Satisfactory
Length Minimum1000 words case presentation plus
400 words synopsis
*Australian Eastern Standard Time (AEST)/Australian Eastern Daylight Savings Time (AEDT). Check yourtime zoneto ensure that you submit your assessment on time. If required, use atime zone converter.
Assessment Details and Instructions
Purpose:
The purpose of this task is to formulate and develop a case presentation. It is expected that students will complete this task by engaging with the unit textbook, authoritative sources, the Clinical Supervisor and peers during supervisory sessions and in the Moodle discussion forum. As well, students will incorporate your own professional reflections as part of your placement.
A case presentation analyses a real-life situation to develop counsellor understanding of client. It begins with a case conceptualisation based on a framework (with proposed assessments), implementation, interventions, analysis, recommendations and conclusions constructed over time, supported by relevant theories and staged feedback.
It is important to provide a balance in the class between the case presentation and students being able to talk about their placement experiences and concerns as this is an important aspect of supervision in terms of critical reflection on practice.
Assessment Submission:
There are ongoing components for successful completion and submission of this task:
Students will attend weekly Clinical Supervision sessions where real life and scenario client cases are presented and discussed. It is recommended that students
present at least 1 case to practice their case presentation and formulation skills to the group at times scheduled by the supervisor throughout the trimester before the final presentation
ORstudents present the same case twice and develop and improve that same case conceptualisation and formulation prior to the final presentation
(Please forward the written materials for the case presentation to your supervisor the night before you are scheduled to present).
2. Students will develop, refine and modify their case presentation skills over the trimester in conjunction with feedback from the clinical supervisor and peers.
3. Students will present theirfinalCase Presentation to the Clinical Supervision group in either Week 10 or Week 11 of the trimester. Suggested 15minutes for presentation and 10 minutes for questions or feedback.
4. By Week 12, Monday at 4 pm AEST/AEDT, students will submit the following;Students must ensure there are no identifying elements and they have ensured client confidentiality in their submission.
1 x PowerPoint presentation
1 x Word document consisting of:
The actual case presentation the PowerPoint was developed from, minimum 1000 words with a reference list.
d. 1 x Synopsis of Learning minimum 400 words ( 10%). This involves critically reflecting on what you have learnt from working with your client, how you were challenged or triggered and how you managed the process.
This can be added to either the beginning or end of the presentation document and does not require references.
Students will submit their Case Presentation documents inclusive of the synopsis to the Case Presentation Synopsis Assessment dropbox (Turnitin) by the due date.
Marking Criteria
Standards
Criterion Satisfactory Not Satisfactory
Demonstrate knowledge and skills in professional case formulation and presentation Adequatedemonstration of knowledge and skills in ethical and rigorous conceptualisation and intervention planning, applying counselling models in response to complex client needs, with demonstration of ability to formulate a client case with depth and insight Unsatisfactorydemonstration of knowledge and skills in ethical and rigorous conceptualisation and intervention planning, applying counselling models in response to complex client needs, with lack in ability to formulate a client case with depth and insight
Demonstrate knowledge and skills in application of counselling knowledge and skills, with evidence of professionalism and ethical considerations Adequateknowledge and skills in rigor and competence in the application of counselling theories and skills with evidence of professional standards of practice and ethical decision making, having integrated feedback from supervision into case presentation Unsatisfactoryknowledge and skills in rigor and competence in the application of counselling theories and skills with evidence of professional standards of practice and ethical decision making, having integrated feedback from supervision into case presentation
Effective communication of academic literacies
Adheres to the academic genre of case presentation.
Inclusion of authoritative sources, relevant course materials, personal observations, Clinical Supervisor and peer feedback
Minimal errors in APA referencing
Minimal errors in spelling and grammar (does not impede with meaning) Omitted adherence to the academic genre of case presentation.
Minimal or no inclusion of authoritative sources, relevant course materials, personal observations, Clinical supervisor and peer feedback
Multiple errors in APA referencing
Multiple errors in spelling and grammar (impedes with meaning)
Grade:
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