Please no plagiarism and make sure you are able to access all resource on your own before you bid. One of the references must come from Flamez, B. & Sheperis, C. J. (2015) and/or Sommers-Flanagan, J., & Sommers-Flanagan, R. (2007). I have also attached my discussion rubric so you can see how to make full points. Please respond to all 3 of my classmates separately with separate references for each response. You need to have scholarly support for any claim of fact or recommendation regarding treatment. I need this completed by 01/12/19 at 6pm.
Read a selection of your colleagues’ postings. Respond to your colleagues’ postings.
Respond in one or more of the following ways:
· Ask a probing question.
· Share an insight gained from having read your colleague’s posting.
· Offer and support an opinion.
· Validate an idea with your own experience.
· Make a suggestion.
· Expand on your colleague’s posting.
1. Classmate (A. Mor)
Selena’s Case
I would like to discuss the case of Selena. Selena is a 16-year-old Native American sophomore girl in High School. She has been brought into counseling because her mother is worried about her change in behavior. Selena’s mother thinks that her behavior change is due to the recent move from the Indian Reservation to a more urban area. The case also states that they moved because of her Selena’s new romantic relationship. Since the move, Selena has been very irritable, lost 14 pounds, and quit her part-time job. Her mother states that she thinks Selena has a hard time adjusting to school and it is showing because her grades have gone from low A’s to low Bs and high C’s. She is also not attending school as much as she should. In her defense, Selena states that school is boring and stupid. Along with stating how she feels about school, she mentions very subliminal messages of death. She mentions death as a good thing to get out of school activities. For example, Selena’s mom stated that the other day Selena stated, “Maybe if I get hit by a truck I won’t have to take that algebra test.” While Selena’s mother takes this comment very seriously, Selena states that she is just expressing her feelings about algebra.
Reasoning
I believe that Selena’s problem exists because of the new environment. High school can be a tough time for an adolescent. This is sometimes during the time that the child is kind of finding their flow of things and being their own person (Sommers-Flanagan & Sommers-Flanagan, 2007). The case doesn’t speak much about the discussion of the move so I am wondering if Selena had a say so in this move. Selena most likely had to make new friends, get used to a new neighborhood that does not have much of her cultural values, and she has to learn a new school system. All of these factors can be frustrating because these are all factors that she has to deal with on a daily. The part that can be hard is that she no longer has a comforting place to go to. Her home is now filled with a new person, her neighborhood is unfamiliar, along with her school. All of this at once, I can imagine it can take a toll on someone especially if you have no one to vent to about it.
Cognitive Intervention
Treatment interventions in children and adolescents are still in the development stage due to most of the interventions being for adults (Flamez & Sheperis, 2015). Most of the therapeutic interventions do not address the development needs of children and prepubescent. In order to find the best intervention, I would want to first conduct an assessment to analyze depressive symptoms and suicide. To make an educated guess, I would use cognitive therapy to try to help Selena to change her thoughts and magnify her emotional state. I would hope to of course gain trust with her so that we could get to the root of the problem. In helping her with changing her mindset, we would practice scenarios and focus on a negative way to look at the scenario and also the positive way.
References
· Flamez, B. & Sheperis, C. J. (2015). Diagnosing and treating children and adolescents: A guide for clinical and school settings. Hoboken, NJ: John Wiley & Sons, Inc.
§ Chapter 9 “Depressive Disorders”
· Sommers-Flanagan, J., & Sommers-Flanagan, R. (2007). Tough kids, cool counseling: User-friendly approaches with challenging youth(2nd ed.). Alexandria, VA: American Counseling Association.
§ Chapter 4, “Rapid Emotional Change Techniques: Teaching Young Clients Mood Management Skills”
§ Chapter 8, “Assessment and Management of Young Clients Who Are Suicidal”
2. Classmate (K.Rog)
Assessing Mood Disorders
Main Discussion Post
Irritable children and adolescents often feel miserable which can cause others around them to be miserable as well (Sommers-Flanagan & Sommers-Flanagan, 2007). Children may sulk, get into trouble at school, be negative, and feel misunderstood (Flamez & Sheperis, 2016). With this in mind working with children and adolescents can be more challenging than working with adults. They are quicker to shut down as well as push back against counseling. Differentiation between normal childhood moods and depressed moods is based on the symptoms that exist, the stress level, and dysfunction (Flamez & Sheperis, 2016).
Presenting Symptoms
Monte is a 9 year old white male who has been referred to counseling by his school (Child and Adolescent Counseling Cases, n.d.). Monte is verbally aggressive and insults others (Child and Adolescent Counseling Cases, n.d.). Monte has a very chaotic family as his parents are rarely present and he is being cared for by his sisters (Child and Adolescent Counseling Cases, n.d.). There is no sign of abuse but Monte appears to have low self-esteem as he can be clingy when left alone with teachers and wants their approval (Child and Adolescent Counseling Cases, n.d.). Monte’s behavior has gotten worse in the last 2 years as he has trouble concentrating and is overeating (Child and Adolescent Counseling Cases, n.d.). He has frequent headaches and has poor school attendance (Child and Adolescent Counseling Cases, n.d.).
Reasoning
One reason that Monte’s problems may exists could be due to the lack of parental attention and affection he is getting at home. The fact that he is so attached to his teachers and seeks their approval are signs that he wants and needs more attention. Children with disruptive behavior disorders have difficulties such as problems at school, learning difficulties, and social problems (Ramires, Godinho, & Goodman, 2017). Monte is showing all of the symptoms which correlate to a disruptive mood dysregulation disorder. Also to be diagnosed with disruptive mood dysregulation disorder children must show signs before age 10 and have disruptive outbursts three or more times a week (Flamez & Sheperis, 2016). Monte meets these criteria since he is 9 years old and he consistently acts up in school. He is already blaming everyone else for his shortcomings and behavior as he stated that school is stupid, he gets bad teachers, and things will not improve for him (Child and Adolescent Counseling Cases, n.d.).
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