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Problem
Explain which therapeutic approach or combination of approaches you would take with the client and explain why. (Crisis, CBT, decision, person-centered, logotherapy, etc.) Identify and explain what you think the top goal(s) should be for the client. What steps should be taken to help your client achieve their goal(s)? Which microskills do you think would be most effective in helping your client achieve these goals? Be specific and clearly identify microskills covered throughout the course. Are there any cultural and/or ethical considerations you should be aware of? Explain.
CASE
Mateo is a 45 years old male living with his wife and two children. He has worked in the accounting business and recently lost his job due to COVID-19. He has been in the same industry for 25 years and can't think of any transferable skills he has. As the sole wage-earner in his household, Steve is very concerned and growing increasingly inpatient because he and his family are running out of money. He is finding himself angry and short tempered. He is irritable and is pushing away all of his supports, especially his family. He feels they just pity him and don't understand him or his needs.
Isabelle is 73 years old and recently fell and broke her arm. She lives alone with relatively little to no family or friends nearby. She was able to get care for her broken arm but has been extremely fearful since her fall. She is afraid to leave her house because she fears that if she gets hurt again her family will just lock her up in a facility and forget about her. No one has said anything to her about going to a nursing facility to live, but she "feels" like that is what they are thinking and finds herself avoiding contact with them. She has trouble using the phone, so she has had minimal contact with anyone for the past week. She recognizes that she is lonely, and she has noticed a decline in her mood and overall energy.
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