APT5005: Masters of Counselling- Tanisha Case Study- Essay Writing Assignment Help

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Essay Writing Assignment Help:

Task: Tanisha, 43, has referred herself to your counselling service, after it was suggested by her Family Services Worker, Jen, due to concerns about her difficulty coping at present, where she has been increasingly tearful and stressed. You have had two sessions thus far, and have been trying to get to know her and understand her history during these sessions. Tanisha has three children, Lucas (16), Molly (7), and Grace (5). Tanisha reports that Lucas’s father Tim, her first husband, was verbally violent, and they separated when Lucas was 6. Over the past three years, Lucas has become increasingly aggressive towards Tanisha, often physically, and has not responded well to her attempts to set boundaries and limits at home. Two months ago, he decided he wanted to live with his father, and since that time, has refused to see Tanisha or his sisters. After separating from Tim, Tanisha was single for a year before meeting Brian, the father of Molly and Grace. This relationship ended almost a year ago after ongoing conflict, although Tanisha reports they never fought directly in front of the children. Based on what Molly and Grace have told her, she believes that Brian may also have used excessive physical discipline with them at times, but never witnessed this. She noted Brian is strict and controlling towards the children, while she is more lenient. While she and Brian are living separately, Tanisha acknowledges some desire to reconcile, and notes that they have had an “on and off” relationship since he left the home last year. She notes a fear of being alone, stating she sleeps with a knife under her pillow due to concerns that an intruder might enter the house while she sleeps. Tanisha reports that she has been feeling “flat” and “numb” much of the time since separating from Brian. She reports she is exhausted with the demands of the children and work and feels like she “has no more to give.” When discussing her children, she reports that Molly can get angry “just like Lucas did,” and that Grace can be “clingy,” stating she is scared of being away from Tanisha. While you have not yet been able to obtain a detailed family history, due to Tanisha’s tendency to discuss events in detail, she has told you that she is determined to ensure her children have a better childhood than she had. She notes her father, now deceased, was an alcoholic, and says she has few positive memories of growing up. She reports currently seeing her mother regularly, although she says, “She’s a much better grandmother than a mother.” Tanisha noted that her mother worked a lot while Tanisha was growing up. She has not mentioned any siblings or extended family. Tanisha is a childcare assistant, and has recently moved into full-time work after working part-time for the past three years. Tanisha reports that she has been feeling “flat” and “numb” much of the time since separating from Brian. She reports she is exhausted with the demands of the children and work and feels like she has “nothing more to give.” She notes she rarely goes out apart from going to work and taking the children to school, due to a combination of exhaustion and anxiety about going out. During sessions, Tanisha becomes very emotional when discussing her children, their behavioural challenges, and the violence she has experienced in her relationships. She tends to recall these incidents in great detail, often taking most of a session to discuss one incident with her children or an ex-partner. You have observed that Tanisha is often tearful in sessions, and appears tense, sitting in a hunched manner and frequently fidgeting. Tanisha indicates that she wants therapy to help her to feel happier, less anxious, and more confident in herself. She also wants to “stop overthinking about the past.” After reading the information provided in this case study, consider the following in your essay: 1. What are the primary presenting issues for Tanisha? 2. What further information would be important to know to be able to effectively work with Tanisha? 3. What other supports or services could Tanisha or her family benefit from beyond your individual counselling? 4. How would you manage the information you have received from other sources? How could you integrate this into your conceptualisation? Consider any ethical issues in this regard. 5. Provide a case conceptualisation using the 5P approach, noting where appropriate if there is further information you would need for a comprehensive formulation. 6. Provide a brief review of relevant theoretical and therapeutic approaches for this case, providing a rationale for your chosen treatment/s. 7. Discuss your treatment plan, including discussion of the theories and therapies you could draw upon in your work with Tanisha. This should include some discussion of specific techniques and interventions that are part of the chosen therapies, and how you could use these with Tanisha. 8. Discuss any challenges or issues that you anticipate could occur in therapy with Tanisha, and any ideas about how you could manage these challenges. This may include, but is not limited to, any broader societal/cultural/community issues that could be important to consider in working with this case, along with any other therapeutic issues.