Itis important to provide a background of the individual whoseassessment and treatment plan is to be generated. John is a 36 yearsold father of two, and a carpenter by profession. He lacksconcentration in most of the things he does. He gets easily irritatedand has engaged in drinking each evening in an effort to stabilizehimself. He is very distracted both at home and workplace and as aresult, it is impacting on his business and family. His physician hasrecommended a date with a counselor.
Inconsideration of john`s case, he clearly is suffering from lowself-esteem which has affected his confidence. This could beexplained by the continued anxiousness, shakiness and nausea. He alsohas a sleeping disorder, mainly brought about by intense thinkingabout his business. The fact that his wife is getting frustratedcould also be a factor in his lack of sleep. He is slowly turning inan alcoholic which is explained by his rule of several glasses ofwine every evening. He has lost focus and that is why there is a lackof concentration in what he does, either at home or in the workplace.
However,none of the issues that john is experiencing is a serious medicalissue, which could explain why his physician has recommendedcounseling therapy (In Barnette,1976). John is in a crisis and couldeasily be depressed if a timely treatment plan is not adopted(Merrell, 2001). This would inform for organizing for series ofcounseling sessions to prepare john psychologically and hence be ableto handle the quagmire.
BriefAssessment of Relevant Therapeutic Issues
Johnis undergoing crisis informed by the unachieved set of goals. In theprocess, he has low self-esteem and therefore has misdirected hisanger to those around him. That is why he gets irritated by childrenfor being loud. His distraction at the workplace is brought by thefact that he feels that he should have achieved much more in life bynow, which is not the case(In Barnette,1976). The distraction,however, could be the beginning of the collapse of his business ifthe situation is not rectified on time. His family could suffer too,and a divorce could eventually occur. He is disorganized at theworkplace which highly explains why the customers are unhappy. He isalso anxious and worried about what the future holds for his businessif things continue at the same level.
However,despite the worries he has no better strategies to improve thesituation for family and business. The fact that the wife isfrustrated could drive a wedge between them and has an adverse effecton their marriage. Most his fears are unfounded ant could thereforenot have an immediate solution. His routine of taking wine in theevening in an effort to forget his worries could degenerate intoalcoholism, worsening the situation. Despite all john has beenexperiencing lately, he has not contemplated suicide. He, however,says that his wife has not helped him much in resolving the crisis.
Theprimary focus would be on john`s anxiety. This would involvecounseling so that he regains his self-esteem which would, in turn,increase his self-confidence (In Barnette,1976). This is a gradualand, therefore, a long-term goal of the treatment and would largelydepend on how fast he is able to overcome his esteem issues. Thereshould be re-strategizing so that he can set measurable goals inorder to lower anxiety levels. Although this could be adoptedimmediately it is a long-term goal that he should always strive for.The treatment plan would also involve increasing his sleep andconcentration both at his workplace and home.
Thereshould also be an effort to improve communication between him and hiswife so that he regains her confidence and end frustrations (UnitedNations & United Nations, 2007). There would also be an effort toenhance his relationship with the children to bring about moreunderstanding. There would also be an emphasis on slowing down therate of alcohol consumption before addiction levels could be reached.This is a short-term treatment goal as john is presently not addictedto alcohol and could easily reduce the rate or amount of consumption.
Descriptionof the Techniques to Facilitate Reaching These Goals
Therewould emphasis on change of perspective so that john could focus onhis strengths, skills abilities and potential in overcoming differentsituations. This is meant to enhance his self-esteem which in turnraises his confidence levels.
Therewould also be an effort to strengthen his current coping skills sothat john becomes more resilient and hence be able to adjust toadverse circumstances. He should develop strong coping mechanisms sothat he is better prepared at all times what handle differentencounters (United Nations & United Nations, 2007).
Therewould also be an adoption of psychological theories to make john beable to understand the connection to be his feelings, ideas andreactions and thoughts so that he can embrace them positively to makehimself a better person. The ability to connect his thoughts andfeelings would enable john to make great strides towards healing.
Throughidentification of unfounded and unreasonable thoughts, john would bemore evaluative and hence achieve higher levels of accuracy in allhis judgments. That would, for example, refine his judgment of hischildren and stabilizing the relationship. He should at all time todiscard any negative and imaginary thoughts that could be harming hisfeelings with his family members especially his children.
Identifyingfactors that lead to anxiety would be a vital step to encourage johnovercome the predisposing factors. He should make a deliberate effortto discover any aspects or factors in his life that could be leadingto anxiety (Merrell, 2001). This would make other healing mechanismsadopted to be effective and, therefore, hasten the healing process.
Theassessment/treatment plan generated could along a way to johnshealing process. He could regain his self-esteem and confidence andwhich are main triggers of his present crisis. Ability to set morerealistic goals would also be a major step in the healing process.The good thing about his situation is that it has not yet degeneratedinto anything that is out of control. The timely plan would avoiddegeneration into a serious depression. He will be able to regain hisself-esteem and his confidence too. That would make him more focusedin all he does hence improve any outcomes. It would also bring aboutconcentration in his business which would win back the confidence ofhis customers. Strict adherence to the plan would his halt wife`sfrustrations and better /cement their relationship.
InBarnette, W. L. (1976). Readings in psychological tests andmeasurements. Baltimore: Williams & Wilkins.
Merrell,K. W. (2001). Helping students overcome depression and anxiety: Apractical guide. New York: Guilford Press.
UnitedNations. & United Nations. (2007). A tool kit for buildingcapacity for community-based treatment and continuing care of youngdrug users in the Greater Mekong Subregion. New York: United Nations,ESCAP.