Dates and Types of Services:
His DDA case manager Heidi Pless on 5/2/16 referred Hunter Davis to counseling. 15 hours was approved to assess the benefit of counseling and to build a therapeutic alliance
Hunter has attended 13 sessions with this provider and his attendance has been good. His sessions have occurred at 45-55 minutes in duration. Session structure has consisted of building rapport and trust, identifying presenting problems in Hunter’s life, creating therapy goals, and discussing life events that are considered stressors for him.
It will be very important to build trust through a therapeutic relationship to open the channels of communication needed to address repressed memories of abuse. CBT, Exposure therapy, EMDR, and …show more content…
Presenting Problems: (A) Hunter appears to suffer from PTSD from abuse and neglect experienced as a child. (B) Hunter appears to be experiencing Adjustment Disorder brought on by moving to a new home and potential adoption by his current foster parents. This has increased his stress and anxiety that has manifested in disruptive behaviors at home and at school. (C) Hunter has not yet addressed his feelings of abandonment and growing up away from his biological parents. (D) Hunter has been oppositional with authority figures in several domains, school, coach’s, and with his foster parents.
Intervention Guidelines: Therapy will follow a cognitive experiential intervention structure which includes: encouragement, motivation, regulation, reinforcement, and integration of skills to address goals. Skills will be shared with the foster parents so that they can help reinforce these skills across multiple domains in his life. Plans will be developed that target the presenting problems listed above. These plans include exploring the root cause of Hunter’s current behavior challenges, learning of problem solving skills, utilizing his social support network, creating safe boundaries that he can enforce, and dealing with his past trauma. Hunter will be directly involved in every level of …show more content…
Attendance has not been an issue and he has been active in his learning. Hunter has had challenges with lies of omission and avoidance. There have been behavior issues at school and home that have went un-reported by Hunter and only came to light after this provider was later informed. As our therapeutic relationship grows, it is anticipated that underreporting will no longer be an issue.
Prognosis: Hunter appears to be amenable to therapy. He has states that he has been in therapy before and he likes having someone to talk to about his feelings and challenges. Hunter appears to understand that he has experienced many difficult things in his young life and needs to unpack these experiences if he is to become whole again. The challenge at this point is overcoming his experience of being abandoned and gaining enough trust to begin the work of healing the emotional hurt and damage caused from the abuse he
His DDA case manager Heidi Pless on 5/2/16 referred Hunter Davis to counseling. 15 hours was approved to assess the benefit of counseling and to build a therapeutic alliance
Hunter has attended 13 sessions with this provider and his attendance has been good. His sessions have occurred at 45-55 minutes in duration. Session structure has consisted of building rapport and trust, identifying presenting problems in Hunter’s life, creating therapy goals, and discussing life events that are considered stressors for him.
It will be very important to build trust through a therapeutic relationship to open the channels of communication needed to address repressed memories of abuse. CBT, Exposure therapy, EMDR, and …show more content…
Presenting Problems: (A) Hunter appears to suffer from PTSD from abuse and neglect experienced as a child. (B) Hunter appears to be experiencing Adjustment Disorder brought on by moving to a new home and potential adoption by his current foster parents. This has increased his stress and anxiety that has manifested in disruptive behaviors at home and at school. (C) Hunter has not yet addressed his feelings of abandonment and growing up away from his biological parents. (D) Hunter has been oppositional with authority figures in several domains, school, coach’s, and with his foster parents.
Intervention Guidelines: Therapy will follow a cognitive experiential intervention structure which includes: encouragement, motivation, regulation, reinforcement, and integration of skills to address goals. Skills will be shared with the foster parents so that they can help reinforce these skills across multiple domains in his life. Plans will be developed that target the presenting problems listed above. These plans include exploring the root cause of Hunter’s current behavior challenges, learning of problem solving skills, utilizing his social support network, creating safe boundaries that he can enforce, and dealing with his past trauma. Hunter will be directly involved in every level of …show more content…
Attendance has not been an issue and he has been active in his learning. Hunter has had challenges with lies of omission and avoidance. There have been behavior issues at school and home that have went un-reported by Hunter and only came to light after this provider was later informed. As our therapeutic relationship grows, it is anticipated that underreporting will no longer be an issue.
Prognosis: Hunter appears to be amenable to therapy. He has states that he has been in therapy before and he likes having someone to talk to about his feelings and challenges. Hunter appears to understand that he has experienced many difficult things in his young life and needs to unpack these experiences if he is to become whole again. The challenge at this point is overcoming his experience of being abandoned and gaining enough trust to begin the work of healing the emotional hurt and damage caused from the abuse he