Reflection Of An Individual Counseling Services To A 23 Year Old Female Patient At Kaiser Permanente

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During my foundation year of the MSW program I provided individual counseling services to a 23-year-old female patient at Kaiser Permanente. This case summary analysis and reflection paper is based on the sessions I provided to this patient. During the intake session, the patient reported she was admitted into the emergency room for a total of three times in the last 3 months due to persistent panic and anxiety symptoms. The patient indicated that she began to excessively worry about "the possibility of dying and becoming ill" and that her increase in symptoms were was triggered by her role as a caregiver. She indicated that her mother is diagnosed with Multiple Sclerosis and her grandmother has both Chronic Obstructive Pulmonary Disease and Cystic Fibrosis. The patient also shared how she and her family were struggling financially and wanted to contribute to the family’s expenses.
The patient reported that her overwhelming fear was not triggered by any recent significant event and her current functioning was surprising to her. Moreover, the patient expressed that in addition to her fear of dying, fear regarding her general safety also became heightened such as being followed or having a car accident. Her symptoms were too overwhelming to handle and hoped that counseling
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She was undoubtedly proud of her progress thus far and I soon realized that there was no need to aggressively motivate her in pursing things that were too far out of her confront zone. I reminded myself that these were not her initial goals of treatment. Her goal was to “feel like herself again” and reduce her symptoms of panic and anxiety. Consequently, I realized that as she gained successful coping skills, she eventually, possibly years from now, obtain success in achieving higher level goals such as of securing a job or returning to

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