Identifying Information of the Client:

Identifying Information of the Client:

Identifying Information of the Client: The client’s name is Scott Randy. He is a 38-year-old male from New York.

Initiation Date: 9th August 2019

Duration of Therapy: 3 months

Date therapy will end: 9th November 2019

Total number of sessions: 24

Number of missed sessions: 4

Termination Status: Planned

Presenting problem

The patient is a 38-year-old American and is an actor by profession. At the time of consultation, the patient had fallen into depression and had become an alcoholic. He has two siblings, a male and a female, both of who are his age mates. Only her mother is alive, as her father died while he was 17 years old. He has a girlfriend but no kids and had broken up with his girlfriend during this depression episode. The counseling was necessitated by a need by the client to recover from the downward spiral into depression and alcoholism.

The client traced the genesis of the problem to a time when he was acting a scene that required him to play the part of a son that does not get along well with his father. This particular incident brought back memories of the client’s deceased father and the checkered relationship the two had during his time alive. The client recalled the moments leading up to his father’s death. They had had a heated argument that saw him leave their home to sleep at a friend’s place. That night, the father got an accident while trying to look for the client. To a great extent, the client has always felt a sense of guilt, believing that he was to blame for his dad’s death. The issue was swept under the rag and has never been adequately addressed. The client has been trying to suppress the emotions of the incident all his life, and it seems that the situation had reached a breaking point, and the can could not be kicked any further down the road.

Additionally, the client does not get along well with his mother. When growing up, he always felt that he was not liked by both his parents, whom he found to favor his siblings over him. He thought that his father was too attached to his sister while his mother preferred his brother. Hence, the client always felt like an outsider to the family during his childhood and teenage years. The therapy sessions were the client’s first experience at counseling.

Major Psychosocial Issues

The client appears to be experiencing depression that is linked with the demise of his dad and the related social issues when he was growing up. He resorted to alcoholism as a coping mechanism for the situation. Moreover, the client has never seen a psychotherapist his whole life. He has been coping well with the everyday life stressors until the said incident. Additionally, he has not been in much communication with his family for the most part, except for his sister. Thus, there are deep-lying family issues that may have also contributed to the episode. The client denies any similar incident before, except that he is usually a recreational alcohol drinker who has never been a problem. There is neither SI/HI nor A/V/H.

Types of Services Rendered

The client received individual therapy primarily. Individual therapy involves an approach of the professional therapist working one on one with the client to decipher the obtaining mental issues (Michalak et al., 2019). The sessions are carried out in a quiet, safe, and caring surrounding environment to make the client feel at ease to explore their feelings and unravel the challenges (Moloney, 2016). Individual therapy is best effective when the therapist and client agree to set the objectives and goals of the process to help in the evaluation of the counseling progress (Rihacek & Roubal, 2017). Additionally, family therapy was explored towards the tail end of the period to address the causative family factors.

Overview of the Treatment Process

The sessions were done twice a week on Tuesday and Friday, for one hour each session. The individual therapy was done for 16 sessions while the family session lasted for the last four meetings. During the sessions, the client was allowed to express himself freely. He was allowed to project all the feelings he had been bottling up all his life as a means of unburdening himself of the yoke. During family sessions, the client expressed himself about his experience growing up with them and the challenges he felt. He was able to open up on his frosty relationship with the parents and the cause of it. The siblings and mother, too, were allowed to respond to the client and express their view of the situation. In sum, the client and his family members were able to engage each other at a personal and intimate level. Through this, they opened up to their feelings without any censorship and without fear of being judged or feeling misunderstood. Noteworthy, a suitable relationship was created between the therapist and the client during the period.

Goal Status

The goal was to explore the causes of the depression and to get the client to overcome the bondage that came with the thoughts of his childhood and his father’s death. This goal was met as the client responded positively to the sessions.

Treatment Limitations

The treatment sessions were most productive, with the client giving his all to the process of healing. The missed sessions were due to the client’s work commitments.

Remaining Difficulties and Concerns

The client appears fully healed. However, he needs to abide by the suggestions on his drinking habits.

Recommendations

The client has learned to accept what he cannot be changed and has agreed to work on what can be changed, such as his frosty family relations. He made a lot of progress, and the set goals were achieved. He has learned not to beat himself up for his dad’s death and is working towards a better relationship with his mother and brother. By the close of sessions, he was happier and seemed ready to tackle the life challenges again.

Follow-up Plan: The client needs a monthly plan to ensure that he has not relapsed into any irresponsible drinking habits.

Instructions for future contact: The Client is always welcome to see the therapist in case of any urgent issue or a simple chat.

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