Ashford University Sociology Case Study Discussion

This is a reflection paper based on a dialogue assignment between me as a social worker and a client

You will incorporate specific feedback given by the instructor below

FEEDBACK:

1. Pick a specific DX and focus on goals and objectives

2. Figure out how to regulate clients symptoms such as heart palpitation, sweating, etc

3. Address the client’s issue of feeling like she’s letting everyone around here down and figure out the root cause of why she feels this way

PLEASE MAKE SURE ALL THE FEEDBACK IS ADDRESSED IN THE REFLECTION PAPER. I have attached the script and the case study so you can have some background about the client

CASE STUDY:

Shondra is a 21-year-old, African American business major at a large university. Over the past few weeks her family and friends have noticed increasingly bizarre behaviors. On many occasions they’ve overheard her whispering in an agitated voice, even though there is no one nearby. Lately, she has complained of heart palpitations, profuse sweating, insomnia, and has angry outbursts. She has stopped attending classes altogether. She is now so far behind in her coursework that she will fail if something doesn’t change very soon. She lives at home and her parents have brought her for counseling.

Running head: SCRIPT WRITING
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Me: Hello, Shondrah!!! How are you? I hope you look forward to our session today. I want to
assure you that everything we discuss in this session is confidential and stay within this room. You
can speak freely in knowing that I am here to help you in the best way I can and keep your session
secure and confidential.
Shondrah: I am okay, I just have not been feeling like myself for a while now. I am still having
heart palpitations, sweating, and trouble sleeping here and there.
Me: Thank you for sharing that information with me. So, I just want to take the time to go over a
few assessment questions with you to get a better understanding of what you are experiencing.
1. When do you notice you sweat the most?
2. How often are you experiencing heart palpitations throughout the day? Do you notice you
experience them more when stressed?
3. How many nights out of the week do you have trouble falling asleep and staying asleep?
4. Are you still finding yourself whispering in agitation?
Shondrah: I cannot really say when I sweat the most, but I notice it once my hands get really
clammy. The heart palpitations happen maybe 3 times a day, and now that you mention it, I think
it does happen when I am nervous or anxious about school or work. As for falling asleep, I am
having issues every night falling asleep. Once I am asleep, I can stay asleep. Honestly, I have never
noticed myself whispering, but my parents say that I still do it here and there.
Me: Shondrah, I would like to discuss your religious and cultural background and implement a
spiritual assessment. I truly feel that implementing some of your spiritual ideologies cold help in
improving your overall day to day life.
Shondrah: Ok, I am open to discussing my religious beliefs further.
SCRIPT WRITING
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Me: I know you mentioned that you and your family are Hersey of the Free Spirit. My
understanding is that you all do not believe in one particular God, but that you believe in spiritual
connections with others and yourself. I would like to implement a regimen of yoga twice a week
to begin with to help with your stress and anxiety.
Shondrah: Yoga, wow, I never though about trying that. How do you think it can help?
Me: In assessing your triggers, once of which being school, I think that Yoga will allow you the
opportunity to reset your mind, body, and spirit. You will be able to focus on you and what you
need emotionally to get through your day or the rest of the week. In addition to Yoga, eating a
healthier diet can also alleviate some of the triggers that you have been experiencing. How would
you like to try this new regimen of therapy?
Shondrah: I am completely open to anything at this point. I like the idea of being able to reset my
mind during a stressful week.
Me: I will make a referral to the Yoga therapy studio near you, and I would like you start next
week, for two weeks. We will meet back after two weeks, and I will monitor your progress during
each session.
Shondrah: Ok thank you, I will follow these instructions and start the yoga regimen. I really hope
this helps with my overall mental health.
Me: Before we wrap up, I would like to ask how you have been enjoying our sessions together.
Shondrah: At first, I was not happy to come at all, I thought it would be a waste of time. However,
I am optimistic now on starting your new assessment tools and recommendations to better myself.
Me: I am so happy to hear this and I so look forward to our next session.
SCRIPT WRITING
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References
Eible, L. (2015). Social Work Supervision Through a Relational-Cultural Theoretical Lens.
Social policy and practice.
J, H. (2014). Bio-Psycho-Social-Spiritual Assessment? Teaching the Skill of Spiritual
Assessment. Social Work & Christianity, 41(4).
SCRIPT WRITING
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