Case Study: Neglect

This shield involves a 16 year old male and subsequently quatern of his younger siblings. In elementary domesticate, the lymph gland wee-weeed A and B grades. However, this did non continue in high inform. Additionally, the once playive boy began to isolate. He stopped playing basketball and spent much while in the advocates office just to avoid the early(a) children as they often made fun of him. The node began seeing the school counselor when he was ten years old.His parents were both alcoholic drinkics and were involved in using and selling illegal substances. The living conditions at home were unbearable. there was often no food, electricity, or water in the home. The knob report that the windows were only screen, leaving the home freezing. The lymph node excessively reported that his parents would shut up him and his siblings in their room to ensure they did not tell authorities the rectitude about what was going on in the house. This typically occurred whe n the parents got word that the law of nature or the Department of Family Services was on their way over.There was louver children in this family, the lymph gland was the oldest, four child were currently still in the home. In addition to the drip the knob see, he also experienced rib. This lawsuit study mentioned one obvious incident. When the customer returned to his parents home after staying with his aunts because of go bad charge, he came likewiseshie to school with a broken arm.This was the only indication of sensible abuse during this case study, however the leaf node did not discuss what happened. Additional physical abuse or every other type of abuse is un hit the hayn. This node was also responsible for his siblings. He made sure they were dressed and generate for school. He also assisted his siblings with their homework. This responsibility left no duration for him resulting in poor grades and his social disembodied spirit decreased. The client also dis played symptoms of hopelessness, suggesting depression.The school counselor made note of possible diagnoses, however, it does not appear that the counselor ever made an official diagnosis. The counselor did mention Depression as a primary diagnosis due to the clients ostracize doom related vocabulary. Treating this client for depression may be helpful.To tolerate a diagnosis of Depression the individual must experience at least five of the following symptoms in the same two weeks downcast mood, weight loss or gain, too much or too little sleep, increased or decreased psychomotor activity, fatigue, feelings of worthlessness, poor concentration, or suicidal ideation. These symptoms must be signifi peckt enough to cause marked impairment in work or school.This client did display umteen of these symptoms. For example, the therapist stated that the client said the word hopeless often. The client also looked underweight, had difficulty in school both academically and socially, and di d not receive the proper amount of sleep (DSM-IV-TR). Finally, these symptoms must be more severe than the common blues everyone experiences from time to time. While this client was in all prob efficacy suffering with some degree of depression, there were other factors which better justify these symptoms.This client was the victim of child neglect and abuse. As noted higher up the children in this family often went without their basic fatalitys. This is a better explanation for the clients symptoms than depression because when put in a more nurturing environment, the clients symptoms dissipated. The client displayed this change in behavior when the courts sent the children to the aunts home after the client called the Department of Family Services to show the neglect report.During this time, all the children were going to school clean and reach. The childrens homework, including the clients was completed. This dissipation of symptoms was seen a second time when the client was placed in foster care. Again, he was going to school clean and feed and with homework completed. Once at his foster parents home, the client was also able to go back to playing basketball again.During the run away of the client and school counselor relationship, the client saw the counselor on a weekly basis. The school counselor designed these meetings to assist the client in problem solving with dissemble to caring for his younger siblings. The counselors recognition of the clients needs in this regard was definitely a factor in the clients capacity to make it through this difficult time.This is not always the case in turn causing the client to feel that therapy does not work. Additionally, the counselor did not push the client for information or action so a healthy relationship was able to develop. The counselor was able to slowly earn the clients trust by showing him she was there for him. This benefited the client in a number of ways. He was able to develop a positive keep upive relationship with an adult role model and he was able to gain the courage and strength to put an end to the neglect he was experiencing.As the client progressed in his problem solving and determination making skills the therapist should modify the methods and goals of the therapy sessions. Once the client moved from his biological parents and subsequently adopted, his roles and responsibilities changed drastically. With the new family he lived as a normal child, he was clean, well feed, and rejoined the schools basketball team.He no agelong had to care for younger children in a parenting capacity. At this point therapy should move the focus to resolving the issues of abuse and neglect so the client can come to terms with his past. The use of psychoanalytic therapy would be an appropriate healing(predicate) method. With this type of therapy the client is able to talk out his issues. With the help of the therapist, the client will learn how to forgive and cope with these i ssues.What is unfortunate in this case is the fact that the other children ended up going back to the parents. concisely after that reunification, the old ways came back. However, since the client was not there to act as the caregiver for the other children, the oldest sister took over that role. Here the rhythm method continues. Although the other children were not as open with the school counselor, they need pixilated monitoring just as their bother received in the past.This coda monitoring may be able to stop further neglect and abuse from occurring. Additionally, it would be wise to continue monitoring and providing therapeutic service to this client. There may still be some deep sown issues he will need to deal with. Finally, the client will need help adjusting to his new family and the issues they have brought him, specifically the separation of his adoptive parents.In addition to ensuring that this client is adjusted in his new life, additional defy and therapy can monit or the presence of future mental health related problems. Posttraumatic accent disoblige is often seen in individuals who have experienced abuse. Because of the life situations this client had endured as a child, he is susceptible for Posttraumatic Stress Disorder. If this throw out of kilter develops, the client will experience flashback type symptoms. This may hinder his ability to cope with past and future life events.Additional problems associated with Posttraumatic Stress Disorder include impulsive behaviors, insomnia, nightmares, avoidance issues, poor concentration, hypervigilance, and increased startle response. Because Posttraumatic Stress Disorder occurs after the individual experiences the trauma, symptoms may not appear until later in adulthood.Also common in individuals with Posttraumatic Stress Disorder is insobriety and substance abuse. Again, this client is at a higher risk for these issues because of the genetical component of both alcoholism and substance abus e. A diagnosis of alcohol abuse or dependence includes behaviors that include neglect of responsibilities. Individuals who abuse alcohol also will continue to use despite the fact that they know it is causing problems in their life both physically and socially.With continued therapy and support, the client will be able to work out these childhood issues and thereof decrease the probability of future problems. keep support will also give the client the skills necessary to cope with lifes stressful events. The client will be equipped with the tools need to deal with his problems in a healthy way as opposed to turning to drugs and alcohol.Continued therapy will also allow the client to work out any feelings he may have regarding his siblings who were sent back to his parents. This aspect was not noted in the case study however, he may curb feelings of guilt or regret, knowing that his siblings are still in a neglectful situation. It would also be beneficial to the client to join su pport groups in order to increase his support system.ReferencesAmerican Psychiatric Association. (2000). diagnostic and statistical manual of mental disorders DSM-IV-TR. Washington, DC Author.