This essay focuses on a university counseling center for two months. Thomas is a student who was referred to her at the beginning of the semester for anxiety and depression. Anna has been seeing Thomas once a week.

a university counseling center for two months

There are two parts. Each part has to be two pages, APA style, 3 references. PART 1 Scenario Anna is a new licensed clinical social worker who has worked for a university counseling center for two months. Thomas is a student who was referred to her at the beginning of the semester for anxiety and depression. Anna has been seeing Thomas once a week. In addition, he checks in with her through e-mail when he becomes anxious. Anna typically responds to his e-mail during her office hours by assuring him and reminding him of their upcoming appointment.

Thomas’s e-mails and phone calls have recently increased due to midterms over the next couple of weeks. On Monday Thomas left a phone message wanting to talk to Anna. He reported that he needed to talk to her sooner than their Thursday scheduled meeting but did not state why. Anna noticed that he sounded upset and slurred his words. Anna saw Dr. Stance during lunch in the busy student center, Anna knows Dr. Stance is one of Thomas’s favorite professors. Anna shared with Dr. Stance that she was worried about Thomas because she had a strange phone call and stated that he sounded impaired. Anna asked Dr. Stance if Thomas had been in class and if he had been acting strange.

Anna did not document the e-mail or the conversation with Dr. Stance

as she was going to include these conversations within her weekly clinical note. On Wednesday Thomas responded to Anna’s e-mail at 8 p.m., stating that someone stole his medication and he did not feel capable of going to class in fear of hurting himself or someone else. He also assured Anna that if he needed to call 911 on his behalf that he would and that she did not need to worry about him. Anna did not look at her e-mail on Wednesday night as she was not feeling well and decided to call in sick on Thursday. You are Anna’s supervisor and covering Anna’s clients for the day on Thursday.

Thomas does not come in for his appointment. For this discussion: Consider ethical decision making in relation to self-determination and well-being based on Reamer’s framework.

Identify one of the many potential ethical dilemmas within this case and discuss why you feel it is an ethical dilemma. Identify two standards provided through the NASW standards readings that you could apply to this situation to assist in the ethical decision-making process. Discuss how each standard applies to this case. 3 references, APA 2 pages     Part 2 The Case of Nellie Bowman Nellie Bowman is a 25-year-old graduate student.

She starts her conversation with you by stating, “You know, I’ve lived a pretty normal life. Of course I’ve had the usual ups and downs. Then it happened. One night after a party, I came back to my apartment and I guess I forgot to lock the door. Some guy must have followed me. I woke up and he had a knife at my throat. My life flashed before my eyes.. Filed the report, they didn’t find the guy, but we changed all the locks and I thought I’d put it behind me. Then six months later, I woke up in the middle of the night and had this vague feeling of apprehension.

All of a sudden my heart started pounding.

Like I was having a heart attack. I started sweating and my chest hurt something awful. Right these and then I thought I was dying. It was really weird. Right away she called the ambulance. When they checked me out at the hospital the docs said I was just fine. Now I’m a little scared to be by myself for too long. Good thing I have my roommate. I’m afraid it might happen again.” For your discussion post:

1.      Identify the case you have chosen to review and the diagnosis you would provide to either Nellie or Mary. 2.      Provide your rationale for the diagnosis. 3.      Discuss an intervention plan using the generalist intervention model that addresses the micro, mezzo, and macro systems. What kind of therapy would you provide this client, what kind of intervention would you provide for the family, and the community? 3 references, APA 2 pages