Social Work Case Study

1051 Words5 Pages
Presenting Problem Jessica is a 28 year-old Hispanic married female client. Jessica presented demanding high stress job and it’s related to her struggle with significant feelings of worthlessness, and shame due to her inability to perform as well as she always has in the past. Client feels unusual fatigued, difficulty to concentrate at work, her coworker noticed that she is irritable and withdrawn, and she stays in the bed all day. Her husband noticed that she shown little interest in sex and has difficulty falling asleep at night because of insomnia, and she is having tearful phone conversation over the phone with her friend. She is having thoughts of she does not wanting to wake up in the morning, and she feels frustrated with herself. As…show more content…
Also, her feelings of loss and guilt of losing the clients especially her last client is a moral issue for her due to her obligations of helping and serving others. It may reflect herself image as a high achiever especially because she graduated with top honor in both collage and medical school and she has very high standards for herself. She used to have self critical when she fails to meet…show more content…
(2005) have used with clients in order to deal with moral issues, the intervention will be clearer for me. The first step as Doherty, William J. (2005) stated “Validate the language of moral concern when clients use it spontaneously” (p. 42). With Jessica, I will affirm her struggle with her concern of being one of the best students and serving others in a perfect way, and she could not back to her job with full performance. May be this is what made her feels loss and guilt, by affirming and validating her concern, I can connect with her as a therapist to make her feels empathy and compassion. The second step is “introduce language to make more explicit the moral horizon of the client’s concern” (Doherty, William J. 2005, p. 43). When Jessica expressed her feelings about the difficulty of talking to her husband about the situation because she was frightened, it is more than the language she is using, the therapist has to focus on the relationship with her husband and how he needs to know about her more to be able to help her especially that she has need to talk as well. The third step is to “Ask questions about client’s perceptions of the consequences of their actions on others, and explore the personal, familial, and cultural sources of these moral sensibilities” (Doherty, William J. 2005, p. 43). The therapist may ask Jessica about her feelings about shame, or when she wants to stay in bed and watch television
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