Using the Case Study of Mr. X, Identify and Explain the Client’s Issues and Devise a Course of Treatment for Him, Taking Into Account Any Ethical Issues

2303 words 10 pages
Using the Case Study of Mr. X, Identify and Explain the Client’s Issues and Devise a Course of Treatment for him, Taking into Account any Ethical Issues

In this essay I shall be explaining the issues Mr X has expressed, as I have understood them, as expounding the presented issue with the client in such a manner is also crucial to gaining clarity and building rapport. I shall then cover any ethical considerations that need to be accounted for and then seek to devise a relevant course of treatment for him.

Mr X has stated that he has been employed as an estate agent in the same company for 18 years. He has not progressed in his work although he is fully capable as has been demonstrated by his success at covering for the manager
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At this point I would also be looking out for any secondary gains or hidden agendas. I do suspect that he may have a secondary gain: he claims that he cannot propose to his girlfriend because ‘he does not have much to offer her at present’, and so I wonder if perhaps he is scared that if he is promoted to manager, he will also now have more to offer her as he would be better off financially and in a more stable, respectable position. May he be frightened of the prospect of marriage? Does he feel incapable of being a good husband, of building a family and becoming a father himself? Does remaining in his position at work allow him to excuse himself from a range of other experiences? At such an early stage of the process however, I would not confront him with any of these speculations as it may cause offence, anger or upset. Instead I would continue with the suggested self-esteem script (see Appendix), affirmations and triggers, and if by the fourth session little progress has been made, I would hope that enough rapport has been built in previous sessions to allow me to explore the possibility of hidden agendas and secondary gains with him openly and truthfully.

I would begin the self-esteem script in a manner that builds his self-esteem in general in the hope that building his self-esteem holistically would go on to affect his ability to approach his boss for the