answering the below questions with the connection to reality therapy
Case Study # 3 Reality Therapy: Janet: Struggling With Substance Abuse
The client, a troubled woman of 33, is in your office at a community mental health center because it is a requirement of her parole. She reports that she has always had difficulties handling her family and her personal life. She says that she had a relatively stable marriage until she found her “old man was running around with other women.” Although she filed for a divorce from him, she never appeared in court, so she is uncertain about her marital status. She reports that after the separation he “disappeared” until quite recently when he “reappeared out of nowhere” and took their son (now 15) to live with him. She also has two girls, ages 8 and 10, who still lives with her. The client says that once her husband left, she was forced to resort to stealing to support the family and her drug habit. Janet has been addicted to cocaine for four years. During this period, she has had behavioral problems with her two daughters, as well as the son. Eventually, she moved in with her current boyfriend, and the behavioral problems with the children escalated. She reports that she is on parole for a theft charge and is afraid that she will have to go back to prison for a parole violation because of her drug use. Janet lets her parole officer know that she has seen you and that she wants to get some help “to get her life together”. A few days later her parole officer asks you about your treatment plan for therapy and requests that you write your opinion on whether the client should be back in prison.
Questions for Reflection:
Using the WDEP system of procedures leading to change, show how you might approach Janet if you could work with her for a maximum of six sessions. Consider the following questions:
(1) What type of information would you provide to the parole officer?
(2) If Janet wanted to see you for six visits, what goals would you see as being important?
(3) What are some of the key interventions you would make and why?
(4) How would you work with Janet if she avoided making an evaluation of her behavior?
(5) Given the fact that she has come to you as a condition of her parole, how might this affect your work with her? As a reality therapist, how would you approach her?
(6) How might you deal with her resistance on her part? With her lack of willingness to make plans and follow through with them? With possible attempts to manipulate you?
(7) What referrals might you need to make?