| R e a son f o r P r es e nt a t i on: | E x p l a i n: This is not a periodic review of the case of Bianca but a presentation of a specific problem. |
| Identifying Data: | I d e nt i f y : Bianca, from the case that has been presented is aged 15 and she is of the female gender. She is currently living with a guardian after she was a victim to sexual assault. Her maternal aunt is the guardian who has full guardianship. The aunt has a boyfriend who is a registered sex offender and Bianca has run away due to the fear of being sexually assaulted. She is seeking assistance as she does not want to undergo the same trauma that she underwent due to sexual assault. |
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P r es e nti n g P r o bl em ( s ) : |
Bianca compliant is that she is likely to undergo sexual assault and she is avoiding the trauma that comes with sexual assault. She has been sexually assaulted before and it is not an experience she is willing to risk undergoing again. The symptom that she fears most is trauma as it greatly affects her. |
| Hi s t or y : | Bianca has a history with sexual assault. From her childhood, Bianca has been a victim of sexual assault and she has experienced the trauma that is associated with sexual assault. She has been living with her aunt who has full guardianship and custody. |
| Di a g n o s i s: | Anxiety Disorders is the diagnosis for Bianca’s problem. Bianca has negative self-beliefs that her aunt’s boyfriend is a threat and she employs avoidance behavior which is running away from home to protect be safe from the possibility of being sexually assaulted. Bianca has PTSD which aligns to this diagnosis and negative self-belief. |
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T r e a t m e n t Pl an & G o al s f or T r e a tm e n t / T h e o r etic a l Or i e n t a t i on i n us e : |
Treatment for anxiety disorder include the use of cognitive behavioral therapy Mindfulness-Based Psychotherapies is another treatment alternative that can be used to treat Bianca of her condition Psychodynamic Psychotherapy is also beneficial Psychopharmacologic interventions such as Fluoxetine and Fluvoxamine are also effective treatment alternatives |
| P r o g r ess T o w ards G o al s: | Bianca is willing to seek treatment for her condition which a good progress. However, her aunt’s boyfriend is unwilling to move out which is a factor interfering with progress and treatment. |
| S tr e n g t h s / R es o u r ces o f c li e nt : |
Her aunt is willing to offer her all the mental strength and support that she needs. Bianca is also eloquent and honest in her response to questions which could be very useful during administration of CBT |
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T h e r a pi st S e l f - A w areness |
Following anxieties and picking up cues that Bianca might use as defences help the therapist in avoiding countertransference |
| Di v ersit y : | Bianca is young, aged 15, and this is a crucial issue related to diversity which should be considered during the treatment process |
| P oten t i al C r i s i s : | Bianca is a high-flight risk as she has run away from home. She can also run away if she feels unsafe and unprotected. |
| L e g al & E t h i cal i ssu e s: |
Legal issues that may relate to this case may include the unwillingness of Bianca to associate and reside with a sex offender in the same house. Ethical issues may include the therapist trying to sanitize the actions by Bianca’s aunt boyfriend. |
| Q u e s t i o n s & R ec o mm e n d a t i o n s: |
In future, children with a history of sexual assault should not be placed in the same homes as persons considered being sex offenders as they are likely to provoke trauma in the children. Children with a history of sexual assault should be raised in stable homes. The advantage that comes with raising such children in stable homes is that the children are taught to trust people again and judge the world from a loving and understanding perspective. Moreover, raising children with a history of sexual assault away from sexual offenders reduces the risk they face as this can be categorized as a risk factor. |
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