The patient is suffering from Major Depressive Disorder (MDD), because of the descriptions stated in the diagnosis. With low-self-esteem, less energy, and lack of interest in enjoyable things like interaction with his mother, the patient is faced with MDD. The 15-year old states that he feels like he is going crazy. The patient feels crazy because of the increased phases of emotional changes. Due to MDD, the phases of the patient experience extreme happiness, and sadness make him feel crazy. MDD causes patients to have poor coping mechanisms, which leads to the development of self-harm. With the inability to control these gradual changes in emotions, a patient can easily start self-harming activities like reported by this patient.
The patient can be helped through group therapeutic activities. The brainstorming activity whereby the patient, together with other group members, are asked to share their experiences and discuss healthy lifestyles. Medication sessions can also help the patient develop good medication habits. Trust building activities are also critical in helping the patient establish good relationships with other people. Currently, the patient has trust issues with her mother; hence refuses to spend time with her. By engaging in trust-building activity, the patient will massively improve his relationship with other people. This group activity will also help the patient trust peer relationships (Cleveland Clinic, 2020). Sharing is also a critical group activity that will help the patient establish good relationships with other people. Fun activities like painting, singing, or dancing could also help the patient. The patient loves going to the gym, so building a fun activity around the gym environment will significantly help the patient. Through this activity, the patient will be rejuvenated and will eventually get over the depression he experiences.
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After these therapeutic activities, the patient is expected to improve several attributes, with inter-personal relationships improving significantly. The patient will have improved self-esteem and high energy for doing things. The patient will have a better relationship with her mother, and he will stop shrugging her off. The boy will also get over his past by forgetting how his boyfriend abandoned him and forgetting about his parents' divorce, which has affected him emotionally (Mayo Clinic, 2020). The patient will also have stable moods, which will help him avoid the feelings of craziness. Self-harming behaviors will end, with the patient adopting new methods to deal with mood changes. Through the sharing experience, the patient will be equipped with better ways of coping with stress; hence he will avoid self-harm as a coping mechanism.
There are numerous ethical and legal issues regarding the counseling profession, with children and adolescents being protected from harm. A parent's presence may lower the confidentiality of a child, with the kid feeling unable to fully share their emotions (AACAP, 2019). Cultural aspects of a child must be protected during the counseling session, whereby the counselor must understand the child's development pattern and other personal issues. A counselor must ensure therapeutic boundaries with the child by refraining from any communication or behavior outside of counseling (Desousa, 2010). Communication regarding the child's therapeutic information with third parties is also strictly restricted. Teachers and guardians may seek the information about a kid, as a counselor, one must refrain from sharing the data, and instead of discussing the possibility of the decision with the child. Credentialing is also an essential component of child counseling. A counselor must have comprehensive knowledge of the counseling practice. Failure to have adequate knowledge may result in severe legal action against an individual.
References
AACAP, (2019). Psychotherapy for Children and Adolescents: Different Types. https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Psychotherapies-For-Children-And-Adolescents-086.aspx
Desousa, A. (2010). Ethical Issues in Child and Adolescent Psychotherapy: A Clinical Review. Research Gate. https://www.researchgate.net/publication/46096464_Ethical_issues_in_child_and_adolescent_psychotherapy_a_clinical_review
Cleveland Clinic, (2020). Mood Disorders. https://my.clevelandclinic.org/health/diseases/17843-mood-disorders#:~:text=A%20mood%20disorder%20is%20a,change%2C%20depending%20on%20the%20situation.
Mayo Clinic, (2020). Depression (Major Depressive Disorder). https://www.mayoclinic.org/diseases-conditions/depression/symptoms-causes/syc-20356007
