Brett is a 36-year old accountant at a small family business. He faces a difficult situation over the negative issue related to his job, and his wife, Melinda, sought a professional counselor aiming at regain her husband's motivation at the workplace. Brett is very committed to providing the best services at work more than anything else. He focused a lot on business to the extent of failing to take the family's ideas concerning his job ( Cohen & Mello, 2018) . Due to a recognized possibility for the business to collapse, Brett faces a stressful situation leading to depression and a sickly situation. He took a leave for a week, after which stress intensified, and returning to the workplace was more stressful. His wife was concerned about the situation, so she contacted professional counseling to help Brett. Brett's mental problem lasted for about twelve years, which was personal attacks while trying to retain his loyalty in his career. Any failure that occurred in the processes caused demotivation, anger outbursts, anxieties, and sleeplessness.
Following the DSM-5 guide, I would diagnose Brett's with burnout. All the signs and symptoms of Brett’s condition are characteristic symptoms for a burnout. Brett faced a great psychological problem over issues that were far beyond his control, which ought not to affect him in any condition ( Chambers & Stanley, 2018 ). He cared so much about his friends and business, at which he overworked his mind to prevent them from going. In all his jobs, he tried to protect these companies from crumbling, exposing himself to people who required such efforts. When his currents company showed signs of collapsing, Brett became extremely disappointed, and stress overpowered his mental capacity to bear such situations. He became sick, at which point he took a week's leave. Afterward, he lost motivation to work and developed weird characteristics of anger outbursts and loss of sleep. The counselor diagnosed this situation as a burnout type of reaction.
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Motivational interviewing would be an effective approach to handle Brett's situation. Using this approach, Brett would acquire the necessary motivation for changing the behaviors that prohibited him from making healthier and sound choices. Motivational interviewing would help Brett overcome his recently acquired behaviors, such as anger outbursts ( Miller & Moyers, 2017 ). In a supportive way, motivational interviewing would present an opportunity to winning Brett's talk about why he viewed success as an indispensable tool in business. This interaction would form the best ground for reflecting on the client's thoughts and expressing motivation to them to call their consciousness back within a short duration. Brett's counseling is associated with several implications. Although regular relaxation and exercises are legal and ethical techniques, Brett's productivity at work will drop drastically ( Cook, Becvar & Pontious, 2013 ). After returning to the workplace, Brett reported that he underwent a stressful and frustrating moment, which required him further respite from work. He had lost his motivation for work, and he thought he was not capable anymore. Motivation interviewing would have been a better alternative that would have considered both his health and work.
Like any other case, Britt’s case is implicated by legal and ethical considerations in counseling. This case presents two ethical and legal issues: credentialing and confidentiality. Credentialing pertains to the counselor, who is supposed to have knowledge regarding counseling practice (Institute of Medicine, 2010). The counselor has to be licensed to provide counseling to Britt, regardless of how complicated his condition is. Licensing is necessary to protect the clients from unqualified and untrained professionals. The next issue is confidentiality. This involves the protection of counselor-client communication. Both legal and ethical considerations impact confidentiality; however, in situations where no risk is involved, the counselor should maintain confidentiality (Darby & Weinstock, 2018) . In this case, the counselor should keep the communication with Britt confidential, even if requested by his wife. In case the counselor needs to release the information, they must obtain written consent from Britt, which authorizes the information release.
References
Chambers, S. P., & Stanley, C. (2018). Saving Normal: An Insider's Revolt against Out-of-Control Psychiatric Diagnosis, DSM5 Big Pharma, and the Medicalization of Ordinary Life.
Cohen, I. G., & Mello, M. M. (2018). HIPAA and protecting health information in the 21st century. Jama , 320 (3), 231-232.
Cook, C. A. L., Becvar, D. S., & Pontious, S. L. (2013). Complementary alternative medicine in health and mental health: Implications for social work practice. Social work in health care , 31 (3), 39-57.
Darby, W. C., & Weinstock, R. (2018). The Limits of Confidentiality: Informed Consent and Psychotherapy. Focus, 16 (4), 395-401. doi:10.1176/appi.focus.20180020
Miller, W. R., & Moyers, T. B. (2017). Motivational interviewing and the clinical science of Carl Rogers. Journal of Consulting and Clinical Psychology , 85 (8), 757.
