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COUNSELLING

TABLE OF CONTENTS
TASK 1............................................................................................................................................3
PART A: Patient Case Notes.......................................................................................................3
PART B: Developing Mental health Plan...................................................................................5
TASK 2............................................................................................................................................7
PART A:......................................................................................................................................7
PART B: Reflective Journal entry of presentation......................................................................7
TASK 3............................................................................................................................................8
PART A: Interview for recognising and respecting social and cultural diversity.......................8
PART B: Reflective Journal for the interview............................................................................9
TASK 4..........................................................................................................................................12
PART A: Information Sheet......................................................................................................12
PART B: Improving Communication........................................................................................13
TASK 5..........................................................................................................................................14
PART A: Reflection on Communication Skills and Techniques..............................................14
PART B: Reflection on Counselling Therapies.........................................................................15
PART C: Reflection on Own Practice.......................................................................................16
TASK 6..........................................................................................................................................17
Case Management Plan..............................................................................................................17
REFERENCES..............................................................................................................................21

TASK 1
PART A: Patient Case Notes
Patient 1:
Patient 2:
Problems Faced by the Patient
Low mood, anxiety issues, lacks interest in certain activities, Forgets minor things, headaches
Assessment
Patient is suffering from Clinical depression, first visit, Willing to take the treatment
Intervention
Diagnosis of thyroid, abdomen, chest and neurological system
Plan
Giving anti-depression medications- citalopram (Ghajar and et.al., 2017), diazepam, thyroid
medication - Eltroxin 50 mcg, Prescribed morning and evening walks, eating healthy whole grains
and lean protein, Avoiding sugar
Next appointment: After 1 month

Patient 3:
PART B:
Developing
Mental
health Plan
Mental Health Treat-
ment Plan
Name Valeria Smith Date of Birth 12.08.1958
Address 17 Fern Rd, Eagle Bay, WA Phone [phone]
Problems Faced by the Patient
Gets panic attacks, rapid heartbeat, unable to cope up with new surroundings, nervousness,
Assessment
Patient is ready for clinical treatment, slight progress, diagnosed with hyperthyroidism and show
symptoms of Generalised Anxiety Disorder.
Intervention
ECG, Blood test for adrenaline, thyroid and blood glucose level
Plan
Behavioural and cognitive therapy, relaxation therapy, psychotherapy, anti-anxiety medications,
sedatives during panic attacks- alprazolam, beta blockers to be prescribed in case of sweating and
palpitations, Eltroxin 50 mcg, Pre-diabetic care (Kaufman, K.R., and et.al., 2018).
Next appointment: After 2 weeks
Patient name Patricia James Date of birth 30.04.1980
Address 18 liberty Rd, palm Bay,
WA 5476
Contact no. [phone]
Session Date: Session No. 0012
Duration 1 hour Counsellor -
Problems Faced by the patient
Mood swings, Increased irritability, Sleeplessness, Reduced hunger, overthinking and stress
Assessment
Patient shows symptoms of Postnatal Depression
Intervention
Blood test for thyroid, assessment of depression and factor and risk analysis, questionnaire
screening test
Plan
Emphasis on exercise and healthy diet, SSRIS: Fluoxetine, Zolpidem, Eltroxin 75mcg,
Multivitamins (Molyneaux, E., and et.al., 2018).
Next appointment: after 7 weeks

6282
Issues The client suffers from low mood, anxiety issues, lacks interest in
certain activities like playing with kids which were earlier pleasurable,
forgets minor things, headaches, abdominal pain.
Patient History Substance abuse by the patient in the ages of mid 20s and 30s on a
repetitive basis, Frequent tobacco smoking habit
Previous records of postpartum depression, Thyroid issues, previous
case of a miscarriage
No family history of any mental illness, Father of the patient was
diagnosed with Type 2 Diabetes.
Medications Anti-depressants: citalopram, Anti-anxiety medication: diazepam,
Thyroid medication: Eltroxin 50 mcg, Prescribed morning and evening
walks, eating healthy whole grains and lean protein, Avoiding sugar
(Handley, T.E., and et,al., 2019)
Risks and Co-morbidities Mild Self-harm tendencies were noted in the patient’s behaviour.
Patient suffers from Rheumatoid Arthritis in the knees and lower back
area.
Mental Health Treat-
ment Plan
Patient Name James turner Date of Birth 09.12.2003
Address 98 Mike Turner
Street PIMPAMA QLD 4202
Phone [phone]
Presenting issues Patient gets frequent panic attacks in irrelevant situations and shows
signs of rapid heartbeat, unable to cope up in new surroundings and
very shy in front of people, refrains from talking and conversation in
general, nervousness while doing any work outside comfort zone.
Patient history Police records of previous child abuse, cases of being bullied in
school, No substance abuse
No family history of any mental illness.
Medications Cognitive behavioural therapy, Benzodiazepines: alprazolam, beta
blockers for sweating and palpitations, Eltroxin 50 mcg, to get

engaged in hobbies, exercise, sports, Take enough sleep and healthy
diet ((Farrer, L.M., and et.al., 2016)
Mental Health Treat-
ment Plan
Patient Name Patricia James Date of Birth 30.04.1980
Address 18 liberty Rd, palm Bay, WA
5476
Phone [phone]
Presenting issues(s) Difficulty bonding with the baby, Frequent Mood swings, Insomnia,
loss of appetite, overthinking, loss of concentration.
Patient history Problems in conceiving and pre mature caesarean delivery.
Patients’ mother is diagnosed with Acute Alzheimer’s.
Medications SSRIS: Fluoxetine, Sleep medication: Zolpidem, Thyroid medication:
Eltroxin 75mcg, Multivitamins, Emphasis healthy diet, Self-care
through relaxation techniques, deep breathing, rhythmic exercises and
Yoga (Ogbo, F.A., and et.al., 2018)
Risks and Co-morbidities Patient is Diabetic and has acute spondylitis. No self-harm behaviour
noted.
TASK 2
PART A:
COVERED IN PPT
PART B: Reflective Journal entry of presentation
Reflective Journal Entry