Case Study: George

George is 71 years old. His wife of nearly 50 years passed away 4 months ago. He has come to his first counseling session at the insistence of his son, Michael, who reports that George has lost interest in good food, once a passion of his; that he seldom leaves his house; and that he appears depressed and without enthusiasm even for visits from his beloved grandchildren.

George is sullen, quiet, and almost non-communicative at first meeting. He appears unkempt and reports feelings of abandonment and detachment. While he has no prior history of depression, his father committed suicide when George was young.

Explain how you would work with George by addressing the following areas:

1. Explore the ethical issues associated with working with George. What are your ethical concerns as you begin working with George? What ethical responsibilities might you need to consider in constructing an assessment plan for George? Explain the unique ethical considerations we face when working with George, as well as when working with elder client populations.

2. Identify your initial counseling goals for George. What would your initial treatment goals be for George? What might your initial theoretical approach and treatment plan for working with George be? Support your choice. What areas of assessment will you initially focus upon? Why?

3. What is your perspective on incorporating George’s input into his treatment planning and goal setting? How might you entice him to become actively involved in such a process?

4. How would you plan to take advantage of George’s support systems? What do you consider his greatest assets for improvement? His greatest challenges? How might you plan to use both his advantages and disadvantages in constructing a treatment plan for George?

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