Student Case Study George, a loner and a

George, a loner and average student, enrolled in college after high school graduation. By mid-semester he was failing all his classes, neglecting to call his parents, and refusing to answer his dorm door when other students knocked repeatedly. His parents were admitted to his room by the dorm supervisor and found George sitting in a corner, poorly groomed, naked, wearing only a blanket, and agitated and threatening by the intrusion. Attempts at talking to him resulted in shouting and calling his father Satan. The parents gave permission for the college psychologist to administer psychological first aid. Intervention modes and objectives are presented along with client functioning and assessment procedures.

The method used to help George will include crisis intervention strategies that will encompass the following: assessment of the client's mental and emotional status and functioning, including suicide potential; the severity of the crisis; and available and alternative coping mechanisms, support systems, and other resources.

The first step in helping George will be to understand what the problem is from his point of view. Core listening skills will be needed that provide empathy, genuineness, and acceptance. Without comprehension of George's view of his dilemma, intervention procedures may be of no value to him. Open- and closed-ended questions may facilitate this understanding. George has stated that

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of his support. Step four will be to examine alternatives. There may be a variety of choices that would be appropriate for helping George. George is in an immobile state and unable to examine his options. It appears that his has chosen the only option available to him. The goal will be to help George understand that many alternatives are available to him and some may be better choices than those he has employed. When thinking about alternatives, situational supports, coping mechanisms, and positive and constructive thinking patterns will be considered. Parents or other relatives may be available to provide care and ongoing support to George. Environmental resources may be available to assist or there may be behaviors or actions that would be helpful. Positive changes in thought patterns may lessen George's stress and anxiety. Many possibilities may be available, however a limited array will be presented to George in an effort to avoid increasing his anxiety with decisions he may be unable to make. The fifth step will be to make a plan that will restore George's emotional equilibrium. The plan will include the identification of additional people or resources that will be contacted for immediate support, and it will pr

Category: Psychology - S