Analysis: Solution-Focused Brief Therapy

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Andrew is a college-aged caucasian male attending a music school for drumming. Andrew is extremely talented. Andrew has acquired this talent from obsessive practicing, often resulting with staying up all hours of the night, playing past the point where his hands have become broken and bloody. Andrew became increasingly verbally aggressive with the other drummers in the band over the performing seat; before a performance, Andrew was involved in a severe car accident, refused medical attention, and ran to his performance so that the other drummers would not take his spot. His overzealous practicing has driven him to isolate himself from most of his family, maintaining a positive relationship with only his father; he has no friends, and he broke …show more content…

The first intervention tool to consider is Solution-Focused Brief Therapy. Rather than focusing on how to change his behavior, SFBT would work with Andrew to find a point in time where his behavior was less destructive, and use that perspective to find proper solutions. This technique emphasizes acknowledging and celebrating the ways in which the client is already successful, which would do well to sooth the client’s narcissistic tendencies (Antin, 2015). While medication is not generally used to treat NPD, the incident in which Andrew refused medical treatment following a severe car accident in order to make his drumming performance shows that he may be a danger to himself. With that in mind, if Andrew is assessed with some level of severe depression, proper medication may be warranted for stability. Finally, Family Therapy may prove very beneficial for Andrew’s well-being. Andrew often seems apathetic towards the negative effects of his actions towards himself and to his loved ones. For that reason, I believe that a family therapy setting could allow his loved ones to lend their perspective of his actions enough that he would want to make the necessary adjustments to correct his

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