Nathalie Case Summary

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Nathalie is a ten-year-old female who lives with her parents and older sister. She was referred to counseling for school refusal behavior. She has been getting home schooled for two years. She could be very resistant, and display tantrums when people attempt to get her to school or study her lessons. Her primary caregiver is her mother who is a house worker. Family business failed years ago and then her father found another job and works usually away from the home. Her mother had a serious car accident about seven years ago and has been dealing with its effects since then. School Refusal Assessment Checklist (SRAS-R) and Child Behavioral Checklist (CBCL) Parents version were administered. According to assessment results, Nathalie’s primary …show more content…

I would recommend that all family members and school stuff should involve in the treatment for the best interest of Nathalie. Separation anxiety and, as a result of it, school refusal problem result from dysfunctions and emotional disturbances occurring in the family context e.g., maladaptive parental style, parental mental disorders, stressful life events and so on. For instance, there is a discord between Mr. and Mrs. Brown as to how to manage Nathalie’s disobedient behaviors. Similarly, Mrs. Brown parenting approach has being changed time-to-time originating from her traumatic experience and other family distress. However, quality of parenting should be organized and consistent to develop a secure attachment style between parents and child. Instead of utilizing basic behavioral intervention, in the treatment, parents should re-build their relationship (more organized, secure, and consistent) with Nathalie to help her overcome her fear and depressive symptoms. Therefore, Parent Management Training (PMT) could be beneficial for the parents to re-built their relationship with Nathalie and learn some strategies (e.g., setting limits, keeping calm during separation or providing a consistent pattern for the day) to deal with the client’s behavioral and emotional

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