Remember to address the goals from your
chosen counseling theory, not the counseling
goals of symptom reduction. When counseling
theory goals are being met, the client’s mental
health symptoms will decrease.
Case Study Analysis
Client Name: Tommy
Client age: 8
Gender: M
Presenting Problem
Client has been increasingly disruptive the past few months. He has verbal outbursts and pushes classroom
materials onto the floor after being given an academic task during quiet work time. His verbal outbursts include
yelling that he is not doing the assignment, telling a student to shut up, using profanity, and calling student’s
names. His teachers do feel that they spend about an hour per day dealing with the behavior, and they usually
respond to client’s behavior by scolding him or by initiating an office referral.
General Background
Client is an 8-year-old bi-racial boy who enjoys baseball, swimming, and baking. He does not like art activities
or large crowds. Tommy has a good sense of humor, but he can be irritable. He is fearful around new people
and may become quiet and more reserved in those situations. His parents and teachers talk him through
exposure to new people. Client is highly verbal and speaks in sentences. Client is above grade level in reading. He enjoys reading, and his favorite book is the Percy Jackson Lightning Thief. According to client, he dislikes writing. Most of his writing is simple sentences with a great deal of grammatical errors and little detail. He also struggles with math, in which he is approximately 2 grade levels below. He has recently learned how to pitch
left-handed. Client has a new baby brother who is 5 months old.
School Classroom Environment
Client attends a regular K-5 public elementary school; however, client is new to the school. Client is in the 3rd
grade. There are 19 students in his class. Client has two segments in a resource special education (SPED) class
with five other students. Client also has one co-teaching segment for math. His teacher is very organized and
structured; she is loving and understanding about the client’s needs.
Previous Interventions
Tommy has attended this school for two months now. Initially, he seemed to acclimate to the new school well. However, things have gotten more difficult for him lately. Client’s teacher set up some rewards for him to earn if he does not engage in disruptive behavior. His
behavior has not improved, and it has been difficult for his team to identify “why” he is engaging in the behavior.
Major Stressors
•New school
•Academics
•New sibling
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