Case Study Scenario

Discuss how you would proceed if working with this client:

Roger is an obese 40-year old man and suffers from other health issues. Roger reports that he lives alone and has very few friends. Roger is single and would like to be married. However, he is afraid that women will reject his advances due to his weight. To further complicate the issue he reports struggling with homosexual thoughts. Roger sought your help because he recently contemplated suicide.


The body of the paper should be 3–5 pages in length in addition to the title page and the reference page. The paper should included a minimum of 3 peer-reviewed sources. The information borrowed from the resources should offer support for your opinion.

2. Personal Biases and Limitations
Every counselor needs to consider personal biases and limitations carefully. If the topic is a hot-button or you lack sufficient knowledge to be effective with the client then you would need to refer. Identify possible problems in working with the client. Be clear in explaining why these issues could detract from counseling.

3. Goals
What goals would you like to achieve with the client? Why do you believe that these goals are important? What would you do if the client refused to accept a goal that you believe would be helpful? If you were allowed only one goal, what would that goal be? Why do you believe this would be the most beneficial goal?

4. Theoretical Approach
Discuss the theoretical approach or model that you believe will be most effective for the client. Why will this model be the best model to use? What counseling techniques would be appropriate (e.g., genograms, journaling)? How many sessions would you schedule? Would you encourage the client to seek other areas of psycho-educational assistance or resources?

5. Therapeutic Progress and Success
How do you plan to measure success? Why is this form of measurement the best method to use with this client?

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