Counselling Dilemmas

Counselling Dilemma: A Client Who is Afraid of Flying

Robert has been referred to you for counselling. He has recently started a new role as an executive for a large international company. The role involves some travel and this was made very clear to Robert when he accepted the position. Robert has a fear of flying but really wanted to work for the company and hoped he would be able to overcome his fear for the right role. However, he is now 3 months... »

Counselling Dilemma: A Client’s Sex Reassignment Surgery

Mark, 36 years of age, is directed to counselling by his doctor after Mark decides he wants to transition from male to female, undergo sex reassignment surgery, and change his name to Sonia. Mark reports he has suffered for a long time trying to live as a man when he in fact feels like a woman. »

Counselling Dilemma: A Terminally-ill Client

You are working with a 65-year-old female client, Mary, who has been coming to see you for six months as she had grief and loss issues around having lost her only sibling, her brother and her husband in a space of a month apart (a year ago). She has a daughter and son who are both married and have two children each. They live in Sydney whilst she is in Brisbane. She has three close girlfriends who... »

Counselling Dilemma: An Aggressive Partner

Kaya and Mark have been in a relationship for a little over a year now and are attending couples counselling. Halfway through the session, the therapist asks for more information about the fights they are having. Kaya reports that Mark recently pushed her into a wall, and that he sometimes viciously pulls things like her phone, the TV remote amongst others out of her hand. Mark admits to this, and... »

Counselling Dilemma: An Issue of Sexuality and Boundaries

A counsellor has been working with a client over a period of 9 months assisting with inner child therapy work. During the period, the client also talks about her relationship issues, sexuality as well as a relationship with another person. The counsellor, who also happens to be in a same sex relationship and going through her own separation issues, advises the client she will help counsel her thro... »

Counselling Dilemma: An “Emotionally Draining” Client

You have been working with a male client who has been experiencing anxiety and depression issues. He said that he came to see you after his wife asked him, because she said he was “suffocating” her when anxiety is a major feature in his life. »

Counselling Dilemma: Dual Relationship Boundaries

You have been working with a client for the last 3 months on rebuilding his life and re-integrating into society after having spent 6 years in prison for sex offences. For the last month, you have been working on issues of him frequently stealing money from his girlfriend’s wallet for drinks with his mates, him lying to her about his past and difficulties in holding down a job. Last weekend,... »

Counselling Dilemma: Confidentiality Issues with a Teenager

You work as a counsellor for an organisation that offers counselling services to the general public. The free service is aimed at community members who cannot afford counselling services otherwise. You start counselling a young man who made an appointment with the service when he saw the advertisement in the local community newspaper. »

Counselling Dilemma: A Teenager Experiencing Study Stress

Anna is a 17 year old student in Year 12 who has come to counselling because she is not coping with the stress of her final year. Anna is from a culture where academic success is highly important and she is under intense pressure from her parents to get good grades and go to university. She does not want to disappoint them but is constantly tired and anxious. »

Counselling Dilemma: Dealing with Therapeutic Boundaries

You work as a family counsellor for a community service organisation. As a counsellor you are required to see your clients at their own home to offer counselling support. You have been working for quite some time with Lucy, a single mother with 2 kids (boys). However, you have been unable to develop good rapport with this client. After you last visit to Lucy’s home you feel that she is start... »

Counselling Dilemma: An Issue with a Supervisee

You are a counsellor and approved supervisor working in your own private practice. One of your supervisees, Mary, who has been with you for over twelve months, has told you that her sister is going through a lengthy and difficult relationship breakdown. Mary has previously suggested to her sister that she seek counselling but her sister has rejected the idea outright. Recently, however, when they ... »

Counselling Dilemma: A Teenager at Risk of Suicide

Chantelle is 14 and in foster care. Chantelle was removed from her parents’ care at the age of seven and has since had several foster placements. Her last care arrangement ended, one month ago, when her foster family relocated interstate. Child protection workers have found a new foster placement for Chantelle and you have been asked to counsel Chantelle through the transition into her new c... »

Counselling Dilemma: Issues with a Separated Couple

You are co-facilitating a mediation session for Patricia and Jonathan White (a separated couple in their early 40s, with two children). In your first session, Patricia expresses clear opinions regarding residency arrangements for the children. Patricia is also steadfast in her beliefs about the fair division of assets and cash. Jonathan is equally sure in his beliefs and expresses these loudly and... »

Counselling Dilemma: Supporting an Anxious Child

Charlotte is 11. She has been brought along to counselling by her mother, Fran. According to Fran, Charlotte has always been a “quiet and shy” girl. Fran remarks that she is not surprised by this as she too was a reserved and anxious child. In recent weeks however, Fran has noticed that Charlotte has become increasingly withdrawn. Charlotte becomes particularly upset before school and ... »

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