Marital and Family Therapy

Category - Ongoing

You are working with Brett, a sixteen year old who recently transferred to the local public high school where you are a therapist. Brett comes from a wealthy Connecticut suburb, where private school was the norm. After six months of working with him on an Adjustment Disorder, you should:
  1. Add a specifier in order to increase the amount of time that can be spent
  2. Re-evaluate the diagnosis for something more appropriate
  3. Contact his parents for some family therapy
  4. Encourage him to branch out and make friends
Explanation
Answer - B - (A) would be unethical, particularly if the criteria for the specifier did not present itself at the beginning of treatment to be monitored. You should likely bring in the family for their perspective long before the six month mark. And if he has been working on adjustment issues, friends are most likely already part of the equation. If Brett still needs therapeutic work, there could be a diagnosis that is more appropriate.
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