Question

Rebecca has been diagnosed with a severe anxiety disorder and is working successfully on a recovery process. Rebecca tells Laura, her support worker, that she wants to return to university full-time to complete her education as part of her recovery process. Laura is concerned that this will be stressful for Rebecca and may trigger a reoccurrence of her anxiety. Laura has organised a planning session to complete Rebecca’s individualised plan

1. Why should Laura respect Rebecca’s perspective in this situation?

2.What are Rebecca’s strengths and capacities that Laura should focus on in this situation?

3.How could Laura promote Rebecca’s participation in this situation?

4. Where could Laura find more information about the requirements of the service planning tool/s?

5.What are the key aspects of individualised service delivery in this situation?

6.Why should Laura collaborate with Rebecca and any significant people in Rebecca’s life to establish her goals?

7. What are Rebecca’s needs? Explain how they are interrelated.

8. How can Laura ensure an integrated approach to her service delivery?

9. Should Laura carry out a risk assessment specific to Rebecca’s circumstances? Why or why not?

10.Why is it important that Laura discuss the risks with Rebecca?

11.How could Laura work collaboratively with Rebecca to minimise risks?

12.How should Laura manage their conflicting opinions about Rebecca’s goals?

Answer 1

1. Why should Laura respect Rebecca’s perspective in this situation?

Answer1 :Laura should respect Rebecca's perspective in this situation in order to prevent her from experiencing anxiety due to unmet goals and for her psychological well being and peformance related self esteem needs.

Discussion:Respect for a client's goals and desires and tailoring the therapy to meet these needs form the basis of a successful individualized Health Care plan.Incomplete education can decrease the confidence of an individual and elevate the subconscious anxiety levels in an individual. There is  psychological need for self esteem which every individual has. It is this need for self-esteem that is motivating Rebecca to complete the education. As a support worker for Rebecca in helping her with the severe anxiety disorder, Laura must not force her views on Rebecca and must respect her need for self esteem and her desire to complete the education. Incase Laura does not see Rebecca’s perspective; it will increase her anxiety about the incomplete education and may further worsen anxiety symptoms. Laura must realise that Rebecca’s anxiety disorder could be rooted in her wishes for the pursuit of her education goal and that combining the recovery treatment along with completion of the education goal would be the best way to treat her holistically.

Conclusion: Laura should respect Rebecca's perspective in thIs situation as the attainment of education goal along with therapy of the anxiety disorder is a functional and practical approach and honours patients decisions and wishes and promotes psychological wellbeing.

2.What are Rebecca’s strengths and capacities that Laura should focus on in this situation?

Answer2:

The strength and capacities of Rebecca that Laura should focus on in this situation are

1 Positive motivation and determination :Rebecca is positively motivated to complete her education in spite of her anxiety disorder.She seems to be determined to achieve her goal.

2. Presence of Insight: Rebecca has an insight about her disease disorder and has successfully undergone  the recovery process. She is aware of the need of the  therapy during the process of her completing university education.

3.Reasoning and Critical thinking: Rebecca also knows that combining her studies along with the therapy for the anxiety disorder may be a functional approach as her anxiety could be due to the incompleteness of her education and the aggravation of anxiety would follow while pursuing the education. So she reasons that obtaining therapeutic help and support while trying to achieve her goal may be the correct approach to treating her anxiety [with the stressors in her milieu exterior] and that may complete the recovery program.

4.Courage and resilience: Inspite of her suffering with severe anxiety disorder, Rebecca has the courage to continue her education and is seeking help from her support worker in the education process as a part of the recovery program. Her ability to perform in such trying situations reflects her courage,tough interior and resilient nature.

5.Readiness to change: Rebecca has a clear goal outlined for her and is ready to accept the change through her therapy.She is co-operative to the process of therapy and healing by her support worker and is mentally prepared to take help to treat herself.

3.How could Laura promote Rebecca’s participation in this situation?:

answer 3:

Laura could promote Rebecca’s participation in this situation by involving her with the planning of the individualized care plan. She can discuss in detail with Rebecca the actual factors at the  University which are likely to cause her stress and the anxiety. She can also discuss with Rebecca about the phases of education process where she thinks she is more likely to face severe anxiety(needs assessment).

She can further discuss with Rebecca the frequency with which she thinks she would need support and counselling therapy once she is back to University.She could also check with Rebecca if. the mode of therapy she would prefer would be in person or through digital technology (evaluation)and if she thinks anything additionally to that existing would help her recover best.(treatment planning)

Thus by involving Rebecca in the discussion about her needs,her possible moments in university life transition needing extra support,her views on treatment plans,and formulating an individualized care plan,Laura can promote Rebecca's participation in this situation.