Case Studies Archives - Renew Counselling and Training https://renew.org.uk/category/renew-case-studies/ Empowering People since 1904 Mon, 18 Nov 2024 14:53:30 +0000 en-US hourly 1 https://renew.org.uk/wp-content/uploads/2021/08/cropped-renew-logo-32x32.png Case Studies Archives - Renew Counselling and Training https://renew.org.uk/category/renew-case-studies/ 32 32 Counselling for young people case studies https://renew.org.uk/counselling-for-young-people-case-studies/ https://renew.org.uk/counselling-for-young-people-case-studies/#respond Tue, 19 Oct 2021 10:15:59 +0000 https://bravepreviews.com/programming/renew/?p=5025 Counselling for young people CASE STUDIES Discover more The following are examples of the problems that people bring for counselling. These case studies reflect themes that we see when working with clients and are not in themselves actual or real descriptions of work with any of our clients. ben’s story Ben is 13, mum called […]

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Counselling for young people
CASE STUDIES

The following are examples of the problems that people bring for counselling. These case studies reflect themes that we see when working with clients and are not in themselves actual or real descriptions of work with any of our clients.

ben's story

Ben is 13, mum called the centre and asked for him to be seen. At his assessment with an adolescent counsellor, he expressed his frustration and very low mood. Mum was always cleaning and didn’t allow him to sit in certain rooms and dad was never around, and when he was he didn’t speak much to Ben. He says that mum used to be very anxious and panicky and would need him to do a lot of the jobs outside home, like shopping. Since we came out of Covid she has got a lot better. But he notices he seems to be getting very angry and doesn’t know why. Ben struggled to tell his counsellor that he has been harming and that this is upsetting him. He says teachers hate him and if they talk to him in a certain way he just flips. He doesn’t want to go to school for help. He wants to be seen at Bridge in Basildon.

Counselling was initially hard for Ben, he found it hard to trust the counsellor.
It was very important to give Ben the time to develop a relationship with the counsellor. The counsellor began by working creatively with Ben. While painting Ben began to talk and create artwork that expressed his feelings and fears. Ben did not want to be anxious like mum, but also not like dad. It was hard for Ben to see another way. For the first time he was able to talk about his feelings.

“Ben also learned that he was a very reflective person, who had great insight and maturity, but also loves fun.”

Through the counselling Ben became aware of choices and possibilities. And because he also learned that he loved working creatively, something unique to him, he could see that he has his own individuality. Ben also learned that he was a very reflective person, who had great insight and maturity, but also loves fun. He noticed changes in his relationship with his mum and sister, also in his attitude to school He could make choices about his reactions to situations and to begin to think about the future. And when he was ready, left counselling with an awareness that Bridge is here and can help should he need to return in the future.

sophie's story

Sophie, 16 was told to come for counselling by her friends. They say she is always miserable and angry at everyone. They don’t like going out with her because she will kick off and show them up. They are always having a go now and have stopped responding on social media. It really upsets her, she would never not answer their messages and always likes their stories. When they don’t respond or if she sees they’ve seen her story but not liked it – it really makes her mad. Sophie isn’t sure if wants to come because her friends bullied her into it, but she also knows that it can be helpful.

In her sessions Sophie recognised that she was feeling really upset a lot of the time, it is not just about her friends.

“She and the counsellor look at all of her, not only that she gives herself the hardest time, but what a good friend, how kind, compassionate and caring she can be”.

As Sophie began to talk through what was troubling her in counselling she kept saying I don’t know why it upsets me so much – her counsellor noticed this to her, and Sophie began to reflect on what might be adding to her upset. Sophie realises that when her friends tell her how she should be, this is what happens at home too. And often what they say is not how she feels or what she wants to do, so she feels wrong. Sophie feels lonely most of the time, she keeps herself busy and tries so hard to be what she feels her friends and family want her to be. She is afraid that she is not much really and so this causes her a lot of pain. As she begins to notice this about herself, she and the counsellor look at all of her, not only that she gives herself the hardest time, but what a good friend, how kind, compassionate and caring she can be.

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Counselling for schools case studies https://renew.org.uk/counselling-for-schools-case-studies/ https://renew.org.uk/counselling-for-schools-case-studies/#respond Tue, 19 Oct 2021 09:51:22 +0000 https://bravepreviews.com/programming/renew/?p=5015 Counsellingfor schoolsCASE STUDIES Discover more The children referred have presented with a range of emotional and behavioural difficulties. They have also suffered from a multiplicity of experiences, anxiety, suicide ideation , including family separations, domestic violence, bereavement, abuse and / or neglect. Working with these children, we are aware that aspects of their personal identities, […]

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Counselling
for schools
CASE STUDIES

The children referred have presented with a range of emotional and behavioural difficulties. They have also suffered from a multiplicity of experiences, anxiety, suicide ideation , including family separations, domestic violence, bereavement, abuse and / or neglect. Working with these children, we are aware that aspects of their personal identities, such as, ethnicity, refugee status or social deprivation, can impact upon
their experience within the therapeutic relationship, and needs to be
explored as a part of the process.

In the vignettes that follow, although other circumstances may have been a feature
of the engagement, there is a focus on the specific key issues.

munroe's story

Munroe at the age of five years, had been placed on the Child Protection Register under the category of ‘Neglect’. he was referred to our service aged seven, shortly after his birth mother had died in uncertain circumstances. In class M who was considered to be an able child, was easily distracted and would then become disruptive, encouraging others to join him in expressions of rudeness to his teacher, or being provocative in other ways. Also, at times, he was inexplicably fearful & tearful.

There was considerable liaison with his father, who following M’s mother’s death, was extremely concerned as to whether he would be able to settle at all.M was willing and eager to attend regularly. He appreciated the freedom in counselling, to be able to either talk or paint, whatever was uppermost in his mind. He also came to appreciate the reliability of the planned weekly sessions, and the regular boundaries. It was hard for him to understand the ‘expectations’ that can surround bereavement, when for him, aspects of his relationship with his mother had been detrimental to his welfare, both physically and psychically.

 

He conveyed how confusing this was to him, through his therapeutic play, which often centred around ‘motherless’ characters. As the work progressed, he could begin to appreciate what the concerns about such a ‘loss’ might mean. He also expressed how he felt a great need to be able to achieve a sense of having control in his life. He did this through play with puppets, he described how it felt to be on the receiving end of teachers’ ‘rules & regulations.’ In this way, his profound experience of being vulnerable to the decisions and choices of others, who had not taken his needs into account, came through and could be acknowledged.

“M was better able to participate and engage and could begin to realize his potential”.

The liaison with his dad and school proved immensely helpful. Meetings included M and he was able to experience adults thinking together, with the aim of facilitating his development and well-being. As his therapy progressed, he was able to contribute more clearly about his wishes and his fears and to find words to talk about his memories. Gradually this capacity to be more verbally coherent emerged in the classroom setting as well. M was better able to participate and engage and could begin to realize his potential. At home, his father reported that although unplanned for changes did upset him, the strong outbursts of distress had completely subsided. Therapeutic endings are always planned and this was particularly important for M in order not to replicate earlier incidences of sudden loss M had a term to anticipate and process this experience of separation and transition.

marlene's story

Marlene was referred to our service because of non attendance , self harming and disruptive behaviour in the classroom. She was well-known to the school, which had been trying to work with her family. M’s mother reported domestic violence between herself and M’s dad, and struggled to manage her daughters behaviour. Her father reported concerns about his wife’s mental health. Neither would attend meetings at which the other parent was present, though they both still resided in the family home. 

M expressed her relief at having a time, in which she could be creative and express her feelings through images. Drawing in class had often got her into trouble with his teacher. 

M attended sessions each week and enjoyed the opportunity to talk, draw, creating graphic images of depicting death, where wild creatures attack unsuspecting people. We spent time together talking about these scenes and she would often enter into this imaginary world, thinking about what was happening to the characters – alternately asking for protection, or being an aggressor. 

“She is managing better in class and her learning is much improved”. 

As M settled into counselling,  her self-harming behaviour has stopped for within the first term . She is managing better in class and her learning is much improved. M writes a home-school diary in which she records positive experiences and achievements. 

In therapy she is now using creative medium to explore her emotions, relationships and the consequences of actions – thinking about what is positive and negative. Through her creative work, M has thought deeply about how it feels to be responded to with anger, violence or a betrayal of trust. She is now beginning to explore how different it feels to be caring, responsible and concerned for others.

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Counselling for adults case studies https://renew.org.uk/counselling-for-adults-case-studies/ https://renew.org.uk/counselling-for-adults-case-studies/#respond Tue, 19 Oct 2021 08:11:51 +0000 https://bravepreviews.com/programming/renew/?p=4965 Counsellingfor adultsCASE STUDIES Discover more The following are examples of the problems that people bring for counselling. These case studies reflect themes that we see when working with clients and are not in themselves actual or real descriptions of work with any of our clients. Luke’s story Luke (38) contacted the service as he felt […]

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Counselling
for adults
CASE STUDIES

The following are examples of the problems that people bring for counselling. These case studies reflect themes that we see when working with clients and are not in themselves actual or real descriptions of work with any of our clients.

Luke's story

Luke (38) contacted the service as he felt that things are falling apart. Luke was in a very unhappy relationship for many years, recently he has got back in touch with an old school friend and he feels a connection like never before. Luke is confused around who he is, what he wants and his sexuality.

 Luke explored how he has got together with his wife when they were very young, her mum and dad died shortly afterwards and Luke feels very protective towards her. They have tried for children and his wife would really love a family, but recently it was discovered that Luke cannot have children. 

He knows there is a lot going on in his life and is noticing that he is struggling to concentrate at work and recently had a performance management meeting with his boss. Something has to give, so he is hoping counselling will give him an opportunity to make sense of his confusion and distress.

“He is learning to recognise that men can be sad, angry or vulnerable as these emotions are normal.”

Luke has begun his counselling at Renew, he is finding it really helpful. Having a space to allow himself to think about the difficult and confusing feelings and learning to manage the distress that this brings. Luke has worked out that he grew up in a family where talking about your feelings was not done. He is learning to recognise that men can be sad, angry or vulnerable as these emotions are normal. Luke says that while counselling can sometimes be really hard, he is going to stick with it as he can see it is helping find out who he is.

kelly's story

Kelly (45) had been to Renew in 2018, she had always struggled with anxiety, panic attacks and depression and worked on developing strategies to help her change this and get out in the world. Kelly feels she was doing really well then Covid hit.  She has health issues which meant she had to shield.  She lost all her support network.  It felt like a prison sentence, she lost all her confidence and didn’t want to go out again. Kelly rang renew during the January 2021 Lockdown and we were able to offer her online counselling.

“Kelly feels stronger and more able to be out in the world.”

Kelly was able to think about her worries and fears, she knows that not everybody feels the same way about Covid. She has noticed that she is distressed when she sees people not wearing masks or talking about the vaccine. Through the work she has done online, Kelly feels stronger and more able to be out in the world, she has requested that she returns to face to face counselling.

T's story

T is a woman in her late 40s. Her children are both leaving home shortly, one to move in with her boyfriend and one to move for work. Her relationship with her husband is poor, and she is very worried that he is going to leave her. He seems to be getting on very well outside the home, but when with her is closed off.

T has not worked for a very long time, she has lost confidence in her ability to re enter the workplace. She is out of step with current technology and lacking confidence to do courses and meet new people. She has lost all motivation, feeling ‘too old’ and ‘who would want me’.
T has felt depressed for the last 6 years, she says she has lost all her self esteem, she is not happy with her weight gain and is anxious about her decreasing health.

“She began to recognise the value of self acceptance, look at and value her achievements…”


Working with T to help her develop her self esteem and self worth was the main aim for counselling. T began to see this as a life stage. She began to recognise the value of self acceptance, look at and value her achievements, two happy healthy skilled children, a long marriage that she had taken for granted. She began to develop the communication skills to breathe new life into the relationship. T reports her husband is now also happier and she sees that it was her depression that was closing down the relationship. T recognises that being married for 30 years is something she can feel proud of. T has made a start back into work getting a part time job at the local supermarket and this has been a real source of surprise for her.

freddie's story

Freddie, (24) has always been the angry one in the family. His Mum says that he was a right handful even when he was little. F doesn’t know why he gets angry, but when it takes over he feels like he has no choice but to give in to it. Now he thinks he has pushed every one away in his life. He met his girlfriend two years ago and he calls her the love of his life. After their last row she said she had had enough, that he was nothing but a bully and she was sick of his jealousy. When the counsellor asked Freddie about this, Freddie said why would someone like her want to be with me. Freddie is a good carpenter when he is in work, he loves working but finds jobs hard to hold down because of his temper. He has been messed around by a lot of his employers. They tend to muck him about with his pay and when he kicks off, he gets the sack or walks out and then getting the money he is owed is a problem. His Dad always said never let anyone walk over you and is very supportive of him taking no rubbish from anyone.

When Freddie began exploring the causes of his anger in counselling, he recognised that it all started when his mum and dad split up when he was about 8, he wasn’t happy, but it was manageable. Once mum started going out with her new boyfriend, she began to ignore him and get angry with him for no reason. The boyfriend didn’t like him around and mum always called him a pest. She always sided with her boyfriend. Freddie began to stay away from home as much as he could and never felt happy there. He admits that he would skip school and get in fights all the time. He used to stay over at his dad’s but then dad got a girlfriend who didn’t want a son hanging round either.
F and his girlfriend were getting on fine, but his girlfriend’s mum didn’t like him staying round, he wanted to get a place with her and so did she, but when he lost the last job this couldn’t happen. F thinks this and the jealousy is the reason why they really split up.

F wants counselling so that he can understand and control his anger. He wants a better life for himself and would like to be in a relationship and have kids he can love. He is fearful of his anger and doesn’t want to end up alone with a criminal record.

“Has made incredible headway so far, but his journey is not over…”

He is consistently attending his counselling, contributing what he can afford and has made incredible headway so far, but his journey is not over.

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Counselling for children case studies https://renew.org.uk/counselling-for-children-case-studies/ https://renew.org.uk/counselling-for-children-case-studies/#respond Sun, 19 Sep 2021 09:37:40 +0000 https://bravepreviews.com/programming/renew/?p=5005 Counsellingfor CHILDREN CASE STUDIES Discover more The following are examples of the problems that people bring for counselling. These case studies reflect themes that we see when working with clients and are not in themselves actual or real descriptions of work with any of our clients. Tom’s story Tom, a five-year-old boy, was brought for […]

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Counselling
for CHILDREN CASE STUDIES

The following are examples of the problems that people bring for counselling. These case studies reflect themes that we see when working with clients and are not in themselves actual or real descriptions of work with any of our clients.

Tom's story

Tom, a five-year-old boy, was brought for counselling because of his angry and aggressive behaviour at home and at school. His parents had separated due to domestic violence, contact with his father was erratic, and his mother now had a new partner by whom she was pregnant.

In the counselling room, Tom used toys and art materials in making stories involving conflicts and magical resolutions, where his wish to be powerful, invulnerable and in control was evident. Gradually, the counsellor’s reflections of the thoughts and feelings underlying his play enabled Tom to talk about his distress and anxiety about all the changes in his family life.

“Tom seemed much more able to think about, manage and verbally express his emotions”.

Support from our family liaison worker helped mum to think more clearly about Tom’s feelings of confusion and sadness, their relationship, and the impact on both of them of the family break-up. When the counselling ended, Tom seemed much more able to think about, manage and verbally express his emotions. His behaviour at school had improved significantly, and his mother felt that their relationship was much better.

amy's story

Amy, a ten-year-old girl, was causing concern at school and home due to her tearful, withdrawn and anxious moods. Since the death of her grandfather over a year ago, she seemed ‘stuck’ in these feelings.

Aided by the counsellor’s empathic, non-judgmental attention, she was able to use art materials to express some of her more complex and difficult thoughts, feelings and fantasies about family relationships and her role in the family.

“She felt much more able to cope with her feelings, and to seek help when she needed it”.

Having a space outside the family where it was safe to express aspects of her ‘bad’, angry feelings (which were underlying some of her sadness) helped her to feel that these feelings were understandable and could be managed. When the counselling ended, Amy still had unhappy or angry moods at times, but she felt much more able to cope with her feelings, and to seek help when she needed it.

philips's story

Initial assessment, reflection and consultation before counselling begins form an essential part of our work with children. For example, the mother of Philip, a nine-year-old boy, enquired about counselling to address his defiant, ‘difficult’ behaviour at home.

However, during her conversation with the counselling manager, mum revealed significant ongoing difficulties in the relationships between Philip’s parents, and between his two other siblings and actually Philip was generally well-behaved and popular at school. It was clear that the problems did not lie solely in Philip, but in the family relationships. Mum decided that she would like to try counselling herself and see if that would help, and to access the support of our family liaison worker, Claire.

“Mum felt happier and more able to cope and reported that Philip’s moods and behaviour at home improved significantly”.

Mum was able to reflect in counselling on how she was feeling and the family reflected with Claire on how they were interacting with each other, the relationship difficulties became more manageable, Mum felt happier and more able to cope and reported that Philip’s moods and behaviour at home improved significantly.

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