Mean Making Forum 5

In this last subject matter conversation, only focus on the forum’s prompts as you solidify your learning experience with a convincing “So What?!” and, as a people-helper, discover “What’s Best Next?!” Thoughtfully develop responses to the following considerations.

  • “So What?!”  With the following scenario in mind, can you provide a clear, convincing argument for a particular insight from the course?

Louise Smith, the first lady of racing, wisely said, “You can’t reach for anything new if your hands are still full of yesterday’s junk.”

More than likely there are moments when yesterday’s junk keeps you awake at night.

What problem, perspective, paradigm, or perplexing people puzzle keeps you awake at night? In what way, if any, has the Holy Spirit used course materials to address a piece of junk?

Organize your thoughts into a insightful testimony. Proofread carefully and support your story with a good example and at least 1 citation from the readings.

  • “What’s Best Next?!” Petersen (2015) intimated that people-helping could be “thera-noxious” (unhealthy, p. 251). Locate resources that may foster a therapeutic (healthy) paradigm in three areas:
    • Self-Care? CLICK HERE for starters.
    • Safe and Secure Helping Relationship? CLICK HERE  for starters.
    • Further Training?  CLICK HERE for starters.

This is your opportunity to consolidate your learning experience as you dig up meaningful people-helping insights. Use these links and others to discover some therapeutic goodies for each of these areas. Be concise and clear so that the most inattentive PACOneer can “get it and keep it” for future reference. Organize your thoughts, proofread carefully and support your response to each area with a good example and at least 1 citation.

TIPS:

  • Carefully Follow Meaning-Making Forum Guidelines & Tips!
  • Make sure to use headings (2) so that the most inattentive reader may easily follow your thoughts.
  • Use the annotated outline approach. Bullets should have concise, complete, well-developed sentences or paragraphs.
  • Foster a “noble-minded” climate for investigating claims through well-supported core assertions (i.e., consider the validation pattern of the Bereans; Acts 17:11).  Noticeably support assertions to facilitate further investigation and to avoid the appearance of plagiarism. Noticeably support assertions to facilitate reader’s further investigation and to avoid the appearance of plagiarism. Follow current APA standards or Turabian form. Make every effort to prove that you care about the subject matter by proofreading to eliminate grammar and spelling distractions.
  • Right Click on hyperlinks and Open in New Window

    The Best Articles on Self-Care in the Church

    · BY APRIL YAMASAKI

    ·

    · POSTED ON

    · JANUARY 26, 2017

    last updated June 2019

    Several months ago I asked, Is Self-Care Part of Your Paid Employment, and Should It Be? Of readers who responded to the interactive poll, 50% said yes, 25% said no, 25% it depends.

    Since then, I’ve done more reading on self-care as it relates to church employment, and today I share the most helpful articles I’ve found with the title/link and a brief quote–not to summarize each article, but to encourage you to read the entire post. Some specifically address pastors, others speak more generally, some offer practical suggestions, others challenge the idea of self-care, one article might seem to contradict another, but together they stimulate a thoughtful approach to self-care when you work for the church.

    Wherever you see “pastor,” “clergy,” or “employee,” please feel free to fill in your own job title, and wherever you see “workplace,” substitute church or other Christian organization. If you have other articles to recommend, please add the link in the comments to expand this resource list.

     

    1. Why Pastors Suck at Self-Care

    I have been asked what seminaries teach now about self-care, having only graduated 5 years ago. Self-care was one of most common mantras of my seminary education, and it seems obvious to me that you can’t really care for others, or fulfill your vocation with integrity, if you are a burned out wreck… yet so many pastors obviously feel the opposite.

    For so many professional ministers, a well rested, healthy pastor is a pastor failing at ministry. The Duke Clergy Health Initiative study on self-care among pastors, suggests that many ministers think self-care is selfish. My colleagues have told me that there was a day in seminary education when the message to students was that being a pastor meant giving your life to Jesus (or in other words, to your congregation 24/7). There is no room for self-care in ministry. [Read more about Why Pastors Suck at Self-Care….]

    2. What Clergy Do Not Need

    I do not think clergy need more lectures about self-care. It seems that at every ordination or installation service I attend there is a charge given about clergy self-care. One minister stands up and tells another minister that they know they are about to work themselves to death, so resist the temptation. “Take your day off…set boundaries…don’t try to be all things to all people.” All this is done in front of an audience of lay people who are supposed to be impressed that we clergy would need such a lecture. It has become a cliché, and seems to have trumped prophecy, theology and the love of Jesus. [Read more about What Clergy Do Not Need….]

    3. The Difference Between Selfish Care, Self-Care, and Soul Care

    Quite simply, good self-care is attending to and respecting the limitations and needs that God has designed for humans. I find the analogy of caring for our car as a helpful starting point. Changing the oil and doing regular maintenance is simply being a responsible car owner. It is not selfish to ignore the flashing check engine light; it is not a measure of one’s strength to ignore our needs as a human, rather foolishness. [Read more about Selfish Care, Self-Care, and Soul Care….]

    4. Self-Care and Self-Denial

    The topic of self-care, particularly as it relates to physical and emotional health, has long confused and challenged me as a Christian. While I’ve deeply resonated with much of the common sense in the philosophy of self-care, other aspects have troubled me and seem completely incompatible with Christianity. I couldn’t agree with Scripture and at the same time agree with arguments encouraging me to pursue a self-focused, indulgent, comfort-based lifestyle. On the other hand, I heartily agreed in principle with discussions of self-care as stewardship. Still, I usually came away with more of a sense of heavy obligation than of freedom and gratitude. I often saw God as an auto mechanic pacing around, irritated and inconvenienced by my failure to get my car in for regular maintenance. [Read more about Self-Care and Self-Denial….]

    5. The Insanity of ‘Self-Care’

    The closest the self-care movement can

    get to truly good news is to tell you to stare at something big:

    · “Watch a sunrise.”

    · “Hike in the woods.”

    · “Go to the beach.”

    · “Take a country drive.”

    · “Watch a sunset.”

    Each of these is an effort to put you in front of something bigger than yourself long enough that you forget yourself. The strategies hint at the Christian gospel because the sensations we feel gazing at bigness begin to uncover the God-sized cavity beneath our guilt, stress, and anxiety.

    The care you really need is not buried somewhere deep inside of you, waiting to be unlocked by some dessert or diversion. No, you need the healing, forgiving, restoring, and transforming grace of a God who loves you. [Read more about The Insanity of ‘Self-Care’….]

    6. What Does the Bible Say About Rest and Self-Care?

    When I was really struggling to understand why rest and self-care were important practices for Christians I conversed with various mentors and friends and couldn’t get a satisfying answer. I know of so many faithful pastors and missionaries who work tirelessly for the gospel despite their own deteriorating health– there is just so much need and good work to be done that carving out time for rest seems selfish and counter-productive. That is our human thinking– but what does the Bible have to say about rest and self-care? [Read more about What Does the Bible Say About Rest and Self-Care….]

    7. Self-Care and the Christian

    If we look to the Bible for signs of Jesus taking care of His personal needs, we can see that He was able to recognise His own needs and tend to them accordingly. He was able to comprehend that He had limits and that God had allowed for Him to care for Himself. When He saw the need, Jesus would escape to nurse his heavy heart in prayer, indulging in time to Himself because He needed it.

    Even Jesus had limits. This is humbling for us to remember. It’s so easy to hold ourselves to a level of perfection and feel shame when we struggle to meet our own expectations of what a Christian ‘should be like’. [Read more about Self-Care and the Christian….]

    8. Self-Care Is Not Self-ish

    When the Rev. Jeanette Hicks graduated from seminary in 2010, a mentor cautioned her about overwork. A retired pastor, the mentor hoped that Hicks and other young clergy would do better at staying healthy over the long run than she and her contemporaries had done.

    But just six months later, Hicks, a United Methodist pastor then serving in the Kentucky Conference, was a sleep-deprived wreck, surviving on sugar-fueled energy and calorie-dense church meals. . . .

    Hicks’ experience is not unusual. Even with the best intentions and all the knowledge and advice in the world, clergy of all ages often find it difficult to take care of themselves, the Duke Clergy Health Initiative has found. On the long list of items that must be done every day, they often put themselves last. [Read more about Self-Care Is Not Self-ish….]

    9. Developing a Self-Care Plan

    Workplace or Professional Self-Care involves activities that help you to work consistently at the professional level expected of you. For example:

    Engage in regular supervision or consulting with a more experienced colleague;

    Set up a peer-support group;

    Be strict with boundaries between clients/students and staff;

    Read professional journals;

    Attend professional development programs.

    [Read more about Developing a Self-Care Plan….]

    10. Do You Foster a Culture of Self-Care in the Workplace?

    This article cites the work of professor Marie Asberg, who describes burnout as an “exhaustion funnel” and offers tips to foster a culture of self-care, including:

    Create a healthy email policy – be mindful of the burden of e-mails on staff and implement ways to reduce it in order to increase productivity and efficiency. A new report by the London-based Future Work Center, which conducts psychological research on workplace experiences, found that two of the most stressful habits were leaving emails on all day and checking emails early in the morning and late at night. [Read more about Do You Foster a Culture of Self-Care in the Workplace….]

Gospel Essential

3

 

Name: Trineka Dodson

Course: CWV 101

Date: Jan 2021

Instructor: Matthew Hampton

Benchmark – Gospel Essential Beliefs

There are many people on Earth, which also means that there are various worldviews. Not all people have the same beliefs. In my opinion, I believe that the Christian Worldview is the most common. To have a Christian Worldview shapes our way of life. We live solely on the world of Jesus. Teachings and lessons come straight from the Bible, a collection of verses written and told by disciples of Jesus (Dockery, n.d.). Christianity and the Christian Worldview includes Jesus, God, Humanity and the Restoration of Humanity. Being a Christian believer, you understand that in order to have a relationship with God, you need to believe in the crucifixion and rise of Christ. The resurrection of Christ is important to the Christian Worldview because we must understand it is the center of Christianity. Resurrection guarantees that the bodies of those who believe in Christ will not remain dead but will be resurrected unto eternal life. It is important for Christians to understand the resurrection because it confirms who Jesus Christ claimed he is.

Nature of God

Christians believe in the Triune God. The theory of Trinity says that although God is a single being, he has also appeared at various times in history as three distinct independent persons. The Father, The Son and The Holy Spirit. This has been taught throughout the Bible and in many ways, but it still remains a mystery to me on how the Trinity functions. As we know, God is many things and has amazing capabilities. God is omnipotence, which means that he is powerful. God is capable of doing any and everything without any limitations unlike man. God is omniscience, which means that he is all-knowing. God knows all there is to be known. His knowledge includes the past, present as well as the future. God is also omnipresence, which means that he is always present. He is capable of being everywhere at the same time. God created everything in the universe (heaven and earth). “Ever since the creation of the world, God’s invisible qualities—God’s eternal power and divine nature—have been clearly seen, because they are understood through the things God has made” (Romans 1:20). On the 1st day God created light, he said let there be light and there was light. On the 2nd day, God created firmament followed by earth and sea. Day 4, God created Sun, Moon and Stars and the following day birds and sea animals were created. Day 6, God created Land animals and humans and finally on day 7, he created The Sabbath.

Nature of Humanity

In the Bible, Genesis 2 is where the story of Humanity is told. Humanity begun when God took dust from the ground, breathed into his nostrils and the living soul of Adam was created. Adam became the first man. God did not want Adam to be lonely, so he created women (Eve) from Adam’s rib. Genesis tells us that the main purpose of humanity is to bond with God, tend to the garden, and rule all over God’s creation (Genesis 2:15). God created us to bring glory to him, the creator not the created. The human purpose is that, to glorify God. “Whatever you do, do all to the glory of God” (1 Corinthians 10:31). If we do as God created us to do, our life will be more fulfilling. We have more happiness a more joyous life. Human problems come from the fall of humanity. Adam and Eve were given one command and although they were created “perfectly”, they broke that command. God commanded them not to eat fruit from a particular tree. Once they disobeyed God’s command, this was considered the original sin. This sin came with consequences such as physical death.

Nature of Jesus

In at least 200 words, respond thoroughly to the questions in the assignment. Be sure to include citations.

What is Jesus’s True Identity?

Write a 3-5 sentence explanation in this area.

What was Jesus’s Kingdom Purpose?

Write a 3-5 sentence explanation in this area.

Why Is Jesus’s Identity and Work Significant for the Christian Worldview?

Write a 3-5 sentence explanation in this area.

Restoration

In at least 200 words, respond thoroughly to the questions in the assignment. Be sure to include citations.

What is the Solution to Human Problems according to the Christian Worldview?

Write a 3-5 sentence explanation in this area.

What Role do Grace, Faith, and Repentance play in Christian Salvation?

Write a 3-5 sentence explanation in this area.

How do Christians think that Transformation of Self and Society Happen?

Write a 3-5 sentence explanation in this area.

Christian Foundations

In at least 200 words, respond thoroughly to the questions in the assignment. Be sure to include citations.

How is the Nature of God Essential to the Christian Worldview?

Write a 3-5 sentence explanation in this area.

How is the Nature of Humanity Essential to the Christian Worldview?

Write a 3-5 sentence explanation in this area.

How is the Nature of Jesus Essential to the Christian Worldview?

Write a 3-5 sentence explanation in this area.

How is Restoration Essential to the Christian Worldview?

Write a 3-5 sentence explanation in this area.

 

Analysis of the Implications of the Christian Worldview

In at least 200 words, respond thoroughly to the questions in the assignment. Be sure to include citations.

Benefits and Strengths of the Christian Worldview as it relates to Human Value/Dignity

Write a 3-5 sentence explanation in this area.

Comparison of the Christian concept of Salvation to One other Worldview Perspective

Write a 3-5 sentence explanation in this area.

How the Christian Worldview Influences a Person’s Thinking and Behavior

Write a 3-5 sentence explanation in this area.

What People Find Troublesome or Confusing about Christianity

Write a 3-5 sentence explanation in this area.

Conclusion

In at least 150 words, synthesize the main points, pulling the ideas of the paper together.

 

References

(Dockery, n.d.)

(Romans 1:20)

 

Author, A. A., & Author, B. B. (Year). Title of article. Journal TitleVolume(Issue), Page numbers. Retrieved from url/permalink with hyperlink removed

Example:

Lecture 1. (2013). CWV-101: Christian Worldview. Phoenix, AZ: Grand Canyon University.

From page 9

How the IWY model supports the introduction of new literacy concepts.

There are various instructional strategies to use when teaching a new literacy concept to students. The I Do, We Do, You Do (IWY) method is

I Do, We Do, You Do Template

Part 1: I Do, We Do, You Do Observation

Describe the literacy standards-based concept that was introduced.
Direct Instruction

I DO

Guided Practice

WE DO

Independent Work

YOU DO

 

Materials/Resources

       
What differentiation was applied during the lesson to accommodate students?
What were the gaps identified during the lesson observation?

 

Part 2: Teacher Collaboration Notes

 

Part 3: Reflection

 

 

 

© 2017 Grand Canyon University. All Rights Reserved

a common best practice that can be adapted during instruction. This practice includes direct instruction (I Do), guided practice (We Do), and independent practice (You Do).

Research various instructional strategies specific to concepts of print and phonemic awareness to teach new literacy concepts. Include the IWY method in your research. Describe how this strategy is implemented in grade levels K-8 and how it is effective as an instructional strategy in the classroom.

In 500-750 words, create a literacy instructional plan for how you will apply the IWY method in your future classroom when introducing new literacy concepts.

In your plan, be sure to address the following in your reflection:

  1. How the IWY model supports the introduction of new literacy concepts.
  2. How the IWY model creates and supports student engagement of typical and atypical students.
  3. How the IWY model supports differentiation to meet the diverse needs of students.
  4. Include any gaps that may be present in the IWY model.
  5. How you will use the IWY model in your future professional practice.

Support your findings with a minimum of three scholarly resources.

Explain your recommendations for initial resources and treatment

The sign of an effective clinician is the ability to identify the criteria that distinguish the diagnosis from any other possibility (otherwise known as a differential diagnosis). An ambiguous clinical diagnosis can lead to a faulty course of treatment and hurt the client more than it helps. In this Assignment, using the DSM-5 and all of the skills you have acquired to date, you asse

CASE of HERMOSA

 

Intake Date: April 2020

 

 

PRESENTING PROBLEM:

Hermosa indicated that since her husband died suddenly of a Myocardial Infarction (MI) on Christmas Day in 2018, she has progressively become “more and more depressed.” During the week prior to this assessment, she indicated becoming progressively dysphoric, crying uncontrollably for several hours and had suicidal thoughts of taking an overdose. Patient presented in the Emergency Department (ED) on a voluntary basis. She denied wanting to kill herself on admission to the ED.

 

PSYCHOLOGICAL DATA:

Hermosa is a 43-year old, Hispanic widowed female. Hermosa reports being of Christian faith. She completed her BS in Education and one semester in graduate school in Special Education. She has been voluntarily unemployed since 6/19. She lives with her 18-year old daughter who is a college student. She also has a son, age 20, who is a college student in California. She has two step-daughters who are identical twins, age 22. They are college students and living on campus in Indiana. Prior to being widowed, Hermosa was married twice. Her first marriage ended in 2003, and she remarried in 2007. Hermosa also has a brother, age 40, and a sister, age 38, both of whom live within a two-hour drive of Hermosa. Her father & mother, ages 69 and 65 respectively, are both retired and living within a four-hour drive of Hermosa.

 

MEDICAL HISTORY:

Menses are irregular and accompanied by severe dysmenorrhea. Hermosa previously took birth control pills at ages 17 to 27 for hormone imbalance and severe dysmenorrheal, when she was not focused on getting pregnant. Her last menstrual period began 3/30/20. Hermosa has had two pregnancies and given birth to two children. She is allergic to spores, mold, dust, cigarette smoke, Penicillin and Demerol. She has previously had hyposensitization shots which ended in 6/19 (History taken from ED chart).

 

SUBSTANCE ABUSE HISTORY:

Hermosa denies consumption of alcohol/drugs.

 

PSYCHIATRIC HISTORY:

Hermosa has been in outpatient individual psychotherapy with Dr. W since 6/19. In addition, her family physician, Dr. A prescribed Prozac in 6/19. Hermosa indicated seeing a psychiatrist, whose name she could not recall, from 2001-2003. She said that she was put on Seroquel, because she was hearing things and couldn’t sleep, but could not recall the dosage. Once everything become better she was weaned off the medication.

 

MENTAL STATUS:

Hermosa presented as a casually dressed, meticulously groomed woman who appeared her stated age of 43. She lay on her bed during the interview. She had a fixed, mood congruent expression on her face. Motor activity was normal. Mood was dysphoric. Affect was constricted. Speech was guarded and soft with some evidence of stuttering. Content was adequate, however. Thought processes were goal-directed, logical and abstract. There was no evidence of delusions. Hermosa acknowledged auditory hallucinations in the form of two men sitting on her shoulder telling her self-depreciating thoughts. Hermosa was oriented in three spheres. Concentration was markedly impaired. Digit span was 7 forward and 4 in reverse. She was unable to calculate serial 7’s. Recent and remote memory appeared intact. Intelligence appeared above average and fund of knowledge was excellent. All factual questions were answered correctly. Hermosa was able to abstract similarities and proverbs with detail and accuracy. Ordinary social and personal judgment was appropriate. Hermosa’s three wishes were that “my family stays well, that I am able to get on with my life, and that I am close to my family and kids.” Five years from now, Hermosa sees herself in “graduate school, getting a doctorate in social work.” If Hermosa could change something about herself, she would “feel better about myself, more secure more confident.”

 

SUICIDAL ASSESSMENT:

Hermosa admitted to recurring thoughts about “taking an overdose and ending my life.” She said that “I would be better off dead, then I would no longer be in pain.” Hermosa denied any concrete plan about taking an overdose, vis-s-vis the type of medication or the amount. Hermosa also denied intent. Hermosa admitted to a prior suicide attempt in 2001, in which she took an overdose of Valium and Alcohol. Hermosa denied any other attempts.

 

HOMICIDAL ASSESSMENT:

Hermosa denied any homicidal thoughts, plan or intention. Hermosa denied any previous homicidal history.

 

SUMMARY NOTE:

Hermosa thought she has been depressed since her husband died suddenly of an MI on Christmas Day in 2015. Initially she felt “numb” and in shock, but later became increasingly dysphoric and tearful and unable to carry on every day tasks. At the end of the school year, 6/19, Hermosa resigned her position as special education teacher and began outpatient treatment with Dr. W, 3x/week. Hermosa hears two male voices commenting on her activities, telling her to hurt herself when she is upset and telling her she “shouldn’t be here.” They come at various times during the day and night, but are worse in the late afternoon. Hermosa shows no sign of delusional thinking. Immediately prior to her presentation at the ED, Hermosa’s therapist went on vacation. She had recently decreased her individual therapy sessions to twice a week and she joined a group therapy run by her therapist once a week. Hermosa complains of difficulty falling asleep because she fears she will not wake up. She feels her mood has improved as a result of being on Prozac but has still experienced hallucinations despite the Seroquel.

During the week prior to her admission to the ED, Hermosa became increasingly dysphoric, cried uncontrollably for several hours and had suicidal thoughts of taking an overdose. She has felt increasingly anxious, has sat for hours at a time at home, just staring out a window. Hermosa said she is unable to concentrate, feels responsible for her husbands’ death, hates herself, is anhedonic, fatigued, unable to make decisions, and had decreased libido. A friend called Hermosa on the Saturday prior to admission, while Hermosa was distraught, and Hermosa confided to her friend her suicidal thoughts. Hermosa had also told her therapist of her suicidal thoughts and her therapist encouraged a voluntary inpatient admission. An additional stressor for Hermosa was the physical and sexual abuse she experienced during her first marriage. She still has nightmares about this and if awakened suddenly, she covers her face with her arms as if to protect herself. She is unable to talk about what happened during her marriage, because she does not trust anyone and fears that she will be blamed if she confides in staff or peers. Prior to her leaving her first marriage, she was losing weight and had difficulty concentrating. Her husband would abuse her about her disheveled appearance. One day she suddenly packed a suitcase and took her children, who were then ages 2 and a newborn and left. She has never fully told her parents why she left. Hermosa has applied and has been accepted at a graduate school for social work and hopes to be a therapist.

 

COLLATERAL CONTACT:

Hermosa’s daughter and Hermosa’s friend were interviewed by telephone by the intake social worker. Each of the persons interviewed described relief in having Hermosa in the hospital. Her friend stated she may have diverted Hermosa’s plan of suicide by making a call to Hermosa at just the right time. Hermosa said to the friend, “I just don’t know how I can go on.” When the friend asked Hermosa how she could help her, Hermosa replied, “Please just shoot me.” According to daughter and friend, Hermosa’s sadness began at the time to her second husband’s death two years ago, and has extended beyond the “normal grieving period.” Her friend stated, “I have watched her get worse and worse,” indicating that Hermosa has changed from a capable detail oriented person with strong conviction, to a depressed, nonfunctional person, with an inability to cope with life. Daughter states that her mother never smiles…”Hermosa thinks she is not worth anything, that she is undesirable and that she is not capable.” Daughter describes her mother’s recent behavior as sad and tearful, “staring into space.” Hermosa lives with her daughter, who indicates that she and her mother have become friends since her step-father died. Daughter states she is confused by her mother’s behavior and feels sad for her. She also experiences fear that her mother will kill herself. Friend indicates that Hermosa has made new friends since her husband’s death, but states Hermosa is “terrified of long-lasting male relationships, intimacy and any physical contact.” According to friend, Hermosa maintains a close relationship with her parents who have always required a strong sense of stability from Hermosa. Although Hermosa has been a teacher for the past 13 years, she currently is not gainfully employed.

 

 

 

 

3

ss a client.

This is a culmination of learning from all the weeks covered so far.

To prepare: Use a differential diagnosis process and analysis of the Mental Status Exam in the case provided by your instructor to determine if the case meets the criteria for a clinical diagnosis.

By Day 7

Submit a 4- to 5-page paper in which you:

  • Provide the full DSM-5 diagnosis. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention).
  • Explain the full diagnosis, matching the symptoms of the case to the criteria for any diagnoses used.
  • Identify 2–3 of the close differentials that you considered for the case and have ruled out. Concisely explain why these conditions were considered but eliminated.
  • Identify the assessments you recommend to validate treatment. Explain the rationale behind choosing the assessment instruments to support, clarify, or track treatment progress for the diagnosis.
  • Explain your recommendations for initial resources and treatment. Use scholarly resources to support your evidence-based treatment recommendations.
  • Explain how you took cultural factors and diversity into account when making the assessment and recommending interventions.
  • Identify client strengths, and explain how you would utilize strengths throughout treatment.
  • Identify specific knowledge or skills you would need to obtain to effectively treat this client, and provide a plan on how you will do so.