PRAC CLASS
Illeanna H
Created on October 14, 2024
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Transcript
identifying info
Diagnostic impressions
Presenting issue
background info
Gianni , 3 yr 11 m
Assesments
Attention
observations
Theoretical orientation
Case formulation
Multicultral
Treatment
Prognosis
Good: Bright, Parent Sipport, Teacher Support
Clinician
- Client-centered play therapy
- allow her to take lead/ be child
- Uncondional positive regard
- CONSITENCY
- Allow herself to make mistakes
- Modeling Sharing behaviors/ providing support in classroom
Client-Centered/ Systems
Teacher:
- Positve Reinforcemtn
- I love how you stayed with your art project and glued everything so carefully!” or “You waited so patiently for your turn—great job staying calm!”
- Sensory Breaks: Allow her short breaks to engage in sensory play, which may improve attention in other tasks
- Sensory Integration Techniques: Use tactile materials in learning tasks to maintain her engagement.
- Teachers should respond promptly when Gianni seeks validation (e.g., “Ms. Marshall, look!”), so she feels seen and valued. Even a quick response—“I see that you’re working so carefully!
- Understadning of tactile learning style
Home: .
- Model Vulnerability
- Teach parents importance of play
- What will happen i she doesnt do chores?
- Growht mindset priase the effort
- Peer Groups
- Postiive reinforcemnt
Attentional Regulation
Difficulting Attening when:
Attends Well When:
Dynamic Attential Span
Highly Energetic need for Kinesthetic engagement for self expression, emotional release, effective learning
- Unstructured Playtime - No Instructions where to go - Finishes a task quickly - Not receiving feedback - If task is not engaging/stimulating/ of interest - Waiting her turn - Transition times
- Structured Activity - Interactive activities with others - When task is interactive/ provides feedback - in Public Spaces - In Preferred activities
Ethical/Legal Concerns
APA Standard 4.02: Maintaining client confidentiality Standard 2.01 – Boundaries of Competence:Standard 3.04 – Avoiding Harm
Family Dynamics
- Mom (23), Dad (39)
- "Everyithing is good" "full of love"
- Outdoors actiivies
- Dad works full time
- Parents started chores with her
- Mental Health/ Susbtance hustory
- None
Background
Living ArrangemntIt’s
- Lives with mom and dad in studo apt
- Low SES neighborhood in south LA
- Dad- self employed sales
- Induced delivery, full term,
- Last medical exam about a yr ago
- Sleep challenges
- Babbling: 4M, 1st word: 4-6M, 2 word statements: 12M, Sentences: 1.5yr, Pull up/Crawling: 6M, Walking 1yr,
- "Mini Adult"
- August 2023- TCCI King San Pedro M-Fri 8-2pm
- None
- Close to moms friend daughter
- Religious
- Mom- No family here
Difficulting Attening when:
An Dynamic Attential Sp an title
Nurturing/Adult activity in play
Rescue Activity
Absense of "Father"
Play Observations
No postive reinforcement
No Clear instructions
Classroom Observations
No validation/ modeling
- Unstructured Playtime - No Instructions where to go - Finishes a task quickly - Not receieving feeeedback - If task is not engaging/stimulating/ of interest - Waiting her turn - Transitina time - Doesnt recieve feedback
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Assesments
Parent Report CBCL
Teacher Report CBCL
ASQ
Case Formulation
Gianni regularly seeks immediate feedback and validation from adults, often becoming restless or disengaged if not given validationLikely that she doesnt feel seen, or only valued for achivements/ doing things right (perfect) Possible Feelings of Inadequacy or Loneliness:Environmental Family: Early Pressure to Meet Adult Expectations:Envirornmental Influence: Teachers- often putting her down and point out what she did "bad"
Referred by head teacher at TCCI- King San Presenting Concerns:
Presenting Concerns:
high activity levels
difficulties sharing
Difficulty with 2-step directions
"Gianni constantly moves from one activity to the next ""She cant stay for longer then a minute on one thing! " "Shes always moving around!""Good luck with her! "
Diagnostic Impressions
Possible Depression/Anxiery
Multicultural Considerations
Spanish speaking mother Generational Differences in Mental Health Views- "Always Good"Low SESIntergenerational Expectations of Responsibility
Strengths
Warm/Friendly Energetic Personality Strong creative thinking/imaginary play Problem solve abilitiesStrong expressive and receptive langugae akills Self- Help skillsGreat MemoryCapacity to have deep friendships/social connections
Person- Centered
Person-Centered Play Therapy (PCPT) is an approach to therapy for children grounded in the principles of Carl Rogers' person-centered theory, which values empathy, unconditional positive regard, and genuineness."Play is their langugae, Toys are their words" Therapist’s role is to foster a trusting relationship, allowing the child to lead sessions without direct interventions or instructions. This autonomy lets childrenallows them to express their inner worlds. The therapist carefully observes and reflects on the child's expressions and actions, which helps the child feel validated and understood.
Systems
A systemic approach is a perspective that focuses on understanding individuals in the context of their relationships and broader environments, such as family, community, and society. Rather than viewing an individual's issues in isolation, this approach considers how different elements in their life interact to influence their behavior, thoughts, and emotions
- 3 yr 11M
- Hispanic
- Female
- English /Spanish
Gianni