Explain expected outcomes for the client based on these therapeutic approaches. Finally consider legal and ethical implications of counseling children and adolescent clients with psychiatric disorders. Support your approach with evidence-based literature.

Part 2
The current era has not only been an age of technology and modernization but has also been a witness to a number of social problems that have been growing at an alarming rate. Innumerable children and adolescents have been victims to these social problems that have affected their lives at different levels. This has been an obstacle in their paths of physical, mental and emotional development, and has also hampered their social skills. Counselling, thus plays a prime role in assisting these victims to transcend their problems, improve their self image and esteem and also promote overall well being.
A wide range of counselling skills and techniques have been designed by several psychological experts to address the problems faced by these traumatized children and adolescents. The Cognitive Based Theory (CBT) for counselling has been extensively incorporated to look into the problems of children and adolescents.
Child sexual abuse has been an evil in the society that has tormented the lives of several children / adolescents. It has been found that most of the victims have been girls. CBT has been extensively used to look into the traumas of these victims and transcend their issues through counselling. Therapy With Children And Adolescents Essay

Hypothetical Case Study for Child Sexual Abuse
Tania is a 14 year old girl who lives with her parents in the Chicago metro area, USA. Her school is at a distance of 1 mile from her place of residence and she is habituated to walk back home every day. On August 5th, she stayed back at her school library beyond the scheduled time to complete her geography assignment. She lost track of time and it was late evening by the time she started her journey back home. The shortest route to her place was through a lonely road which she usually avoided. In the given circumstances, she decided to take that road. Alas! She didn’t know that a couple of drunken men staged themselves on that road. Tania didn’t notice these two men standing and when she was mid way down the lane, she realized that she was cornered by these two predators. The two men savagely attacked Tania and raped her leaving her unconscious on the deserted lane. She was found by a middle aged woman who was walking her dog in the road perpendicular to the scene of crime. She then rushed Tania to the hospital and intimated her school and parents using her school identity card. The doctors said that Tania was in a state of physical and mental trauma and had to undergo counselling to get back to her normal routine.
The above mentioned case study is a clear example of child sexual abuse suffered by Tania. This cruel act has affected her physical, psychological, interpersonal, behavioural and social well-being. One of the cognitive techniques put forth by the psychological experts is the implementation of Trauma – Focussed Cognitive Based Theory (TF – CBT) to combat the sufferings of Tania and to get her life back to normal. Therapy With Children And Adolescents Essay
Sexual abuse has a profound influence over the alteration in the development of the sense of self and it can lead to several psychological traumas like depression, anxiety, sense of loneliness and loss, aggression, fear, dissociation etc. Therefore, it is very crucial for the victims to undergo counselling to lead a healthy happy life (Hibbs and Jenson 1996).
TF – CBT is a widely used technique to combat the after effects of events that cause trauma and this technique includes an integration of Cognitive therapy, behavioural therapy and family therapy. The cognitive therapy helps to influence the behaviour of a person by addressing the thoughts and perceptions that lead to negative impacts and feelings. Behavioural therapy aims at altering the behaviour and response to certain stimuli. Family therapy helps to improve the interpersonal relationships with the family members to create conducive environment. The few components that have been cited as TF – CBT protocols which are used in counselling include:
– Good parenting skills to bring about awareness in the parents about typical behaviour of the victim after the incident and to train the parents with regard to behavioural management strategies and communication.
– Relaxation techniques like deep breathing and relaxation of muscles.
– Cognitive coping to help the child to analyse her feelings, thoughts and behaviour and express appropriate behavioural attributes to everyday events.
– Educating the child about healthy interpersonal skills and safety skills to cope with her incident related reminders. Therapy With Children And Adolescents Essay
Thus, these protocols can act as a guide to effective counselling and can slowly lead to the progress of the victim (Kendall 2011).
Part 1
The idea of person-centred approach for therapy was establi

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