With any case study, it is important to take into account factors such as initial
intake, history, guidelines, informed consent, and resources. The following describes an
assessment of Tiffany’ case study, with Dr. Bob as the clinician from the case. Tiffany is a
nine-year-old female who was brought in by her mother. Tiffany received a referral due to
exhibiting difficulty sleeping, significant separation anxiety from her mother, difficulty
concentrating in school, and decline in grades. Before the initial session, the mother
informed Dr. Bob that she and Tiffany’s father have been divorced for two years.
m
er as
Currently the parents share joint custody of Tiffany alternating every other week. Her
co
eH w
symptoms first presented themselves about six months ago when her father got a new
o.
rs e
girlfriend. It is revealed in a later session that the father’s girlfriend treated Tiffany badly
ou urc
when her father was not around, even slapping her once. Dr. Bob informed Tiffany’s
o
mom of the incident, and the father seems to be unaware of the situation. The result of
aC s
vi y re
informing the mother is that she is filing for full custody of Tiffany. Dr. Bob received a
phone call from her attorney subpoenaing Tiffany’s session records, as well as asking him
ed d
to testify for the need of custody change. There are many questions Dr. Bob must
ar stu
consider in his case in order to remain ethically sound.
is
Initial Intake Process
Th
There are a few ethical concerns in this case which needs to be assessed. These
concerns include consent from the parents, confirmation from Tiffany, and more reasons
sh
for treatment. One concern is that Dr. Bob did not obtain detailed information as to why
Tiffany was seeking treatment in the first place. He should have made sure that Tiffany
understood the services he would be providing. The APA provides guidelines for this
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