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Counseling case study: addressing stress, drug use, and career dissatisfaction

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John 3

Case example: John

Counselor: You say that you are currently experiencing stress. What is currently your biggest life stressor?

John: Definitely my job. I wish DJ-ing paid as much as my day job, and provided me the security that my day job offers me.

Counselor: What is so stressful about your job at the computer company?

John: Everything depends on me. The hours are long, and if I screw up, the whole system could crash. Plus, it's difficult to balance my hours as a tester with my work as a DJ. I stress out about work and I stress out about doing the work that makes life meaningful.

Counselor: You said before that one of the ways that you cope with stress is through drug use.

John: Yeah, but not a lot. Just some marijuana to unwind after work sometimes and some cocaine to make it through the night as a DJ, if I have been working long hours.

Counselor: So you take stimulants that can make you jittery to get through the night and then a depressant to bring you down when you feel nervous and anxious after a long day?

John: Yeah.

Counselor: Would you say that your use of one drug feeds your need to use the other?

John: You could say so.

Counselor: How much does your drug use cost per week?

John: It varies [gives total dollar amount].

Counselor: You say that you are stressed about money, yet you are spending X amount of dollars per week on your drug habits. Do you think there is a discrepancy between your desire to be financially stable and your use of drugs to work and the fact that you engage in recreational drug use?

John: Possibly. I guess I just have this 'make money while you can' mentality because the industry I work in is so volatile. I have been let down so many times before.

Counselor: It's difficult to make a commitment to a job and then see a company go 'bust' despite your best efforts.

John: I'm a control freak, and seeing so many companies go under that I busted my butt for makes me feel really out of control.

Counselor: Does that make you feel afraid to make a change?

John: Possibly. I'm just not sure what changes I need to make are necessary.

Counselor: What are you doing to foster change in your life?

John: I'm not sure. I don't want to be a professional DJ but I don't see myself working as a tester and being happy about it in five years.

91 Words Hidden
Counselor: Do you think your increase in drug consumption is linked to your difficulty in fostering change? John: Yeah, smoking dope does wipe me out,…
Key Concepts in This Paper
motivational interviewing substance abuse counseling career dissatisfaction stress management drug use coping mechanisms client resistance counselor empathy life goals conflict
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PaperDue. (2011). Counseling case study: addressing stress, drug use, and career dissatisfaction. PaperDue. https://www.paperdue.com/essay/john-3-case-example-john-counselor-you-44987

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