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PSY FPX 5110 Assessment 2: Mary Anne is an 18-year-old Hispanic female who is experiencing the comorbidity of an opioid use disorder (OUD) and a non-suicidal self-injury disorder (NSSID). She has been voluntarily admitted into a women’s treatment center that offers equine-assisted counseling (EAC). Although she lied to her treatment team about her present self-injury, via EAC, the horse ultimately induced Mary Anne to admit her hidden self-injury process. Discussion among cultural identifications and best practices communicates learning possibilities for all treating staff.
What’s Included:
| Mickey Kay Troxell | Mary Anne |
| White Female (Race/Ethnicity/Gender) | Hispanic Female (Race/Ethnicity/Gender) |
| 53-year-old (Age, Generational Influences) | 18-year-old (Age, Generational Influences) |
| Addiction/Equine Supervisor (Socioeconomic Status) | Client in Treatment (Socioeconomic Status) |
| Not Medicating (Acquired Disability) | Still Medicating (Acquired Disability) |
1) Had difficulty with having the patience to let the process happen between the client and the horse.
2) Disappointed with the client’s constant medicating and viewed her age as a hindrance to long-term recovery. Does the client really want to change and have the life of a healthier, happier being? Is her age a retardation for her recovery?
Trust has to be earned, and seeking counseling is contradictory to her cultural values.
Provide prevention and intervention early in life to prevent adverse long-term effects. Be respectful, and they will realize the counselor is sincere and compassionate.
The client is under treatment since they are in need; however, they may not let go of the old lifestyle.
It is more complex than a counselor may first consider in the client cutting. It is a complicated disorder that needs to unwind smoothly because it is a coping mechanism for life pain and stress, and it can lead to a spontaneous suicidal act when aspects of control appear to be lost.
Humphreys, K., Risner, W., Hicks, J. F., & Moyer, M. (2015). Non-Suicidal Self-Injury: Cutting Through the Pain. Presentation at the Texas Counseling Association Conference, Corpus Christi, TX. https://doi.org/10.1111
Liu, W. M., Pickett Jr., T., & Ivey, A. E. (2007). White Middle-Class Privilege: Social Class Bias and Implications for Training and Practice. Journal of Multicultural Counseling & Development, 35(4), 194–206. https://doi.org/10.1002/j.2161-1912.2007.tb00060.x
Moitinho, E., Garzon, F., Freyre, F., & Davila, Z. (2015). Best Practices for Counseling Hispanic/Latino Clients. Presentation at the American Association of Christian Counseling World Conference, Nashville, TN https://digitalcommons.liberty.edu/cgi/viewcontent.cgi?article=1101&context=ccfs_fac_pubs
Pegasus ECT (2017). EAC packet: Pegasus Model of EAC and EAT and Orientation. [PDF]. https://www.icloud.com/iclouddrive/0DYnIAMHWzr49UTELzDkQVoQ#Pegasus_EAC_Packet
Salter, B., & C. Salter (2018). The politics of aging: Health consumers, markets, and hegemonic challenge. Sociology of Health & Illness, 40(6), 1069–1086. https://doi.org/10.1111
Step 1: Review the Case Study
Analyze Mary Anne’s background, diseases, and her commerce within the EAC program.
Step 2: Identify Cultural and Ethical Factors
bandy artistic influences (Hispanic identity, generational age gap) and ethical enterprises related to bias and confidentiality.
Step 3: Fete Counselor impulses
Estimate the counselor’s implicit impulses (e.g., desirousness, age-related hypotheticals) and propose ways to ameliorate artistic perceptivity.
Step 4: Apply Stylish Practices
Integrate substantiation-grounded strategies for comforting Hispanic youth, guests in treatment, and those still bandaging.
Step 5 epitomizes learning.
Conclude by emphasizing tone, mindfulness, ongoing education, and the significance of culturally competent, ethical, and comforting practices.
It focuses on multilateral mindfulness, ethical practice, and counselor bias in dependence treatment.
It helps establish trust and ensures interventions are regardful and effective across artistic surroundings.
By pursuing multilateral training, supervision, and nonstop tone reflection.
Honesty, respect, confidentiality, and nonjudgmental engagement with guests.
Use this example for learning and structure only. Do not submit as your own work.
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