The case study I have chosen to describe is Sarah, the 24 year old White female who has sought out treatment of anxiety and depression. In the Helms White racial identity development model I have to chosen to apply the Autonomy status of being. Sarah appears to be accepting of her own identity of being white and a lesbian. Sarah and her partner are not hiding their relationship and have “come out” to both of their families and at work. Even though Sarah appears to have successfully graduated college, has a career, and involved in a long term relationship, she has most likely some discrimination and stereotypes herself, given her sexual orientation. The case study does not really take a deep dive into how she feel or identifies as being a white female who is lesbian. …show more content…
In order to formulate an effective treatment plan, I would include all presenting problems and treat them simultaneously. It is important to focus on all areas of Sarah’s life when providing treatment. Sarah already knows she is anxious and depressed, so she may likely have a co-occurring disorder. Furthermore, as a substance abuse counselor I am ethically bound to treat and focus on her alcohol use; therefore, I need to consult and refer to a mental health professional to focus on the anxiety and depression alone. When providing treatment to a LGBT (Lesbian, Gay, Bi-sexual, or Transgender) individual it is important to understand how immediate family plays a role in their life. Therefore, I would know if Sarah’s family is supportive of her lifestyle and how “coming out” impacted her life and the current relationship with her partner. Having the support of one’s immediate family and living in a supportive home/work environment greatly increases the chances of treatment success. Furthermore, knowing this information will also help determine what level of care (if indicated) would be most suited for