External stressors during an assessment for an adolescent patient

Describe the contemporary issue and explain what external stressors are associated with this issue. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented.  

Sample Solution

   

The contemporary issue I will discuss is cyberbullying. Cyberbullying is the use of electronic communication to bully a person, typically by sending messages of an intimidating or threatening nature. Cyberbullying can take place through text messages, email, social media, or other online platforms.

External Stressors Associated with Cyberbullying:

The external stressors associated with cyberbullying can include:

  • Feelings of isolation and loneliness: Cyberbullying can make adolescents feel isolated and alone, as they may feel like they have no one to turn to.

Full Answer Section

     
  • Depression and anxiety: Cyberbullying can lead to depression and anxiety, as adolescents may worry about who is saying negative things about them and how it is affecting their reputation.
  • Low self-esteem: Cyberbullying can damage self-esteem, as adolescents may start to believe the negative things that are being said about them.
  • Thoughts of suicide: In some cases, cyberbullying can lead to thoughts of suicide.

Assessment Strategies:

There are a number of assessment strategies that can be used to screen for cyberbullying and external stressors. These include:

  • Asking direct questions: This can be done by asking the adolescent if they have ever been bullied online or if they know anyone who has been bullied online.
  • Observing the adolescent's behavior: This can be done by paying attention to changes in the adolescent's behavior, such as changes in mood, appetite, or sleep patterns.
  • Reviewing the adolescent's social media accounts: This can be done with the adolescent's permission to look for any evidence of cyberbullying.

Additional Assessment Questions:

In addition to the direct questions mentioned above, there are a number of other questions that can be asked to assess for cyberbullying and external stressors. These include:

  • Do you ever feel like you are being bullied online?
  • Have you ever been called names or made fun of online?
  • Have you ever had someone spread rumors about you online?
  • Have you ever felt like you have to stay away from certain websites or social media platforms because you are afraid of being bullied?
  • Have you ever thought about hurting yourself or someone else because of cyberbullying?

Ethical Parameters:

There are a number of ethical parameters that must be considered when assessing for cyberbullying and external stressors. These include:

  • Confidentiality:** The adolescent's confidentiality must be respected, and information should not be shared with anyone without the adolescent's permission.
  • Duty to warn:** If the adolescent expresses thoughts of harming themselves or someone else, the mental health professional has a duty to warn the appropriate authorities.
  • Parental consent:** In most cases, parental consent is required to assess an adolescent for cyberbullying and external stressors. However, there are some exceptions, such as if the adolescent is in immediate danger.

Support Options:

There are a number of support options available for adolescents who are experiencing cyberbullying and external stressors. These include:

  • Counseling: Counseling can help adolescents to cope with the emotional and psychological effects of cyberbullying.
  • Support groups: Support groups can provide adolescents with a safe space to talk about their experiences with cyberbullying and to connect with others who have been through similar experiences.
  • Online resources: There are a number of online resources available to help adolescents who are experiencing cyberbullying. These resources can provide information about cyberbullying, tips for coping with cyberbullying, and a way to connect with others who have been through similar experiences.

Specific Support Options for Cyberbullying:

Some specific support options for cyberbullying include:

  • The Cyberbullying Research Center: The Cyberbullying Research Center is a non-profit organization that provides research, resources, and training on cyberbullying.
  • StopBullying.gov: StopBullying.gov is a website created by the U.S. Department of Health and Human Services that provides information on bullying, including cyberbullying.
  • The Jed Foundation: The Jed Foundation is a non-profit organization that provides mental health resources to teens and young adults.

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