Transition the client’s puberty stage, client’s cognitive and psychosocial

Transition to adolescence is a vital process in one’s life. Aphase where one hits puberty. A step where one starts to think logically,abstractly and idealistically. A chapter where one’s start to work at refiningsense of self.

A period where one starts to look at another people’s perspective.Adolescence is an integral part in everyone’s life. I am going to explicate theinformation and assessment done on the client such at the client’s pubertystage, client’s cognitive andpsychosocial development, her developmental tasks together with her mental,nutritional and social assessment that comes with the advisory guidance. NurulAisyah; our client’s name.

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We meet her on the 21st November 2017.  Puberty phase Aisyah’sfirst menarche was February 2014; age 12. But before she hit her first menarche,she realizes that her body changes start to spike at the age of 11. During theinterview, she is not shy to share about the developmental of her body.

Shementioned that at the age of 11, she starts to gain weight of more than 3kg, herheight starts to spurt, breast starts to grow plus small thin hairs over herarmpit and genital area.  Formal OperationalStage of Piaget’s theoryAt the ageof 15 years old, Aisyah falls under the Formal Operational Stage of Piaget’stheory. This theory explained at that at this age, one should be able think moreabstractly, able to think what is possible and able to solve problems systematically.

During the interview, we realize that client is able tothink dependable and accurately as she did not turn to ask her mum when we askedher series of questions. Client is also able to think creatively, use abstractreasoning, and imagine the outcome of particular actions, we did give her alist of inappropriate behaviours for her to explain the consequences for each behaviour. IdentityVersus Role Confusion of Erikson’s theory As her intellectualcapabilities starts to broaden, it provides advanced and innovative thinkingabout values and problems, it also charters adolescence to think aboutthemselves in many new dubious ways.  Adolescentsbecome much more able to imagine their possible selves-the various identities thatthey may adopt (Markus,H., & Nurius, P. 1986)Client isindependent, and able to define her future. She knows what she wants to be inthe future.

During the interview she mentioned that after taking her GCE 0-LEVELS,she planned to go to Termasek Polytechnic to pursue a course that she likes, Diploma in Psychology Studiesas she wants to understand how people think, behave, communicate andinteract with each other. Aisyahmentioned that she is still trying to define who she really is. Although shehas plan for her future studies, she fears of the uncertainties that may occurbut she is able to explain the consequences that may follow the decisions shetake. This is very concerning because failure to establish a sense of identitymay lead to role confusion.

  Lawrence Kohlberg’s stages of moraldevelopment (Post-conventional morality)The theory is known with the increase ofrealization that one sovereign entities from society, and that one’s ownperspective may take ascendancy over society’s view; individuals can choose todisobey rules with their own principles and beliefs. Stage 5:One becomes awarethat while rules exist for the good of the greatest number, there are where itwill collide with the interest of individuals. (Kohlberg, 1976 )Stage 6:People at thisstage have fully developed their own set of moral guidelines which may or may accustomedthe law.

 (Kohlberg, 1976 )Aisyah is under the Post-conventional morality, stage 5 and 6. She look at the covolution ofwhat makes a good society. During the interview, Aisyah is able to differentiatewhat is right and what is wrong. She can also cultivate in viewing the opinions,rights, and values. She is also able to put herself in someone else’s shoeand view other people perspective.  Adolescents development tasks Robert J. HavighurstDevelopment is the process of growth and modification thatpeople go through in life.

Robert J. Havighurst was a psychologist in the 20thcentury who developed a theory on how people develop through life. Aisyah has learnt to get along with friends of both sexes. She is able to accept her physical body and keeping it healthy. She is capable in preparing for a job or career. Shehas succeed in acquiring a set of values to guide her behavior. She is becomingsocially responsible; with who she make friends with.

At the same time she is also learning to make decisions.  Assessment.  Mental assessment During the interview, we found outthat there are more than one scar on the hand area.

Wethen proceed to ask her what drives her to do such. She explained was due topeer and family pressure for her to do well in her studies. She tried tostrangle herself. She stopped doing such after being counselled by schoolcounselling where her parents are called down as well. There are plenty of suicide supportgroups that we can get in Singapore, one of the common prevention group iscalled SOS (Samaritans of Singapore).

It is a non-profit organisation whichprovides 24 hours emotional support to people who have difficulties coping withcrisis and who is thinking of suicide. (SOS (Samaritans of Singapore), n.d.)  Nutritional assessmentAisyah states that when she isstress, she will start to binge eating all the junk food that is made availablearound the neighbourhood. That is concerning because her body mass index mayincrease. She may seek help over at HealthPromotion Board (HPB) committed in promoting healthy living in Singapore or tryto cut down the junk food on her own and find for other alternative to reliveher stress.

(health promotion board, 2001 ). Substance abuse assessmentDuring the interview, it was madeknown that Aisyah has took Marijuana before. Her actions are driven by peerpressure and she did it for fun. Client also mentioned that she started smokingat the age of 14. She was counselled and parents were called down to school aswell.  To aid her in better coping duringstressful events, she may want to call National Addictions Management Service (NAMS)which provide residential detoxification and rehabilitation (health promotion board, 2001 ), not only that butshe can also come up with a better plan to release her stress coping managementand not to indulge such activities in the future.   Sexual assessment  We understand that the client has aboyfriend but is not sexually active.

Aisyah is shy to explain her sexual life.Although she may only be 15 years old, there are some safety steps she can taketo prevent any other complications. Ministry of Education has implement sexual education inschool to spread awareness of the complications for unsafe sex. Sexualityeducation is a process of acquiring knowledge and forming attitudes, beliefsand values with regard to human sexuality. The MOE Sexuality Educationhelps students to understand the physiological emotional and social changesthey may experience as they mature, to develop healthy and rewardingrelationships, and to make wise decisions in the future.

(Ministry of educationhttps://www.moe.gov.sg/education/programmes/social-and-emotional-learning/sexuality-education, n.d.

) In conclusion, adolescents transition is important in one’slife Thus,adolescent experience enormous and significant changes in every single aspectof their lives as they make the transition from childhood into adulthood.