Adults With Attention‐Deficit/Hyperactivity Disorder: Assessment and Treatment Strategies

Attention‐deficit/hyperactivity disorder (ADHD) among adults is characterized by inattentiveness and impulsivity. This article provides counselors with information about the etiology, assessment, and treatment of adult ADHD. The identification of the genetic and neurological features of ADHD has led to improvements in evaluation and treatment. Assessment of ADHD requires knowledge of the defining characteristics, subtypes, comorbid features, and functional aspects of ADHD. Effective treatments include both medical management and counseling to address psychosocial deficits.     

Career Education for Adults With Mental Disabilities

This article provides an overview of assessment and counseling tools and strategies that may be used by employment counselors when working with adults who have mild and moderate mental disabilities.     

Employability of Genetic Counselors with a PhD in Genetic Counseling

The development of a PhD in genetic counseling has been discussed for more than 20 years, yet the perspectives of employers have not been assessed. The goal of this qualitative study was to gain an understanding of the employability of genetic counselors with a PhD in genetic counseling by conducting interviews with United States employers of genetic counselors. Study participants were categorized according to one of the following practice areas: academic, clinical, government, industry, laboratory, or research. All participants were responsible for hiring genetic counselors in their institutions. Of the 30 employers interviewed, 23 envisioned opportunities for individuals with a PhD degree in genetic counseling, particularly in academic and research settings. Performing research and having the ability to be a principal investigator on a grant was the primary role envisioned for these individuals by 22/30 participants. Employers expect individuals with a PhD in genetic counseling to perform different roles than MS genetic counselors with a master's degree. This study suggests there is an employment niche for individuals who have a PhD in genetic counseling that complements, and does not compete with, master's prepared genetic counselors.     

Throwing a Wrench in the Work(s): Using Multicultural and Social Justice Competency to Develop a Social Justice–Oriented Employment Counseling Toolbox

This article presents a social justice toolbox from which employment counselors can draw when working with various populations at multiple levels. First, the authors introduce social justice and its relationship to employment counseling (the toolbox). Second, the skills and knowledge required to integrate social justice into employment counseling (the tools) are presented. Finally, strategies are offered to maintain social justice competency so that the tools can be maintained and applied ethically and effectively.     

Rehabilitation Counseling: A Profession or a Trade?

The problem of the shortage of counselors is examined and the various possible solutions considered. A solution that appears to be developing in many state rehabilitation agencies is the employment of college graduates with no preparation in counseling. These employees are designated as counselors, counselor aides, or counselor trainees, and given in-service training. Such persons, it appears, will eventually be considered counselors without any further educational preparation. It is questioned whether they are, in fact, counselors, but if they are able to perform all the functions of those designated as counselors (excluding professional counseling), then counseling is not a profession, but a trade, for which adequate preparation can be obtained through on-the-job training.     

Recommendations and resources for counseling older workers

The purpose of this article is to provide employment counselors an overview of the growth in the number of older workers in the U.S. Various demographic, employment, and career development trends are presented. Specific suggestions for counseling older workers are offered. Readers are directed to a number of high‐quality online resources for older workers.     

Value Conflict Resolution: A Training Model for Counselors of Minority Clients

It is assumed that the employment counselor controls what happens in the counseling session by virtue of position and superior knowledge of what the counseling process can and cannot provide. When employment counselors counsel individuals who have cultural and racial backgrounds different from their own, the probability of value conflict in problem solving and decision making is increased. Counselor control over the counseling process suggests that these conflicts will often be resolved according to the value preferences of the counselor. Failure to consider the value input of the client leads to the development of plans for action that don't work. The Carkhuff helping model is presented to show where counselor-client value conflicts are likely to occur, and a value conflict resolution training model is provided to help counselors assess value conflicts and resolve them in ways that promote client-counselor success.     

Existential considerations for contemporary career counseling

This article was written to remind career counselors of the potential depth and subjective impact of both unemployment and employment transitions. An existential framework is used in discussing today's world of work, previous and contemporary career counseling models, existential theory in career counseling, and existential considerations for career counselors. Results from 3 research projects are discussed in light of I. D. Yalom's (1980, 1998) 4 existential themes. Using quotations from participants, the authors move beyond theoretical ideas and underscore the real‐life importance of including the individual's larger subjective perspective when engaging in career counseling. Implications for practice are discussed.     

Strategies for Counselors Working With High School Students With Attention‐Deficit/Hyperactivity Disorder

Researchers agree early intervention is crucial to prevent academic underachievement and negative effects on the lives of children, adolescents, and adults affected by attention‐deficit/hyperactivity disorder (ADHD). If counselors, particularly high school counselors, address the needs of students with ADHD, these students may attain their potential and enter into the workplace or postsecondary education. The authors provide counselors with strategies to identify interpersonal, academic, vocational, and life issues that may affect students with ADHD and to help teachers and parents prepare students with ADHD for the transition from high school to postsecondary education or the work environment.     

Addiction,the addict,and career: Considerations for the employment counselor

Employment counselors have been resistant to working with persons in recovery from addiction except under the strictest of criteria. This article examines the relationship between this resistance and the concepts of addiction and addict. Following this is an examination of substance abuse recovery and practical suggestions on incorporating recovery knowledge into career counseling. The goals of the article are twofold: (a) to present a framework that highlights the necessity of employment counseling for the recovery process from substance misuse and (b) to affirm that many employment counselors have the skills needed to assist clients who have been labeled as addicts.     

Effectively counseling the military population: Training needs for counselors

Counselors (N = 49) interested in working with the military population described what is needed to feel competent and confident counseling this population in a mixed-methods research study. Findings suggest counselors do not believe their programs are preparing them to work with this population. Participants indicate strategies which would increase their ability to work with the military. Results provide implications for counseling programs on how they can better prepare students to work effectively with this population and increase the employment rates in serving the military.     

Five Frameworks for Increasing Understanding and Effective Treatment of Attention‐Deficit/Hyperactivity Disorder: Predominately Inattentive Type

The article presents 5 interrelated frameworks for counselors seeking to obtain a greater understanding of factors that play a pivotal role in attention‐deficit/hyperactivity disorder (ADHD). Special attention is devoted to cases in which the predominant characteristic is inattentiveness. The 5 frameworks examined are organicity, internalizing dimension, co‐occurring conditions, personality structure, and neurocounseling. Generating new perspectives for counseling practitioners should optimize counseling or treatment outcomes for clients with this multifaceted disorder.     

Counseling Native Americans: An introduction for Non-Native American Counselors

This article provides a primer on counseling Native American clients for non-Native American counselors and psychotherapists. The diversity of this population is described and a general model of healing from a traditional Native American perspective is presented, with implications for counseling practice. Relevant research is reviewed and practical suggestions are offered for providing counseling services to Native Americans.     

The Fully Functioning Employment Service Counselor

Fully functioning employment service counselors are individuals who feel personally and professionally significant and who use personal and professional competencies to foster an accurate image of themselves with clients and other professionals within the employment service. They are aware of the changing demands and the expanding scope and goals of employment counseling occurring over the past 10 years, although many others in the employment service, including training and supervising counselors, are not. These counselors must take the responsibility for bringing others into their scope of awareness: They must define, through their own actions, their developing identity.     

Mandated Clients in Career or Employment Counseling

The article describes some of the challenges facing employment counselors who are working with mandated clients. Suggestions are provided for use with mandated clients in individual and group employment counseling sessions.     

Serving Clients With Hearing Loss: Best Practices in Mental Health Counseling

This article examines the risk factors and characteristics of clients with hearing loss, including inequitable access to education and mental health care services, financial barriers, communication problems, and societal discrimination. Culturally specific counseling approaches and techniques for mental health counselors serving clients with hearing loss are presented, with a focus on building counselor competency and client employment skills. The use of interpreters in therapeutic settings is also discussed.     

Personal and Organizational Characteristics of Employment Counselors

Eleven personal and organizational variables were measured in a large national sample of employment counselors. Data indicate that female counselors were younger than males, older counselors had higher educational levels than younger ones, and as the level of education increased, so did the number of professional association memberships and time spent in counseling activities. Employment counselors with first-line supervisors who had counseling experience tended to be older, spent more time in counseling activities, had higher education levels, and belonged to more professional associations than did counselors whose supervisors did not have counseling experience.     

Minnesota Employment Counselor Activities

Employment counselors, counselor supervisors, managers, and counselor educators were surveyed in Minnesota concerning the amounts of time that are now spent and should be spent in eleven employment counselor activities. All respondents generally agreed on the amounts of time that are now spent and should be spent in the activities. They also agreed that there should be significant increases (p > .05) in the amounts of time that should be spent in counseling, teaching, and research/follow-up, and decreases in the amounts of time that should be spent in selection/intake and records/clerical activities. Employment counselors in main offices indicated that they now spend significantly less time than counselors in subordinate offices in counseling, consulting, and staff activities, and significantly more time in testing.     

narrative‐based career counseling perspectives in times of change: an analysis of strengths and limitations

There is an ongoing movement in the career development counseling field that focuses on narrative‐based approaches. The purposes of this article are to analyze the factors that led to a turn to narrative career counseling, to examine the strengths of narrative, and to outline potential limitations. The literature review examined scholarly work in the career development field. Contributions from other disciplines (e.g., medicine) were integrated to provide complementary perspectives. The author contends that there is an appropriate place for narrative in career and employment counseling. Suggestions for addressing limitations and applications for career and employment counselors are highlighted.     

Web‐Assisted Career Counseling

For the past 20 years counselors have used computer‐based career information systems to assist clients with career planning and job hunting. Much of the same this information is now available on the Internet and can be accessed without the aid of a counselor. Such developments are likely to have a major impact on employment counseling practices. This article outlines selected Web‐assisted counseling issues that are likely to affect counselors over the next few years and summarizes the career services currently available on the World Wide Web.