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• <br /> 21 <br /> health unit at Lexington High School and through health educators at the middle and <br /> elementary schools. HPAC also works on preventing bullying and harassment and related <br /> improvements in interpersonal relations among students. <br /> 4. THE INDIVIDUAL PROFESSIONAL PROVIDERS <br /> Most of the service providers in our sample work with 15 or more clients a year. See <br /> Appendix A. All but a very few of them practice alone and are not part of an agency or group of <br /> colleagues. Adults and married couples are the clients of concern to 59 percent of the providers, <br /> while 15 percent serve children and 26 percent serve youth. All of the providers serve white <br /> clients, but many of them have a multiethnic clientele as well. <br /> Most of them treat more than one type of problem, of course. The providers include <br /> clinical psychologists who specialize in psychological diagnoses (25 percent). Many of the <br /> counselors and therapists work on neuroses and general anxiety disorders (31 percent)while a <br /> smaller proportion focus on eating and sleep disorders (16 percent). Marital and <br /> parenting problems are primary challenges for 30 percent of the providers. <br /> We asked each provider to give us a case illustration of how they go about their <br /> work as solo practitioners. The responses varied greatly, of course. Some typical illustrations <br /> included the following: <br /> • A two hour psycho-educational testing and diagnostic session. <br /> • Talking therapy, with time given to listening to what the client is in pain about, for <br /> instance, grieving over a father's death. <br /> • Mine is a psychoanalytic approach, with an emphasis on emotional, affective life. <br /> • Providing psychotherapy for a seven year old who was having difficulty with the <br /> aftermath of a parental divorce. <br /> • Probing in sessions twice a week to try to learn the causes of death threats and violent <br /> outbursts by an adolescent. <br /> • Play therapy with children and verbal discussions with adolescents, following the taking <br /> of medical histories. <br />