TPC-Journal-V3-Issue3

105 The Professional Counselor Volume 3, Issue 3, Pages 105–116 http://tpcjournal.nbcc.org © 2013 NBCC, Inc. and Affiliates GRL NOK Katie L. Haemmelmann, NCC, is a predoctoral intern at All Children’s Hospital and the Rothman Center for Pediatric Neuropsychiatry in St. Petersburg, FL. Mary-Catherine McClain is a predoctoral intern at Johns Hopkins University Counseling Center in Baltimore, MD. Correspondence can be addressed to Katie L. Haemmelmann, 3210 Stone Building, 1114 West Call Street, Tallahassee, FL 32306, klh08d@my.fsu.edu. Chronic illness and disability (CID) impact more than 35 million Americans, often interfering with their everyday life (Livneh & Antonak, 1997). The condition is typically accompanied by a prolonged course of treatment, an often uncertain prognosis, constant and intense psychosocial stress, increasing interference with the performance of daily activities and life roles, and conflict with family and friends (Livneh & Antonak, 1997). Approximately 11% of undergraduate students reported having a disability in 2008 (National Center for Education Statistics, 2011) and 88% of colleges are continuing to enroll students with disabilities (The Princeton Review, 2011). In addition to adjusting to the presence of a disability, adjustment to independent living and beginning academic courses at an undergraduate institution can be challenging for someone with a chronic illness or disability. The severity of the disability and its functional limitations do not always correlate in a uniform pattern with coping and adjustment (Lustig, Rosenthal, Strauser, & Haynes, 2000). Similarly, disability may include permanent and significant changes in an individual’s body appearance, functional capacities, body image and self-concept (Lustig et al., 2000). This variable, typically referred to as psychosocial adaptation, becomes compounded among college students and deserves further investigation. In order to better understand the adaptation process, conceptualize cases, and provide the most effective services to college students with disabilities, it is important for researchers to test comprehensive models specifically designed to aid in the interpretation of illness-induced interference. Similarly, counselors need to understand and implement empirically supported interventions, techniques and related strategies to assist individuals with disabilities in the transition to higher education. Currently, there is a dearth of information pertaining to the adjustment of young people that can be applied to college students with chronic illness and disabilities. Additionally, theories within the rehabilitation, quality of life, and counseling literature are used to translate theory into practice. After describing the nature of Keywords: chronic illness, disability, illness intrusiveness model, cognitive behavioral therapy, college students with disabilities Research in chronic illness and disability (CID) in college students has demonstrated that students with disabilities encounter more difficulties psychosocially than their nondisabled counterparts. Subsequently, these difficulties impact the ability of these students to successfully adapt. Using the illness intrusiveness model in combination with cognitive behavioral therapy (CBT), the authors propose therapeutic interventions that could be taken with these students to enhance their overall well-being, adaptation and academic success. The authors also provide final thoughts with directions for future research and application. Katie L. Haemmelmann Mary-Catherine McClain A Therapeutic Approach for Treating Chronic Illness and Disability Among College Students