This article reports on the influence of counselling for self- and career construction on the career counselling needs of an adolescent boy with Tourette's disorder. Purposeful sampling was used. The study adopted an explanatory, single-participant study design. A qualitative paradigm was employed and an integrative, QUALITATIVE-quantitative methodology implemented. Counselling for self- and career construction techniques, methods, and strategies were used first to obtain (construct) and subsequently to analyze the data. After the intervention, the participant showed an enhanced capacity and willingness to design himself and construct his career by responding to and dealing with career-choice indecision constrictions in his self-identity that were defining him and social contexts that were confining him. Accordingly, he exhibited an improved sense of self. Future research should examine the short- and longer-term effect of the approach described here on people with Tourette's disorder as well as other neurological conditions in diverse career counselling contexts.