1. What was the issue brought in by the client? What other issues came up as the therapist and client talked?
The client initially went to talk about being stressed at school. He felt that his workload was too much, and he was not making any progress/put a dent in it. The issues that later came up were: family secrets, his accomplishments and his indifference towards them, his relationship with his mom, his past (drinking, high school, fitting in, and his criminal record), and his need to keep up with his friends—materialistically and job wise.
2. What kinds of skills were used from the Insight Stage? Name two and briefly describe the situations (include the time stamp from the video when the skill was used).
The therapist used insight’s immediacy and challenges in this session.
Around 41:23 the therapist challenged …show more content…
The therapist used interpretations frequently. Describe one interpretation you thought was the most interesting and explain why.
Around 52:03, the therapist stated “but I think, it's left you're feeling a little shaky about your worth.” The therapist related the client’s feeling of being marketable, yet “not hirable” because of his alcohol past and his current low self-esteem. The client could not understand; yet he was feeling uncertain and this interpretation pinpoint the reason why by connecting his past to his future.
4. What do you think was effective about the therapist’s approach in this session?
The session was more open and free formed. The therapist allowed the client to speak openly and when one of her interpretations did not work, she did not always force it on the client. Although the client’s was only there to talk about school and effortlessly got him to talk about his past and she helped him to connect it to his current situation. This session was definitely about insight and her main goal was to help the client gain insight on his life.
5. What might have you done differently? Give one specific example from the
Click here to unlock this and over one million essaysShow More
Antwone suffers from displacement and repression, and he also deny a lot about his pass experiences. With that being said, my treatment recommendation for Antwone is the psychoanalytic theory. Antwone denies and bottles up all the anger that he has from his pass without realizing that it is causing him more harm. He refused to talk about these issues because he thought that he does not have an issues. With all the anger bottled up, he tends to displace them by lashing out on his co-workers.
The client had an L-hemisphere CVA on 8/11/10. After the stroke, the client was admitted for a 5 day acute care hospitalization and then into an inpatient rehab setting for six weeks for one hour every day. Through a speech evaluation, the client was diagnosed with a mild anomic aphasia and mild apraxia of speech. The client 's goals are to improve her mobility, communication, and return home. This session was a re-assessment six months after she was discharged from the inpatient rehab setting.
Therapist met with the client for individual therapy at school. Therapist did a check in regards to symptoms, mood, thoughts, emotions, coping skills, the goals that he achieved, and behaviors since the last session. Therapist processed the client's negative thoughts. Therapist used open-ended questions to address any concerns the client may have. Therapist encouraged the client to keep motivated during the stressful time, especially when he has negative thoughts, which stats usually with negative thoughts, argue with his sisters, or with his aunt, or if he has been triggered by any internal or external thoughts.
The evaluation is the final part of my three mandatory written pieces of my graded unit. The final evaluation stage of the graded unit requires me to reflect on how the activity went, whilst highlighting my strengths, areas that require future development and identify my weaknesses, this, in turn, will enable me to adapt my practice to ensure I am continuously supporting patients to the standards set within The Nursing Midwifery Council (NMC). Looking back on the activity, I am proud of myself for being able to plan and follow the activity through to complication. When completing the book with Mr X I found it to be an enjoyable activity that not only offered benefits to Mr X but also to myself, it allowed me to understand the importance of building a therapeutic relationship with a patient. Building a successful therapeutic relationship required me to have good communication and interpersonal skills, (Radcliffe and Ford, 2015), that allowed me to build a relationship with Mr X based on mutual trust and respect.
Therapist probed client if coping skills were applied to any situation during the last week at school and at home. Therapist actively listening as to why client did not apply coping skills. Therapist psychoeducated client regarding coping skills, conflict resolution, and problem-solving as a review. Therapist reflected clients report of coping
With this phase, the role of the Therapist is to be understanding and to welcome the client to vent and allow them to question the sequence of events. “Listening to patterns of self-blame and guilt should not be dismissed but normalized. An attitude of acceptance and respect can be conveyed by the therapist listening and helping to understand the feelings of blame and shame. ”(Dane,
When reading about Bowenian Family Theory, it was different in the sense of what I was used to reading about psychodynamics or behavioral theories. Being able to see members of a family or a person as being the main focus and having universal traits in them rather than being born or developing a specific illness is an interesting perspective because it establishes that anyone can be predisposed to it but those that do have that disorder have it because they have elevated levels of that specific trait. The idea of a family or couple being part of an emotional triangle was also an enlightening because when reading about it, I felt that it did hold true especially with members of a family experiencing anxiety or stress. This concept was appealing because it laid out a framework to describe who the people involved in the conflict are and what is causing the differentiation among them.
Phase One (Sessions 1 through 3) • The session 1 and 2 consists of the assessment of the client’s clinical problems and background information. Questions relate to her clinical problems, including (a) the nature of her problems (depression and difficulty with making decisions), (b) reason of seeking psychotherapy, and (c) previous attempts to deal with the problems. For the background information, the client’s histories are assessed in the areas of intimate/family relationship, educational/vocational activities, past history of psychological treatment, and physical condition. Session 3 primarily consists on the further functional assessment around her coping skills (e.g., avoidance) in the areas of interpersonal relationships. Phase Two
Therapists must access their own internal process such as their feelings, attitudes and moods. Therapists’, who are not receptive to the awareness of their flow of thoughts and feelings, will not be able to help clients be aware of theirs (Kahn, 1997, p. 40). Though congruence does not mean that therapists have to share personal issues with clients, a therapist must not conceal their inner process from the client, and not be defensive but transparent (Kahn, 1997, p. 41). By being open sometimes a therapist learns more not only about their client but about themselves
DISCUSSION From the beginning, the therapist had to deal with own doubts and anxiety. The therapist had heard a lot about the psychodynamic psychotherapy but this was the first time he conduct the sessions by himself. Unlike pharmacotherapy, there is no standard clinical practice guideline or recommendation for the therapist to refer to or follow. The therapist was worried that he was unable to conduct the therapy effectively and his patient would not benefit from the therapy.
The judgement of the therapist is very fast. They don’t deny when they are in doubt as they assume that it is quite embarrassing to clarify with the client. Also as the client, they cannot argue with the therapist. Hence there is an unequal balance of
Self-Evaluation on Counselling Session (One) Session start with a warmth greeting, by asking client ‘How can I address you?”, to be honest I felt nervous at the beginning of the session, too focus or particular on the name of client, client actually felt uncomfortable. I can just follow the flow and address whatever name client point out and start with small talk will be a good idea such as asking about his experience of travelling to the centre for his counselling session. Thereupon, I briefly explained the length of time of the session, confidentiality and the limitation. I believe that I deliver a clear message to the client.
From the ideas and techniques that Mrs. Perez used, I realized how these interviews could be helpful if utilized and applied in the proper way. To me, this assignment was the best and it helped me further my development and growth as a future mental health counselor. The most interesting and educative aspect of this interview was how Mrs. Perez applied most of the counseling techniques, such motivational stage that we have been taught in class. Aspects such as paraphrasing the words of your clients, tone, and facial expressions are critical in a counseling session and students always overlook these techniques. The way Mrs. Perez employed according to her explanation was excellent and her ideas justified the importance of such points in any counseling session.
Critically reflect on how one or two insights gained during Personal Development and Skills Practice (in G108353 2017/18) have prepared you to become an aware and ethical user of counselling skills. Does a counsellor’s age matter? This is a question I have been considering throughout my time on this course and the answer is not straightforward. Within this essay I will critically reflect on my insight about age and counselling, and through doing this how it has prepared me to become more of an aware and ethical user of counselling skills. Van Wagoner (1991) says Therapist self-insight refers to the extent to which a therapist is aware of one’s own feelings and understands their basis.