Working with psych patients require myself to think more about my actions, how I say things, and how I come across to them. Patients can pick up the slightest discomfort and pick me apart. It is also important to remember to take what they say as a grain of salt. They may say offensive sayings directed towards myself or insult me, but it is something that I don’t let that get into my head and affect me. It is not necessarily the patient saying those thoughts, but the disease itself is what may be fueling the outburst.
For client who uses emotional-focused coping mechanism, they would feel that CBT is not suitable for them as they are always being talked out of their emotions and are being forced to deal with problems in a more structured problem-focused way. Therapist can deal with this problem by using their clinical experience to observe how their clients cope with issues to know whether CBT is suitable for
I agree, a counselor must be knowledgeable in treating abuse victims. Also, the counselor should be skilled in several techniques, because using only one technique might not be as helpful. In addition, the counselor needs to understand the context, which the abuse occurred, because there might be other deficits (Gladding, 2015). Therefore, by the counselor being skilled and different techniques in treating abuse, will allow them treating other issues. When working with a victim of abuse, the counselor should have a safely plan for the victim.
This self-awareness should include continuously examining their own development and unexamined personal trauma, as well as, personal biases, ideas, values, and beliefs related to culture, crisis, sexual assault, intimate partner violence, and suicide. Counselors should also practice self-awareness related to their own knowledge and level of competence in providing crisis services. Lastly, self-awareness should include monitoring their personal reactions to the trauma and crisis they are working with, changes to their own personal schema, and failures to address personal issues (Sartor, 2016). By engaging in self-awareness, the counselor can provide appropriate services to assist the client, rather than cause harm. Furthermore, practicing self-awareness and engaging in self-care activities can serve to protect crisis counselors from burnout, vicarious trauma, secondary trauma, and compassion fatigue (Sartor, 2016; Jackson-Cherry & Erford,
If they are suffering with stress, anxiety or phobias there may be a lot of work involved in getting to the root cause of what is causing these symptoms from the ISE initial sensitising event, and the client needs to be made aware of this. Some people may not want to be hypnotised and therefore it will not work. Others may find it hard to visulise a special place and this will also prove difficult if you cannot manage to convince them that everyone can do this, and you will have to work with them to create an image for them. There are others who block the treatment as they have a secondary gain from keeping the problem going, eg someone who is unhappy at work, and is off sick with stress may not want to return to work, as they will want to avoid going back into the same situation that made them ill. By not responding to the treatment, keeps the client stressed and therefore unable to return to
Reflect on a Clinical Experience with Transference and Counter-Transference Transference is when a patient unconsciously redirects their feelings about another person, condition, or experience onto other people. In the clinical setting, this is typically redirected onto the patient’s family members, nursing staff, or other medical personnel. One example of transference that I have encountered in clinical was on the telemetry floor. My patient was elderly and had some generalized weakness and hand shakiness/tremors. A previous nurse also noted that he had a tongue tremor, so ETOH protocols were started and Ciwa assessments done regularly.
The character Kym Buchman in the film “Rachel Getting Married” is someone who may benefit from a client-centered therapy. Although the film took place after her involvement in her brother’s death subsequent entry into numerous drug rehabilitation programs, client-centered therapy relies on verbal self-reports as the primary method of gathering information, which Kym is capable of providing. Her behavior, according to phenomenology, is determined by her experiences, or phenomenal field; gathering information on her phenomenal field using her self-reports to understand how she perceives the world and past events is critical. Kym also seems to be experiencing incongruence as her ideal self is not in line with her actual self, possibly from the
There are many types of therapy one could undergo for this disorder, but in Dwight’s case, I believe the best option would be Cognitive Behavior Therapy (CBT). CBT will help Dwight regulate his emotions, developing his impulse control, and improve his behavior. Many that deal with this form of autism tend to struggle with depression and anxiety. This therapy can help him deal with those struggles by changing his perception or thoughts throughout change in cognition. A therapist can help reduce Dwight’s obsessive behavior and outbursts, while helping him learn to manage his feelings.
While OCD and PTSD share some characteristics, they have a number of differences and therefore their treatments have unique features to address these differences. Imaginal exposure therapy is often employed in treating individuals with PTSD; patients expose details of the trauma and their emotions associated with it, working through them systematically (Monson et al., 2007). In order to establish imaginal exposure effectively, therapists must encourage their clients to create a description of the traumatic experience they endured. The therapists then works to correct their negative assumptions regarding the incident, varying thoughts of self-blame to more constructive thoughts. In comparison, treatment for OCD may involve prescription drugs,
The client can take drastic decision such as pulling the person to court after the memories have been recollected. Another limitation is the assumptions and manipulation of the therapist. The therapist looks up to them as an expert and assumes a lot of situations. Due to their experience, they tend to come to conclusions that this should be reason. For example, the therapist can fail to clarify or even before going in depth at the situation, they came to their own conclusion.