The PIT provides exploratory rationale to the patient. The therapist attempts to bestow a rationale for the patient, which affirms the significance of relating emotional or somatic symptoms to interpersonal conflicts or problems. By the end of initial sessions, the link between the interpersonal difficulties and emotional problems and distress should be constructed. To be able to do this is important because it is one of the principal points for patient to remain in therapy (Guthrie,
That statement could have been a mood symptom that the counselor didn’t invade it. This issue would be an ethical issue since the counselor has assisted in a suicide of this client even if you didn’t literally murder or help with an overdose or whatever their attempt will be but you as the counselor assists by not reporting the threat of the client. However, the NAADAC Code of Ethics states that if a counselor who provide services to a terminally ill client who is considering hastening their own death then the counselor has the option to maintain confidentiality, depending on the state laws he/she is counseling in and specific circumstances of the situation and the counselor should order the client to seek consultation or supervision from appropriate professional and legal
We discussed alternative approaches to the treatment of anxiety with different medications. The two medications my preceptor often suggests to patients that are non addictive are Vistaril and Seroquel. Because these two medications are non-addictive as well as offer a calming effect on patients with anxiety, my preceptor said that they are often used for his patients. My preceptor encouraged me to offer Seroquel or Vistaril first in the future when I am when dealing with patients and their anxiety. I still strive to accomplish the goal of knowing which medications would be best for aparticular patient, and how to decide on one of these drugs over the other one based on the patient’s needs.
In addition, the second issue is confidentiality. The counselor needs to build a trust relationship with the parents and adolescents with ADHD. For instance, the counselor needs to explain the medications effects and side effects to the parents and Junior. The APA (2013) believes culture may play a major role in ethical implications. In essence, adolescent behaviors may be different when it deals with attitudes concerns or clarification, which is less likely with African American and
Anna Quindlen in the article, “The C Word in the Hallway” argues that mental illness don’t get enough awareness or help that it actually needs. Quindlen supports her argument by using similes, tone and bias’ to state that many teachers are not trained to recognize mental illness and so some just dismiss it and so that leaves “over two thirds of the mentally disturbed children without any help”. Insurance also does not aid in covering the costs because “health insurance plans do not provide coverage for necessary treatment”, or if they do then they think that they should “penalize those who need a psychiatrist instead of an oncologist”. The author's purpose in writing this was to inform people about the scary reality that many kids and teens face today and to argue that it is nothing to joke about and that it needs to be taken seriously. The author writes in a formal tone for parents, teens, and other adults to be aware of the seriousness of mental illness in teenagers.
The main topic of the paper focused on the negative effects of sexual relationships. It also discussed crossing boundaries with clients and having other relationships such as friendships or other kinds of attachments to the client. In my field placement at Hardin Memorial Hospital social workers may have to be carful not to cross boundaries with clients especially in such a small town in which you may possibly know or know of a client. In addition, my field instructor has made some related and valid points to me. First, Hardin Memorial Hospital is a local hospital in my home town.
Two Encountered Dilemmas One ethical dilemma that mental health counselors encounter would be institutional policies against disclosure (Substance Abuse and mental Health Services Administration (SAMHSA, 2005). In addition, it is important for counselors to identify their clients. Moreover, counselors may have one legal client, but faced with several ethical clients. Disclosure of information of client’s confidentiality need to be protected by counselors, which can be difficult when information has been court ordered. Foote and Shuman (2006) points out clients are sent by lawyers for an assessment of their mental or emotional state of mind, which mean
The dilemma lies in how the social work practitioner would respect the patient’s autonomy and determining whether the patient is competent. Furthermore, the social work practitioner is responsible for assessing whether the patient understands the consequences of his or her behaviours. Because, often than not, there are different risks associated with the patient’s refusal to medical treatment and services. Thus, in such cases, social workers would face the ethical dilemma of deciding whether to protect or limit the right of how the patient should live his or her life. The second ethical dilemma is that social work practitioners and their clients have different personal values.
Safety is a condition characterized by minimal risk of harm coupled with protection from potential harm. In health care, patient safety involves instituting mitigation measures to prevent potential adverse events. Unfortunately, the existence of potential adverse events is only recognized after such an event has occurred. Reporting an adverse event, therefore, is the first step towards developing mitigation measures. However, some nurses fear reporting adverse events, because they erroneously believe they will be penalized for the occurrence of such an event.
If, however, the individual is unable to properly cope with the stresses, they should seek education on ways to prevent the acute stress from progressing to something worse. Treating acute stress can be as simple as talking to someone about it or finding a hobby to distract yourself from it (Salvis, 2015). Someone with compassion fatigue should speak with their doctor and hopefully receive psychiatric counseling to help recover and to prevent a relapse of symptoms (Mathieu, 2007). There is no definitive treatment for Cumulative stress or PTSD but there are several options that can help people better cope and return to their normal lives. Most people being treated for Cumulative stress or PTSD undergo some form of psychotherapy and may be medicated along with it (PTSD Treatments and Drugs, 2014).
Making sure a person is safe should be everyone 's number one priority. Even though people go to therapists because they want someone to talk to who won 't judge them or divulge their secrets, divulging information about harming another person does not fall under that category. I agree that it can be very difficult for a therapist to decide when a patient actually intends on following through with the death threats or if the patient is just trying to vent. However, if he or she is a good therapist, then he or she should know their patient well enough to decide whether they are being serious. Not only that, but when a patient begins therapy, their therapist is required to tell them all the things that if they say, the therapist is required by law to tell the police.
Doctor Benliro and Class, Thank you for your guidance, I would add 2 or more differential diagnoses. The patient bill of rights indicates that the hospital or facility should provide the patient with the right to participate in active decision making regarding treatment and it includes refusal of treatment. However, the patient needs to be mentally competent to make this decision (Standler, 2012). This means that C.G. understands the implication and consequences on his health by refusing treatment and that the decision is not irrational and would be maintained in the long term.
All of us find ourselves upset about things when, in fact the situation isn’t like we think it is and being aware of this issue would help us not waste our time upsetting ourselves. CBT is generally short-term and focused on helping clients deal with very specific problems. During the course of counseling individuals learn how to identify and change destructive or disturbing thought patterns that have a negative influence on behavior. Cognitive behavior therapy is generally short-term and focused on helping clients deal with a very specific problem. During the course of treatment, people learn how to identify and change destructive or disturbing thought patterns that have a negative influence on behavior and can affect vocational rehabilitation process.
I believe it is best to keep a distance from Sharon, because it will help avoid future conflicts between me and her. Also, I think that my supervisors will be against me being Sharon’s therapist because it will go against the company’s policy. In other words, it will be hard to draw the line between professional and personal life between the two of us. Furthermore, in the ethical principles of the psychologist, and code of conduct, it is acceptable for the therapist to terminate the therapy with a client that has an intimate relationship with someone that can alter the treatment of the client. Also in the ethical standards for human services field, engaging ourselves in a close relationship with a client is prohibited.
With this evidence, it is reasonable to infer that DID individuals will respond negatively, if at all, to treatments that do not directly address their complex symptoms. (Brand p. 170) The process of addressing and directly confronting the symptoms involves at least two stages. In the first stage the clinical work focuses on making sure the client is safe and stabilizing their symptoms. This is especially important for symptoms involving dissociation, depression, suicidal and self-destructive behavior, and PTSD. Counselors often first teach their DID clients affect and impulse control skills as well as skills for communication and cooperation among dissociated self-states that take place in the second stage.