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Substance related disorders example
Process of therapeutic relationship
Process of therapeutic relationship
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Being a potential counselor, I would have addressed the situation between the psychiatrist, counselor and client differently. Understanding that the client was not complying with the treatment goals to reduce her substance use, the helper could have initially explored the issues that were hindering her progress in treatment along with revealing her emotions about the struggles. After considering the reasons of the client’s challenges, the helper could have then started introducing the idea of a substance abuse program. In continuation, the exploration process would begin again to give the client an opportunity to process and reflect about the program idea. As it is always recommended to strengthen and sustain a therapeutic relationship with …show more content…
As a potential helper, it is my role to acknowledge and respect the client’s freedom to choose their own direction. By respecting this right, it allows the client the opportunity to make their own decisions without the constraints of others, including those of their counselor as well. Unfortunately the helper only took into consideration the suggestion of the psychiatrist and dismissed this right of the client’s when prearrangements were made for rehabilitation. Although participating in the agency's substance abuse program would have been the ideal step for the client, the client should have been part of the decision making for the next step of her treatment goal. Not only does autonomy give awareness of their choices taken, but it also sustains the condition of the therapeutic relationship as well. Since the client was upset and rejected the arrangement, clearly 6 months of hard efforts were damaged between the counselor and client. On the other hand, it would seem reasonable to violate the right of autonomy and confidentiality, if the client stated they were to hurt themselves or another person. In this case, it would be the responsibility of the counselor to engage to “duty to warn”. If this was the circumstance, therefore, the counselor would be practicing the ethical principle of
Chemical Dependency counselors have quite a few ethical dilemmas to deal with. Therapists that are in recovery may confront some even more complex dilemmas, opposed to those who are not. There is a high percentage of addiction counselors that are in recovery. In fact, 55% of 36,000 members of the National Association of Alcohol and Drug Addiction Counselors (NAADAC) are recovering alcoholics and 21% are recovering from some other chemical dependency. This brings up two sides to counselors in recovery. "There is something about the personal experience that assists counselors to being especially attentive to the needs of the recovering client." On the other hand, counselors bringing personal experience with them are likely to raise personal/professional boundary violations. Two specific dilemmas that recovering counselors may run into are dual relationships and self-disclosure.
...ives from the implementation of an empathic, hopeful continuous treatment relationship, which provides integrated treatment and coordination of care through the course of multiple treatment episodes” (Watkins, 2015). Whether, confronted with a substance use disorder, gambling or sex addiction the way in which a counselor work with the client in an open helpful manner is the key to motivating the client to change their behaviors. “A man convinced against his will, Is of the same opinion still” (Carnegie, 1981). The most piece of the helping relationship is that the client is the lead in their care, as they are the ones that will be making the decisions for their care. A counselor is essentially a trained skillful teacher that guides an individual toward their best recovery options and it is up to the individual to make the needed changes in their life and behaviors.
The field of clinical mental health is one of great reward, but also one of grave responsibility. It is the duty of the counselor to provide the client with a safe environment and an open mind, in order to foster a healthy therapeutic relationship. The majority of mental health counselors would never intentionally harm their clients; however; good intentions are not enough to ensure that wrong will not occur. The ethical expectations and boundaries are regulated by both laws and professional codes. When discussing ethics, one must realize there are two categories, mandatory and aspirational. (Corey, Corey & Callanan, 2007)
Client education is also a process by which clients are educated as to the course that alters health risks and behaviors associated with alcohol and other drug use and abuse primarily by abstinence but in some cases with medication to improve client health status. “Client education provides culturally relevant formal and informal education programs that raise awareness and support substance abuse prevention and the recovery process” TAP 21, competency 99 (www.samhsa.gov). Clients and family members are often unaware of the initial root cause (s) of the health impairment that led to or became the issue (s) (beyond presenting situation) of the impairment. Educating the client in a variety of forms is an essential part of the healing process and will aid in the overall wellness of the client. Some forms of client education are addressed in a class or group setting but can be significantly addressed in a one on one setting with a counselor however; the advantage of peer on peer feedback, or interaction is lost.
Values, Morals, and Beliefs are components that play a role in an individual’s self-identity. The establishment of these components shape human nature, behavior, and the development of an individual’s purpose. The basis of these fundamentals has contributed to my desire to become a counselor. This paper will discuss my views of human nature, factors of behavior changes, goals of therapy, the roles of a therapist, and the counseling approaches that I chose to incorporate in a practice.
Each situation discussed in this paper provides opportunities for a counselor to explore how a dual relationship would impact the therapeutic relationship with clients and the overall well being of clients. Each ethical dilemma should be handled individually and with the support of a counselor’s supervisor while also taking into account laws or guidelines set forth by employers as decisions are made. As a new counselor I look forward to this decision making process and the personal growth I will experience and the clients I will benefit as a result of my ethical actions.
A simple Google search on ways to assist or “make” substance abusers change brings up many articles and supported research. As our courseware material and articles outline it is not Best Practice for the counsellor to “make” the clients change, but for the counsellor to see clients as the major driving force behind their change or support a client driven approach.. There are a number of reasons why it is important counsellors need to be client driven and one reason is that it helps in the client adhering to their choice of treatment. Adherence or participation in treatment can be associated with improved positive outcomes, if a client does not adhere to a mode of treatment there will be no different outcomes and certainly no change. Within the framework of motivational interviewing sources of adherence are addressed and a competent counsellor can review, predict and understand the influences effecting adherence, whilst allowing the client to be in the driver’s seat.
, Will they be accepted for medicaid? Or will they that into that substance abuse facility they wanted. Also another personal challenge I have is control, not having control over your clients actions. It is not easy when you know you’ve done everything possible and your client still is not ready to change. Although both of these challenges are extremely difficult you can't prevent them.
Provided a professional counselor establish a self analysis and reread the code of ethics before violating the client or become unethical. The counselor is not trying to build an attraction relationship just be objective to advise the client in a healthy clinical based on the ethical codes. As with all client-counselor interest conflicts, you can get through this by remembering that you are in charge. You're the counselor, and you have the capability to deal with anything that comes your way. Provided it might take a little fumbling.
Today there are various beliefs that one attains throughout life. The most common one we think of are that of religious and political ideologies that we gain as we grow up. In addition to that we gain beliefs through life experience and even listening in on classes you take during school. As we make these beliefs, they help shape us who we are as individuals. Through our beliefs, we can make connections with individuals and even help us with our view of the world that we live in.
There are several core skills required when you are a therapist or counselor. Some of these skills are learned through education and different trainings that are available when trying to become a therapist. Other skills may have been learned throughout a person’s life. Positive Regard, Self-Awareness, Resilience, Mindfulness and Self Care are characteristics of a good counselor that I possess that will enhance me as a counselor.
The most challenging yet compelling leadership position I had held during my high school years is for sure the one of a counselor at the Camp, which focuses on Science, Technology, Engineering, and Math that are applied to kids by various activities throughout the day at a summer camp. Before I was given a chance to mentor the campers, I had to make sure to finish an online leadership training by a professional coaching and training organization, so then I could complete my hands on Internship experience. This training prepared me on my roles, responsibilities, but also gave a lot of helpful information and leadership tips. Ultimately, I aspired to learn how to be a positive, encouraging, inspiring, and successful leader to the kids at camp
Recurrently, I have encountered many people who question my reasons to become a mental health counselor. It is consequently of tremendous value for me to analyze the events in my life which directed me to the field of counseling. Previous evaluations of my motives suggest that I want to understand and help people who suffer from addiction. Other methods of insight have narrowed my purposes in line with social justice. Accordingly, I wish to assist those who are a part of the lesbian, gay, bisexual, transgender, and questioning (LGBTQ) community who suffer from addiction exasperated by confounding issues. Lastly, I want to be a guide to the LGBTQ community as individuals develop over their lifetime and to be a support for those in their retirement years.
It is quite remarkable to see the skills I have learnt put into action with individuals I encounter in my every day dealings. By implementing the basic counselling skills learnt, it has aided me in being a better person and also laid the foundations for my future career. Many skills were used in a variety of situations in the past quarter of a year, however, only a brief description of a few will be discussed below. It is simpler to learn a core skill from a textbook however it is more complex to apply that skill in practise; every individual is different and so are each of their issues. It is important as a student to familiarise ourselves with the key skills needed to become a successful skilled helper. In the beginning we are taught basic conditions or qualities such as empathy, respect, unconditional positive regard, active listening, probing, summarising and an overall ability to stay with each individual one communicates with (Egan, 2010). Below, each of those skills with be identified with word for word examples.
In this experience, I saw a client ask the counselor what they thought they should do in a situation where both choices were not desirable. The counselor did not give their opinion and it seemed like the client left more frustrated and confused than when he had come in. I empathized with him and frankly was a bit annoyed with the counselor for not giving him advice or her opinion. After the session, the counselor had mentioned that it was necessary for the client to make the decision by himself. Although I could appreciate this, I was not completely satisfied with this