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Elements of client centered therapy
Elements of client centered therapy
Essay client centered therapy rogers
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Using a client-centered framework, a psychotherapist can conceptualize a client’s symptoms in a variety of different ways based on the symptoms that they present. For clients like Mary, the psychotherapist would first conceptualize her symptoms, and then treat these symptoms overtime in therapy sessions. As clients continue to attend these sessions, there is usually some type of improvement that is seen overtime. This improvement may also lead to a change in their attitude and behavior. Within these sessions as well, the therapist looks at factors outside of therapy that may indicate that the client has improved. If the client indeed shows improvement based off of these factors, there are final results that can be clearly witnessed. Mary is truly an amazing client to focus on in order to visualize how this process works from the eyes of a psychotherapist. A psychotherapist would certainly conceptualize Mary’s symptoms of depression as being a result of greater underlying problems. She states that the reason that the cause of her depression is due to the fact that she will never have a child. Because of this, a therapist would develop the thought that Mary is depressed because there is incongruence in her life. Incongruence occurs when there is a struggle between how the client is viewed by themselves and others (perceived self), and how they truly are as a person (actual self). Mary is faced with the struggle of being perceived as coming to terms with a life with no child, and having a long desire to have a child. A client-centered therapist would also believe that Mary is depressed because of the incongruence that she has between wanting to go to school to become a horticulturist, and having to settle as a secreta... ... middle of paper ... ... this type of therapy. This is because she possesses all of the traits of incongruence that the client-centered approach works on. This includes her want for a child, even though she cannot have one and settling as a secretary, despite wanting to become a horticulturist. With the help of a therapist, Mary would be able to come to terms with what is causing her depression, and this would eventually allow her to live her life by her own terms, rather than by those of the father that she is so dependant on. It is quite normal to have a struggle to continue talking or to be confused as to whether you are doing the therapy correct, especially when the client has not experienced a therapy session such as this. However, with time, clients such as Mary become a lot more comfortable just talking about themselves, which is actually very therapeutic within itself.
As a result, I am learning how to assist clients without labeling the client and developing a proper diagnosis. Assessing client problems should happen throughout the counseling process. In the beginning, counselors get background information on their clients to help the counselor develop a diagnosis in the Diagnostic and Statistical Manual of Mental Disorders. Correct diagnosis of clients is vital to receive reimbursement from insurance companies for counseling services. Assessments help the counselor determine an appropriate treatment for the client. Assessments can help clients realize their strengths and weaknesses (Whiston, 2017). Helping the client understand their strengths can assist the client in building confidence, reach the clients counseling goal, and implement healthy choices in the client’s
These techniques include showing concern for clients through active listening and empathy, showing respect for and confidence in clients, focusing on client’s strong points and positive traits, resources, replacing discouraging thoughts with encouraging ones, and helping clients to develop a sense of humor about life. (Watts & Pietrzak,2000,p 443) Another method, as mentioned earlier is building a strong rapport with the client. Therapists use a variety of techniques to facilitate change in the client’s behavior. Therapists help clients to choose alternative behaviors to the behaviors that are maladaptive. The next method is getting the client to change how he or she views a situation. This is done inside and outside of counseling. Through this technique a client comes to realize their abilities and strengths. Last but not least, therapists help clients draw on their resources and strengths when faced with a situation that seems troublesome. (Watts & Pietrzak,2000,p
Before going into why I think the narrator has postpartum depression, I would like to discuss what it is. Postpartum depression is, " a complex mix of physical, emotional and behavioral changes that occur in a mother after giving birth"("WebMD"). The causes of this illness can be hereditary and can be changes in most women's hormones. Most mothers who experience postpartum depression love their children but feel that they won't be good at mothering. (HealthyMinds.org). An example of this in the story is when the narrator is discussing what little she can do and says, "It is fortunate Mary is so good with the baby. Such a dear baby! And yet I cannot be with him, it makes me so nervous." (Gillman 105) We see from this quote that the narrator doubts her ability to take care of her baby.
Client was arrested on 11/30/2015. Client reported she was incarcerated at Riker’s Island. On 1/5/2016, Client walk in the Social Service Office to informed this worker that she re-entered the shelter on 1/5/2016. Client in the meeting had body odor. Client reported since 11am she being asking onsite RA for her personal belonging so that she can take a shower and changes her clothes. Client continues to report due to limited staff onsite she was told to wait until the RA return from lunch. . In the meeting client was dressed in slack black pants and sweat black hooded sweater. She appears to be calm, cooperative and forthcoming with information.
The client stated that she came to therapy because she has been feeling really lonely and feeling as though that she is not enough since the death of her father. After the death of her father, her mother did not pay her any attention; she understood that her mother was grieving, especially when her grandfather passed a year later. I stated that the frequent death that surrounded her mother, seem to have caused her mother to distance herself from her. She responded “yes, and it even gotten worse when my mom started to date and eventually marry my stepfather”. She mentioned that once her little sister was born, she became jealous and envious. I emphasized with her by stating that she must have felt as though her little sister was going to take the attention that she sought from her mother. After confirming that her mother paid more attention to her sister and stepfather, she mentioned that during this time she began to cut herself in places that no one would notice. The pain did not take the feeling away, but she wanted to know that if she could still feel pain after the thought of losing everything. However, the only person who paid her any attention during this time, was her grandmother. Her grandmother showed her the love that her mother nor “father figure” never showed her. I stated, “the love that your grandmother showed was not the love you were
Process of therapy: A distressed client comes to therapy for guidance from the therapist. There is an emphasis on focusing on the client as acceptance of the client to make the therapeutic relationship a strong one.
Case conceptualization explains the nature of a client’s problem and how they develop such problem ( Hersen, & Porzelius, p.3, 2002) In counseling, assessment is viewed as a systematic gathering of information to address a client’s presenting concerns effectively. The assessment practice provides diagnostic formulation and counseling plans, and aids to identify assets that could help the client cope better with concern that they are current. Assessment is present as a guide for treatment and support in the “evaluation process. Although many methods can be employed to promote a thorough assessment, no one method should be used by itself” (Erford, 2010, p.269-270). Eventually, it is the counselor's job to gain adequate information concerning the client and the client's presenting concerns to establish an effective treatment strategy. Using a combination of assessment techniques increases the likelihood of positive interventions and promotes successful treatment (Erford, 2010, p.271). A case conceptualization reflects how the professional counselor understands the nature of the presenting problems and includes a diagnostic formulation. Case conceptualization organizes assessment data into meaningful outline, applying research, and theory to make sense of client’s current problem.
As well as her thoughts about her father had a relationship with a woman at work a few years ago. Out of that relationship was born a little girl, and her thoughts about her coach that he is the only person who really understands what it has been like to be the “perfect child.” At the same time, her behavior towards her father and the team members which was aggressive and anger. All of these symptoms represent deeper needs of someone can understand her needs, to help her to understand her conflict as a teen age struggles with identity and self
... the client is saying may appear to the client as drawing conclusions, it is a way to understand the resistance a therapist may face from a client. It is normally important for the therapist to limit the amount of verbalized interpretation per session but in this case, I think Brianna would benefit from hearing a different point of view. Resistance can come in many forms, from arriving late to a session to missing sessions completely. Opposition is a way for the client to remain in control and avoid revisiting traumatic experiences that may have occurred during childhood.Because Brianna has not experienced any abuse and is a fanatic about being timely, it is unlikely she will deliberate challenge the sanctity of therapy. During the initial stage of the therapeutic process, it is crucial to investigate past experiences because the past can continue into the future.
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
...p their own solutions to problems. Clients may need some guidance, education, or direction depending on their abilities and how the therapy is going. It is then that I want to be able to help them feel more empowered and recognize that they can make changes with effort on their part.
My understanding of case management comes from an accumulation of lecture, readings, and a little bit of research. At first I thought case management meant to manage a case, which it kind of does, but it is a lot of background work that goes unnoticed from the workers part. One thing for sure I can say about case management is that is a very stressful and demanding job for the worker, therefore, you have to be a responsible worker, so that your client can hopefully get the services and resources he or she may need. As a case management worker your responsibilities are many, for example you are to educate, empower and enable your client to be self sufficient.
To explain, the client should not be inferior to the counselor; the environment should be two people discussing an issue and ways to make a difference. A therapist should occasionally share similar experiences; therefore, sessions should make clients feel comfortable. To add, the client should feel safe due to the positive atmosphere the therapist brings to the session. The goal is to finally give the client a chance to be heard, regularly people are muted and feel like they are insignificant to society. Similarly, to Person-centered therapy where communication with the client is unconditionally positive. The therapist needs to genuinely care about the client needs for them to fully express themselves successfully. Furthermore, clients should be encouraging to make their own choices which model how to identify and use power responsibly. Hence, this will help the client feel more confident in everyday life when making a meaningful
The Client, Asha Jones is 17 years old. She has just completed CAPE and is expected to be promoted to upper six where she will be able to complete the second part of CAPE. She is currently four months pregnant and is expected to give birth something in November. Asha lives with her mother, father and two siblings. Her parents are supporting her and are looking forward to her going back to school.
Clients are encouraged to face the facts about oneself, and learn that in order for others to accept them, they must learn to love and appreciate themselves. Gestalt therapy would help Joan realize that she needs to focus on the now and her current relationship with Hal, as her disapproving relationships in the past are not an important factor in the mending of her current relationship. Furthermore, Gestalt Therapy is a strong form of counseling in how it is personally tailored to each individual, making it applicable across cultures. However, this could cause difficulties in Joan. She seems to contribute much of her self worth as a human to the acceptance she receives from her relationships. It could be a strength, by teaching her how to become more self reliant and self accepting, but it could also be difficult to start with as she is so reliant on others opinions. It’s level of creativity can emphasize nonverbal behaviors, such as with the exaggeration exercise. By exaggerating movements or gestures, it intensifies the feelings the client associates with that gesture. Gestalt Therapy also has its limitations. It can be hard for clients that are not able to think abstractly to do some of the exercises of Gestalt. Such as empty chair or role playing. Therapists can also, if not careful, abuse their power. Some of the techniques used can be forceful and therapists that have not been