Week one: Assessment session. Discuss concerns and expected / desired outcome.
Discuss comment about his previous counselling experience and negative thinking about the outcome as clarification is important from the outset here. Explain that counselling is about helping the person to identify and address their own concerns and not about â€oefixing― things for them. Identify with the client that there are two issues here re: panic attacks and feeling jealous when his wife socialises. Both linked to poor self-esteem but consider possible different approaches.
Give and discuss the self-help worksheet re: why when and how etc. Explain that this is an initial fact finding exercise to help client and therapist identify areas to be addressed so
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Discuss the outcome from the worksheet and look at goal setting. Use clarification, confronting, and focusing to tease out what the main issues are and how best to move forward. Discuss validity and concreteness to ensure that both client and therapist are clear about future support / expected outcomes. Explain briefly different models which could be useful. Suggest a model which would use a cognitive approach and explain why this may be appropriate.
Hopefully the client will have identified from the homework sheet that low self-esteem caused by past experiences, as the likely cause of the lack of confidence causing the panic attacks.
Week three: (two weeks) revisit week two to ensure that the goals which have been set are still appropriate. Explore with the client, how the goals will be reached in terms of the various resources available, to identify which will be the best / most appropriate. Emphasis that goals are not set in stone and can be changes or altered as time goes by.
Discuss the resources in more detail to see which the client prefers with support and guidance from the therapist.
Homework sheet: Feeling more confident by feeling more positive. This is appropriate as it will
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Although a change of direction, it might be necessary to remove any demons from the past.
Week 4: (two weeks) Discuss the outcome from the homework sheet. How does the client feel about using positive thinking techniques? Has it helped him to see the benefits? Can he see how this can be applied at work prior to and during a presentation? Revisit clarity to ensure that the client can see the direction ahead and feels positive and optimistic about the future.
Explore the possibility of doing a role play presentation in front of friends or close colleagues to see the progress he has made and the positive outcomes from the sessions. Encourage him to disclose to his colleagues how he has felt about doing presentations in the past as he may well discover that it is common to feel nervous. Look at using self-hypnosis and NLP as tools to reinforce ongoing positive thinking and relaxation. Request a homework diary to record the outcomes / feelings from the role play to be discussed at the next session.
Session five: (two weeks) Discuss the outcome from the homework diary to explore thoughts feelings and celebrate successes or to revisit goals and techniques if changes are
Formulation of Problem/Needs: The client 's presenting problems are caused by her mother’s emotional verbal abuse. In spite of all, her emotional problems Ana maintains a positive outlook towards her future. Ana demonstrates self-determination as she clearly expresses her current issues. She struggles with overeating because she feels unloved and worthless. Ana is seeking services to overcome the resentment she feels towards her mother. She is requesting help to manage her coping skills and reduce her feelings of depression. According to Ana these feelings started at a young age. Ana’s current challenges are learning to cope with her mother’s verbal abuse. Anna will arrange monthly meetings with her social worker to talk about what methods she’s used to coping with her depression. Ana agrees that she needs to find positive away to communicate with her mother. Ana also stays that she wants to learn to be selfish and break free from the traditional stereotypical life of East LA. Ana would like to begin addressing the following
The first issue that I am going to discuss is the MFT Scope of Practice and Licensing Requirements. This issue is about what the law says you do as a Marriage and Family Therapist (MFT). The problem in the scope of practice in this case is the dual relationship between therapist and the client. In this case, Daniel
Although, this session ended with amazing results, I feel as though I need more practice with this type of therapy. I have to continue to practice on allowing the patient to come up with their own solutions. I found it hard not giving advice to my client, because I already knew the situation. However, in the end I found myself very proud, because even though this was not a real therapy session, but the client was able to find a real solution to her problem. This experience is one that teaches the therapist restraint, it allows one to step back and listen. It also gives the client the opportunity to reach a solution themselves without someone giving them the answer to their
In recent decades, violent crimes in the United States of America have been on a steady decline, however, the number of people in the United States under some form of correctional control is reaching towering heights and reaching record proportions. In the last thirty years, the incarceration rates in the United States has skyrocketed; the numbers roughly quadrupled from around five hundred thousand to more than 2 million people. (NAACP)In a speech on criminal justice at Columbia University, Hillary Clinton notes that, “It’s a stark fact that the United States has less than five percent of the world’s population, yet we have almost 25 percent of the world’s total prison population. The numbers today are much higher than they were 30, 40
As this book points out, and what I found interesting, the therapeutic relationship between therapist and client, can be even more important than how the therapy sessions are conducted. A therapists needs to be congruent. This is important because a client needs a sense of stability. To know what is expected from him or her while being in this transitional period of change. In some cases this congruency may be the only stability in his life, and without it, there is no way of him trusting in his t...
Then start to develop goals by finding out what they think is helping and what is not and are they willing to invest the time and effort by using the scaling exercise. The social worker with asks strengths-reinforcing coping questions how, what, and has. The Client is encouraged to define their goals from the start where the social worker may present and alternate perspective are to ask the miracle question. Answers to this question can provide indicators of change to be used. “All task are interventions are intended to encourage the client to think and behave differently with regard to the presenting problem than has been typical in the past (Walsh, 2013).” The formal first-session is the assignment of observing the good the client would like to continue in their life and maybe get the client thinking about exceptions. Second the surprise task surprising another person connected with the problem in a good way “shake up” in the clients’ routine and influence positive behavior. The ending is worked on from the start of intervention, where progress is monitored at each session that might be the last. Where the focus is on helping clients identify strategies to maintain and continue the momentum of enacting solutions.
As discussed, this project and its requirements highlight areas where future work/improvements can be made to increase the project and the outcome. The timeframe put on this project is something which can be changed to deliver a full implementation rather than “vanilla functionality” which would later need to be modified. Another factor to consider delivering a full implementation would be the capital investment which is used for this project as this needs to be topped
The client even indicated the ease in which she openly revealed her life experiences. I believe this may partly be because of where the client is in her willingness to change, as well a sense of comfort with myself during the assessment. I engaged in active listening skills by maintaining eye contact, nodding in acknowledgment, rephrasing, and clarifying statements when needed, which included also motivational interview skills. Further, growth would be additional skills in development of the therapeutic relationship the client indicated desire to seek individual counseling but did not make an appointment. This may be due to other available options, still presenting in the preparation stage, or further need for rapport building with
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...
This essay evaluates the counselling skills used during a 30 minute integrative counselling session with a male client aiming to combine strengths of person-centred theory, attachment theory and cognitive-behavioural therapy. It starts by offering a case formulation based on Padesky and Greenberger (1995), as well as Lazarus’ (1973) multimodal assessment template the BASIC ID (cited in Prochaska and Norcross, 2003, p.496), of a married young male client called Eric, who is suffering from anxiety and marital relationship problems triggered by unemployment and influenced by existing difficulties within the client's relationship to his mother.
I find that Roger's theory to be interesting and seemingly affective. It makes sense that a change in a clients negative relationship patterns would allow freedom for the client to express themselves emotionally. According to Strupp (1971), “The client, therefore, is not a patient who is sick and who is in need o... ... middle of paper ... ...
Chapters two, five and six focused mainly on the helping relationship and the core values, empathy, and probing and summarizing as helpful skills. These three chapters seemed to flow into each other nicely.
This assignment was conducted with myself as the counsellor and Olivia, a fellow classmate, as the client. A fifteen minute counselling session occurred and was recorded, in order for students to be able to critically analyze their counselling skills. Olivia felt the need to talk with a counsellor due to the pressure she is experiencing trying to fit all of her commitments into her weekly schedule. Olivia is currently struggling with splitting her time between her family, friends, school, and new fitness goals. Throughout this counselling session various techniques were used in the beginning stage, action stage and ending stage of the counselling session. These techniques were used throughout these stages of counselling to gain information
In this part of the assignment, I will be reviewing the strengths and weaknesses that were shown when I was using counselling skills on my client. I believe that there were more strengths when I was showing counselling skills compared to the weaknesses that there were.
The counseling session began with the introductions where I introduced myself as the counselor and later introduced my client. This stage is important in any counseling session since it is the time of exploration and focusing according to Gerard Egan as quoted by Wright (1998) in his essay on couselling skills. It is in this session that I was able to establish rapport and trust with my client in order to come up with a working and fruitful relationship with him. During this stage I made use of skills like questioning, where I would pose a question directly to my client, sometimes I would choose to just listen to what the client wanted to speak out while in some instances I would be forced to paraphrase the question if I felt the client did not understand the question I had asked previously. There were also other times when I would reflect through silence. During such a period, I got time to study the client and the information he had given. This being a difficult area, since some clients may not be able to volunteer information to you as the counselor, I decided to assure the client of confidentiality of any information he was willing to share with me with a few exceptions which I also told him about. Being open to him about the only times the information may not be confidential was part of my building rapport and establishing trust with him. I therefore, decided to ask the client what information he wanted to share with me and lucky enough he was ready to speak to me about different issues that he was going through.