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Reflection on a mental health assessment
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If Justin was my client, my first question would be addressing Justin more about is family history, the substance abuse history within his family, mental disorders that run in his family, and his past medication history. After confronting Justin about his medication history, I will ask him about his thoughts on his past medications and his present thoughts on medication he prefers to take. The counseling script would look like:
In June 2014, Justin Bourque was charged with three counts of first-degree murder and two counts of attempted murder after shooting three RCMP officers and wounding two others in Moncton, New Brunswick (Chronicle Herald 2014). He was subsequently convicted and sentenced to life in prison with no chance of parole for seventy-five years (Chronicle Herald 2014). Bourque’s sentencing is unprecedented and is the longest sentence in Canadian history (Chronicle Herald 2014). A Canadian judge has not given a harsh a punishment since the final executions in 1962 (Chronicle Herald 2014).
In the case of the Trent and Joe, the interim social worker, responded properly and utilized the four phases of the problem-solving process which includes, the engagement phase, assessment phase, intervention phase, and evaluation phase. As a new interim social worker Joe is trying to acquaint herself with the teachers and learning the children’s name in the school. He was a little bit shocked when she saw how the teacher’s aide yelled at a little boy that was begging for his mother to come to his rescue. She did awesome job by properly engaging Trent. Joe makes good contact by meeting the client where he was and established rapport by briefly speaking and calming him down. But, relapsed when she said “By the time I count to five, you should
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
Create a communication plan for Mr. Smith and/or families for both prescriptive and non-prescriptive drug therapies. Describe what you would tell Mr. Smith and the child. Provide resources that Mr. Smith could access which would provide information concerning your
The counseling session should be centered on the client and their understanding of their world and/or problems not heavily weighted on the counselor interpretation of the client’s situation. The role of the counselor is to examine a problem needs changing and discover options in overcoming their problem. Bringing about change can help change the client’s narrative on their problem in the future and/or on life in the process.
Feedback would be implemented by using active and reflective listening, open ended questioning (Miller & Rollnick, 2012). By using the basic motivational interviewing techniques a counselor could elicit information about Ted’s problem areas and concerns. When Ted’s ambivalence has resolved and he has made a commitment to change the Responsibility aspect of the FRAMES technique could be implemented. Responsibility allows a client to see that counseling is a collaborative process but the client is responsible for their own change (Miller & Rollnick, 2012). As a counselor, this is where I would implement treatment planning. Advice would be apart of suggesting AA meetings and strategies for stress management. An integral part of advice giving and treatment options is to make sure that Ted has a variety of options to choose from (menu of options). Empathy is on going process and is one of the most important aspects of the counselor/client
Wilson uses several different charts that pertain to each topic she examines and how a counselor can implement these charts into the counseling sessions. She also use...
I would most likely begin by asking more simplistic questions inquiring about his history of depression, flashbacks, anxiety, difficulties sleeping, etc., along with asking him when he first sought a mental health professional and his previous experiences in therapy or at the psychiatric hospital. Although CBT is time-limited, I feel that it would be crucial to make time to focus on the recent loss of his best friend, and how his suicide affected, or still is affecting, him especially because Charlie is experiencing depressive symptoms with thoughts of suicide. I also think it is important to find out more about Charlie’s overall relationship with his family growing up. While discussing his family I would be curious to know if they, or anyone else, was aware of what his aunt was doing to him, and if they did know how long did they know and did they do anything about it. Furthermore, in this type of situation I feel that it is also significant to speak with his parents to gather more information regarding family history, as well as the onset and development of Charlies
The client is leading the conversation by stating what their biggest concerns are currently in their life. They verbalize the concerns and issues that need changed in their lives. The counselor is there to be empathic to the client and establish a relationship with them. This part of the interview is where the client decides if the counselor is right for them, if not, then the client moves on to another
Assuredly though, Kevin’s family is supportive of him, and this is a valuable basis for an on-going alliance. Furthermore, the learned problem-solving and communication strategies equip each individual to navigate through potential future conflicts, reducing the need for repeat-therapy. Lastly, though it is unknown whether Kevin is medicated for his depressive disorder, young people have an improved outcome with a combined treatment approach of pharmacotherapy and either CBT or systemic family therapy (A. Hall, personal communication, 17 April 2014; March, 2006; The Werry Centre, 2010; Nayar, 2012). All safety and appropriateness considered, this approach would improve Kevin’s mood and ability to engage in therapy and as a consequence, also improve his other social relationships (Nayar, 2012).
Regardless of what issues a client presents in session a counselor should first identify if the client’s issue will cause an issue for them. For example, if a counselor is in recovery from alcoholism and a client needs to address their own addiction issues this may be too close to home for the counselor to handle in an unbiased and professional way. Therefore a counselor should always ask themselves, ‘will this be an issue for me’ when presented with a client issue. Secondarily as counselor should identify if they are competent in their abilities to address the client’s issue. Is the topic something the counselor is comfortable with, educated on, or has experience with? It is unprofessional, unethical, and potentially harmful to the client to agree to address issues that one is not competent to address. If a counselor finds that they are competent and the client’s issue does not cause an issue for the them than the counselor can proceed to identifying new go...
The session starts by the therapist making introductions and gathering information as to problems, family structure, interests, and job responsibilities both within and outside of the family. These are all possible subjects to help open up discussion and ease the client into the therapy process (Rogers, 1946). Here, the therapist notes that the man is feeling out of his element, which he quickly admits to. The husband explains that he is used to dealing with issues himself, so that asking a third party for assistance is out of his comfort zone. The therapist seems to miss the man’s explanation for why he prefers to deal with issues on his own. After the therapi...
...stion like how did you feel when so and so did this or how did you feel trying to take your life did you regret the decision when you where attempting suicide. They would ask more question than I listed and maybe not those, but similar question which they would use to compile the callers suicide potential. After that they would ask about the callers family and friends which they would use to reassure the caller that they are not alone, helpless, or ineffectual and that they do have resources. Finally, they would want to establish a plan to continue counseling either at the center or by phone and want to set up a contract that the caller promises they won’t attempt suicide or to at least promise to reestablish contact if they consider suicide again (Comer, 2013, pp. 310).
The intervention model I’m choosing to best fit Laura and her relationships would be the interpersonal psychotherapy. The main focus of interpersonal therapy is based on the significance of interpersonal relationships in determining behavior and psychotherapy. Following in the footsteps of Freud, Jung, and Adler, Sullivan wanted to extend and further his understanding of mental illness and its effects on relationships. Since his venture he has now proclaimed the name “father of modern psychiatry”.
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.