Open ended questions can assist the therapist in assessing a client’s stage of change. In addition, it encourages the client to talk. William Glasser “Choice Theory” believed that by implementing a questioning process a therapist can gain knowledge of why a client is unhappy in their life, for example questions like: what the client wants, what they are doing to get what they want, evaluate what they are doing is working for them, how effective is it in achieving their needs, and finally, what else can they do (Glasser, W. 1998) A questioning process can help a therapist to define the clients behaviour with the use of a function analyse. A function analysis helps to identify the antecedents behaviours and consequences of misusing. In addition to this a therapist can complete a happiness scale, rating the degree of happiness using life domains like peer, drug use, school, parents etc). A therapist uses this process to guide conversations about a clients satisfaction with life and as a means to monitor progress (Diamond, G., Goodly, H.,Sampl, S.,Webb, Charles.,Timms, F.M., Meyers. R, 2002). …show more content…
According to Miller & Rollnick (2013 p. 260) “the more a client describes their desire, ability, reason, and the need for change, the more they are opening to consider how it might occur”. Albert Ellis’s famous ABC technique in cognitive behaviour Therapy along with the core skills of MI can be integrated to provide the client with ways to disentangle confused thoughts, dysfunctional feelings and behaviours (Ellis & Dryden, 1997). The instillation and maintenance of hope and empowerment is crucial in counselling clients with substance misuse. In addition the therapist reinforces the client's belief in their ability to carry out and succeed in achieving a specific plan and recognise the progress they make on their journey. (Miller & Rollnick,
This method is grounded in the strengths perspective, a perspective in which the worker center’s their sessions around the clients’ abilities, gifts, and strengths (Shulman, 2016). Instead of focusing on what is wrong with the client, the worker highlights what is right with the client building on their strengths instead of emphasizing their deficits: the client already has what they need to get better or solve their problem (Corcoran, 2008). The role of the worker in this model is to help the client recognize their potential, recognize what resources they already have, and discuss what is going well for the client and what they have been able to accomplish already (Shulman, 2016). Techniques commonly used in this model, although they are not exclusive to this model, include an emphasis on pre- and between-session change, exception questions, the miracle question, scaling questions, and coping questions (Shulman, 2016). These questions are used for many reasons: for example, the miracle question is used because “sometimes asking clients to envision a brighter future may help them be clearer on what they want or to see a path to problem-solving.” (Corcoran, 2008, p. 434) while coping questions are used to allow the client to see what they are already accomplishing, rather than what they are transgressing (Corcoran, 2008). All
The following protocol, TIP 48 Managing Depressive Symptoms in Substance Abuse Clients during Early Recovery, will be discussed in conjunct with class notes in order to discern ways to effectively work with clients with co-occurring disorders. Clinicians need to be able to assess accurately for mental health disorders, substance use, and readiness for change.
...dividual from moving on to the next cycle of change whether it’s a relapse or behavior change. The professional must understand that before any change can become truly established it will be with time, dedication and determination is required for success in positive outcomes to occur. One thing is understood that all models are incorporated into many concepts to fit the individual’s needs emotionally to promote stability in the addiction itself depending the facility that is utilizing the stages of change model.
...determination, action, and maintenance. Harm Reduction therapy implements strategies of therapy dependent upon the stage of change the client may be experiencing at the time. The therapist should always take a position of non-judgment as this will encourages the individual to proceed through the different stages of change at a pace that is comfortable and suitable for the client personally. Pre-contemplation has been described as the stage where an individual is still in the process of actively abusing recreational chemicals. The mission of the therapist during this stage is to help to educate the client of the different risks involved with their particular type of substance abuse issue. During contemplation, the client begins to show ambivalence towards their continued drug use, this is the therapists cue to initiate and buildup the client’s motivation for change.
The therapist must be aware of individual values and beliefs in order to develop an understanding of why the client responds to certain life-stressors. For e...
Therefore, when I work with substance abusers I will show empathy, encourage and validate their successes and their feelings about any failures. In addiction, I will help the person learn from their failures and normalize the situation. Furthermore, I would attempt to ensure that the person had several coping strategies in place, to help when he or she finds themselves in a difficult situation. Moreover, I intend to ensure the client has all the tools he or she needs to succeed while getting to the root of their problem through counseling.
The purpose of this paper is to summarize the main assumptions as well as techniques of Cognitive-Behavioral Therapy (CBT), Reality Therapy, and Solution Focused Therapy; and to compare, contrast, and state the strengths and limitations/weakness of each therapy. In addition, expand on why Solution Based Therapy and Cognitive-Behavioral Therapy may work best out of all three therapy methods, with adolescents who have substance abuse problems.
Motivational interviewing is based on a client centered approach to therapy that uses open-ended questions, affirmation, reflective listening and summaries to help the client recognize the pros and cons of change and their reasons for resisting change thereby eliminating their ambivalence about change. Once the client deals with their ambivalence the Miller and Rollick believe that the client will be able to make the necessary changes. In addition, motivational interviewing gets the client to argue for change not the counselor. Furthermore, the client not the counselor is responsible for their progress.
Motivational interviewing is an important technique and counseling style that was created by William Miller and Stephen Rollnick in the 1980’s. The brief definition of motivational interviewing (MI) that is provided by Miller and Rollnick in their influential text is “a collaborative conversation style for strengthening a person’s own motivation and commitment to change” (Miller & Rollnick, 2013). Motivational interviewing is considered to be a style that evolved from client-centered therapy. The style is considered to be empathic but requires the counselor to consciously directive so that they may help their client resolve the ambivalence they are experiencing and direct them towards change. The important thing to note is that client autonomy is key to the process (Hettema, Steele, & Miller, 2005). However, despite being able to currently give a definition of MI, one that could be considered a working definition, motivational interviewing is “a living, evolving method” (Miller & Rollnick, 2009). It will continue to evolve as times change and it is implemented in use with other maladaptive behaviors. MI is a relatively new style that it still has the ability to undergo changes to adapt to what purpose it is serving (Miller & Rollnick, 2009).
Furthermore, my goal is to let client fix their problems on their own through insight and guidance from the therapist. I envision a successful therapeutic process being when a client follows their goals and achieves positive outcomes in their lives. I seek to gain a therapeutic process with my clients by building rapport, trust, and helping them gain insight. When my clients are stuck and need motivation, I plan to remind them about their goals and the positive things that will come with change. If family is important to a client, informing the client about their family and their happiness may help motivate them to continue to
Critical Thinking Paper Jenna Aalbers Mr. Edwin Haycraft SSW: 3729 – Substance Use and Abuse June 12, 2024. Introduction: Cognitive Behavioral Therapy (CBT) stands as one of the most widely researched and practiced therapeutic modalities in the field of psychology. Its foundational principles, rooted in the understanding of how thoughts, emotions, and behaviors interconnect, have paved the way for effective interventions across various mental health conditions, including substance use disorders. In contrast to traditional psychotherapeutic approaches, which may dive deeper into past experiences and unconscious drives, CBT adopts a more solution-focused stance, emphasizing the present moment and appropriate strategies for change.
Addiction Care Interventions (ACI) Most individuals do not comprehend the cause of substance addiction. Others associate chemical dependency with the lack of moral principles for guiding one’s behaviors. In reality, substance addiction is a complex problem that requires effective treatment (Graham, Bernards, Osgood, & Wells, 2006, pg1570).
The provider is strictly there to ask questions in an almost investigative fashion to aid the client in their thoughts. The questions that are asked are important because they are supposed to help the client in identifying what steps that can take to remedy their problem. “White believed the dominant problem story, brought to therapy, blinded people to the preferred and alternative stories of their lives and relationships. It is through that particular way White asked questions and listened doubly that he was able to facilitate contexts in which the rich descriptions of alternative stories were made possible”(Gallant).
For many clients, the experience of counseling may be viewed as an advantageous relationship that has not only assisted them in modifying their cognition and behavior, to a more rational approach but has allowed them to encounter alternative solutions that can provide a new way of living. Unfortunately all good things must come to an end and when clients exemplify that their goals have been attained, the counseling relationship must be terminated. On the contrary, not all counseling relationships or sessions close on a good note, which may precipitate premature termination. Nevertheless, counselors must still implement closing tactics when terminating any session or relationship in therapy, despite their causes (Jacobs & Schimmel, 2012, pgs. 160-162). To further understand these strategies, I will elaborate on one uncommon reason a therapist might terminate a counseling relationship and describe specific steps of closing tactics that were displayed in Dr. Patton’s counseling video. In addition, I will also list five key points counselors should consider when terminating a counseling session and provide an analogy of one point that is being utilized in Dr. Buckley’s video (Laureate Education, 2010).
The participants were asked questions about their gender, sexual orientation, whether they were sexually abused, or neglected. There were also question that pertained to the participants mental state and whether they used drug occasionally or were addicted. Also, the types of drugs whether legal or illegal were