SLWK 604 What If I Need You

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Virginia Commonwealth University *

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604

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Psychology

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Dec 6, 2023

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In the video, “What If I Need You,” the process begins with a crucial goal assessment, where specific objectives are established, acting as benchmarks for the potential termination of counseling sessions. Subsequently, a meticulous progress review takes place, with a focus on Daniel's advancements in critical life areas, such as school, physical health, and family dynamics. This ongoing evaluation serves as a vital gauge for the effectiveness of counseling interventions. The importance of client feedback is emphasized as Ashley seeks Daniel's sentiments on concluding the counseling sessions, engaging in a collaborative decision-making process. An inventory scale related to goal attainment becomes a structured tool for objective assessment, aiding in determining the next steps in the counseling journey. Acknowledging the potential anxiety associated with termination, Ashley discusses results with Daniel, concluding that a lower level of care may be suitable. The process includes the development of a safety plan, ensuring ongoing well-being even post-termination. Daniel engages in reflective client reflection, providing insights into his progress and personal struggles, contributing to a deeper understanding for both counselor and client. Ashley, in turn, engages in therapist reflection, expressing appreciation for Daniel's trust, honesty, and the impact on her professional growth. The commitment to continued support is evident as Ashley ensures that Daniel has information for accessing further assistance if needed post-termination. In essence, the video serves as a model for a considerate, collaborative, and comprehensive evaluation and termination process, underscoring the significance of goal setting, ongoing assessment, client engagement, and post-termination support. The success of the counseling session can be attributed to several key factors. A goal-oriented approach provided a clear framework for tracking progress and discussing potential session termination upon goal achievement. Ashley's creation of an open and supportive environment encouraged Daniel to share personal experiences, including a challenging situation at home. The holistic well-being assessment demonstrated a comprehensive understanding of Daniel's progress in various life areas. Collaborative decision-making, evidenced by completing an inventory scale related to goal attainment, engaged Daniel in determining the next steps. Ashley's sensitivity to Daniel's emotions, particularly regarding termination anxiety, and her commitment to ongoing well-being through safety planning and insight building further contributed to the session's success (Lee et al., 2021). The therapist's reflection and expression of gratitude at the conclusion validated the positive aspects of the counseling relationship and highlighted the collaborative efforts invested in Daniel's transformation. Overall, the counseling session in the video appears to be largely effective, with Ashley demonstrating sensitivity and skill in addressing various aspects of Daniel's situation. However, there are a couple of considerations for improvement. Firstly, the video doesn't explicitly detail how Ashley responded to Daniel's disclosure of suicidal thoughts. Given the seriousness of this revelation, it's crucial to ensure a thorough exploration, risk assessment, and discussion of safety measures. The video also touches on the development of a safety plan involving natural supports, but specifics about the strategies identified are not provided. A more detailed

explanation of the safety plan would enhance the transparency of the therapeutic process. Additionally, while the video mentions Ashley's acknowledgment of professional boundaries, it does not delve into the potential challenges or ethical considerations associated with maintaining boundaries when a client expresses a desire to stay in touch post-termination. A more explicit discussion on this topic would contribute to a more comprehensive representation of the therapeutic encounter. In addition to the methods depicted in the video, alternative ways for the practitioner and Daniel to evaluate his progress could involve incorporating standardized outcome measures, behavioral observations, and therapeutic assessments to assess mental health and functioning quantitatively and qualitatively. Utilizing client self-reports through journals or diaries and seeking collateral information from relevant sources such as teachers or family members could provide a more comprehensive perspective. Implementing goal attainment scaling and engaging in therapeutic homework assignments might offer structured ways to evaluate specific goals and skill application. Encouraging post-session reflections and feedback from Daniel can enhance his active involvement in assessing the therapeutic process and its impact on his growth. These diverse approaches collectively contribute to a more thorough and nuanced evaluation of progress across various dimensions of his life (Bolger et al., 2003). Navigating a client's efforts to avoid termination or maintain personal contact post-termination demands a sensitive and compassionate approach. To initiate this process, I would start by recognizing the client's emotions and displaying an understanding of the attachment established during therapy. Delving into the fears and uncertainties the client may harbor about termination, I would acknowledge these concerns while simultaneously reinforcing the progress and growth the client has accomplished. This involves highlighting their ability to independently confront challenges. Subsequently, engaging in discussions about coping strategies for the post- termination period and providing information on additional resources or support networks becomes essential. I would ensure there is a clear and agreed-upon ending in the last sessions, focusing on the positive aspects of the therapeutic journey. Stress the importance of keeping professional and healthy boundaries, highlighting the ethical rules about post-termination contact. Stick strictly to these ethical guidelines. Encourage the client to think about why the therapy is ending as a positive step toward more independence and self-reliance and wrap up the therapeutic relationship with a planned ending. If needed, seek advice or supervision to navigate complex situations with a careful and professional approach. References:

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