Dates and Types of Services: James is scheduled to attend weekly therapy appointments for 45-55 minutes in duration. Prior to the sessions, a review of his weekly behavior data will be conducted and pertinent issues will be addressed first, then skills training relevant to his healthy living plan, social skills, independent living, and prevention of sexually inappropriate behavior will follow. Therapy will consist of success oriented cognitive behavioral therapy. Other techniques that will be employed include (1) teaching strategies to increase satisfaction with his life, (2) teaching skills to increase motivation and decrease symptoms of depression (3) general skill rehearsal for emotion management (4) role modeling assertive and …show more content…
Fluency- the interruption in flow of speaking, characterized by atypical rate, rhythm, and repetitions in sounds, syllables, words and phrases.
Voice- the abnormal production and/or absences of vocal quality, pitch, loudness, resonance and/or duration.
Further, it appears that James has Sensory Integration challenges. A person with this condition has trouble receiving and responding to information that comes in through the senses. Some people with a Sensory Integration disorder are oversensitive to things in their environment. Common sounds may be painful or overwhelming and activate a fight or flight response. James symptoms appear to fit the criteria for this disorder, specifically experiencing pain and feelings of being overwhelmed. Historical data show that when James becomes overwhelmed or experiences discomfort, he reacts physically and becomes volatile. This can be shocking to those around him because it appears random and are baffled by the behaviors.
James’ prior therapist reported the following with regard to his challenges with speech and getting his needs met through communication, “This does not come easily to him and he is often hard to understand”.
James’ file and reports from his previous provider indicate that his interactions are generally pleasant and appropriate with housemates, staff, and with professionals that work with him. He is low maintenance and is able to
In health and social care effective communication a key skill all professionals should have when working with families, carers, children and young people. Having this skill helps to build trust it can also encourage the individual to use the services. Effective communication is essential when trying to establish and maintain relationships and it is a process that involves listening, questioning, responding and understanding. However there are many barriers that can effect how effective the communication is a few examples of these barriers could be: language, personality, visual or auditory impairment or a disability. In order to over come these barriers there have been many advances in the strategies that can help in situations where the
This assignment is a reflective account on communicating with a patient who cannot communicate verbally. To remain confidential I will call the patient, Patient A. I’m going to discuss the importance of non-verbal communication within a healthcare setting. Patient A was a 63 year old lady suffering from MND which resulted in her losing her speech.
A key factor to most of the maladaptive behavior performed by individuals is the inability to get a message across for their wants and needs through language. A few of my clients were non-speaking when I first met them. Their way of communicating was by whining or directing their caregiver to the item he or she needed. Consequently, many of the client’s goals were focused on increasing communicative language. I was fortunate enough to be able to attend speech therapy with one of my clients. Being present in these therapies, I was able to learn certain techniques to increase language, as well as techniques for phonetics, to be able to understand the existing language the client had. On days the client did not have speech therapy, I implemented the programs into the in-home therapies to increase the exposure, in hopes for better results. I also utilized the skills I learned on the other non-speaking clients I worked with but, modified their usage to adapt to the necessity of each
At six years old, James was diagnosed with ADHD and was prescribed a stimulant medication for a short few months. There was some concern from his teachers that he also should be assessed for a learning disability. James lived with his mother Karen, father Rick, and two younger sisters. Meanwhile, there was child abuse occurring in the household. The vicious cycle was repeating itself; Karen was abused by her parents, and she allowed the cycle to continue. Taking James’s case into consideration that he suffers from three core concepts, physical violation, living on the edge of not knowing what his father’s mood or action would be from minute to minute, constantly living in the state of fear or the unexpected.
Explain how own role and practice can impact on communication with an individual who has specific communication needs.
Looking deeper into James's personality my assumption would be that he is extroversion and Freud's theory of superego. Han Eysenck's view of personality traits is that they are inherited. He believes that there are two types of people we encounter extroversion and introversion. In reviewing Eysenck's information, there is two second-order factors extroversion and neuroticism. An extroversion viewed in terms of activity, sociability, risk-taking, impulsiveness, expressiveness, reflectiveness and
Description of duties consisted of providing therapeutic interventions to children, adolescents, and their families as it relates encouraging and facilitating positive developments within the client's functioning within their community, school and household environment. As the client is entered into the OPT/TSF program, the goal is for the client to remain in the community with less intensive services. Through the services, I observe the client's behaviors and become familiar with their referral provided by Delaware Division of Prevention and Behavioral Health. Once an assessment is completed, I develop a treatment plan which consist of long and short-term goals, objectives and interventions goals that would ensure the client's success within the OPT/TSF program.
One area in her life, Jan values and has also received personal growth is communication. The face to face connection is important to her as well as the words we use. During our interview, she shared a quote from F. S. Gerald. “The Slightest touch can wither or heal”. “Control of the tongue involves an intentional awareness and governance of words as well as tone of voice in all communication” (Calhoun. pp. 208). Jan is aware of the areas in her life that she continues to seek
Behavior: Reyna behavior has improved from the initial date of placement. Youth became very proud when achieving her goals. Reyna completed his goals of complying with rules of the home and school on a daily basis, express her frustrations in an appropriate manner and have bi-weekly visits with bio-family. Youth learned various ways to cope and express her feelings at individual therapy and SAFY clinicians.
In the book, The Treatment by Suzanne Young, the main character, James, changed over the course of the book due to stress of staying away from ´ The Program´. Before, James had so much stress of being of the run he had many good character traits. For example, the begging of the book shows he's caring, ¨James only smiles at her, smoothing her hair.¨ (Young 39) This piece of evidence shows he is caring because he choice to take care of Lacey when her nose started to bleed instead of leave her alone.
James’ prior therapist reported the following with regard to his challenges with speech and getting his needs met through communication, “This does not come easily to him and he is often hard to understand”.
Some symptoms include Jim’s lack of enthusiasm or interest in activities that previously brought him satisfaction, such as Jim’s excellence in school, as he eventually became uninterested in attending his college classes. Instead he would watch TV all day and not come out of his room. He believed he had “special powers” and that he could control the behavior of the characters on TV with his mind. As the book describes, this no longer was a feeling but Jim seriously concluded that he had underwent some type of transformation that gave him the ability to control peoples’ behaviors and feelings. This even caused him to stare at people in public to provoke such reactions. He also concluded that he was God like and contained a “life force” in his breathing, which only caused him to breath on people, because he had “heard” God’s angels tell him that he was now the Messiah. Jim also became paranoid that others were constantly talking about his powers and trying to take them, which caused him anxiety, and led to him leaving the house less and less. He also smoked marijuana in large quantities because “it reduces oxygen in the breath and that reduces its effect.” When his mother asked how he was, Jim could only mumble about angels and the life force, out of severe confusion. Jim hardly talked or socialized with anyone, and when he did, it was only with his family. He did not stick to his prescribed medication, and thus his hallucinations anxiety, and confusion only increased. These
Nathaniel struggles with expressing his needs and feeling with peers and adults. When Nathaniel experience difficulties communicating his
James Leeds is a speech pathologist who has worked in multiple top-rated schools. In his classes, he tries to encourage his students to speak instead of using sign language (Children of a Lesser God). He believes that to function successfully in a hearing society, deaf people must be able to speak. James is an excited, encouraging teacher to his pupils. He listens to music and other activities to make it easier for his students to speak (Children of a Lesser God). With other students in his school, he encourages them to speak even if it is profanities toward him. James is an active, positive teacher. He spends one on one time with his students and plays basketball and other games with them (Children of a Lesser God). Although James wants what he thinks is best for his students, Sarah Norman teaches him not everyone wants to speak aloud.
It is important when working with clients that consideration is given to the methods and approaches used with regards to specific client’s needs and personality as well as consideration regarding presenting issues. Here a case study of Jane is used to argue /evaluate and assess how both a psychodynamic counselor and cognitive behavioral therapist (CBT) would view the case study of Jane from their perspectives. Consideration will be given from both a psychodynamic approach and CBT approach of how a therapist might work with Jane. The main similarities and differences of both the psychodynamic and CBT approaches will be analyzed. This will lead into an evaluation of which is the most appropriate approach in working with Jane by