In this paper I will be developing an assessment and intervention plan for the African American male that is on probation and is required to attend therapy due to his anger and violent behavior. The male client attempts to having a temper which is causing arguments in his relationship with his girlfriend and now domestic violence. He states that he feels that he is always in the wrong place at the wrong time which causes conflicts and problems in his life.
As a therapist it is important to considers a client’s background and also ethical and legal guidelines when providing help to any client. According to the code of ethics there are a set of ethical standards that pertain to multicultural counseling. Section C.5 Nondiscrimination in the Code
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As a counselor one should have an appreciation for cultural diversity and eliminate judgmental thoughts. Suspending thoughts and judgments in the effort to hear a client’s feelings and understand their perspective of their world, is a form of empathy. The counseling environment needs to be a safe place for a client to share their most intimate concerns. Unconditional positive regard is an essential characteristic also. “Emotional warmth, appropriate reassurance, the communication of confidence and interest in the client (Seligman & Reichenberg, 2014). Congruence, the characteristic that provide clients with clear and honest communication is effective in …show more content…
CBT has been suggested as one approach to helping these couples work through the thoughts and emotions especially when dealing with violence. As a therapist I would consider this approach as a way to better understand the existing problem and ways to work through it. This particular approach attempts to change the behavior by identifying the causes of the behavior. The first step in the cognitive behavioral process would be to provide the male with an anger self-assessment, which consist of a variety of questions. This is a way to help him and the therapist identify and determine whether the client might have anger problems. The assessment contains approximately 25 true or false questions. A client is prone to having anger problems if they answer true to 10 or more of the questions. However, if the client answers true to 5 or less there are anger management techniques that can still be provided through
It is imperative for a therapist to be multiculturally sensitive. Our multicultural faucets can provide clarity and insight to both sides of the therapist and client (Kissil, Niño, & Davey, 2013). What a therapist can take from multicultural clients is a learning experience that they both can benefit from. Having said this, it is virtually impossible for a therapist to be an expert on every culture (Richeport-Haley, 1998). Richeport-Haley (1998), made an excellent point that, is a client’s culture or belief the focus or is it the situation that brought them into therapy?
The CBT-based interventions I wanted to concentrate on with Mr. Charlie were implementing goals, identifying his avoided situations, and his negative thoughts. In terms of the first intervention of identifying goals with Mr. Charlie, he and I were able to collaboratively identify the goals of not being afraid, limit the amount of assistance he is allowed and getting a job. By identifying these goals with Mr. Charlie, I then was able to help him prioritize the goals, which, “involves determining the most central issues that cause concern and arranging them from most important to least important” (Cully & Teten 2008 p. 32). The least pressing goal was not being afraid of being watched. Another goal was to limit
A wide range of studies have documented the detrimental effects extreme anger can have on individuals and on those with whom they interact. The aim of this study was to determine whether an anger management group (AMG) program for men would facilitate a decrease in anger in the participants. The AMG program was developed as an 11 week program consisting of ten intervention sessions followed by a single “booster” session based on Raymond Novaco’s Stress Inoculation Treatment for Anger Control (Novaco, 1977). The program consists of a structured cognitive therapy program that teaches participants about the causes, consequences and outcomes of anger, including behavioural, physiological and cognitive components. Eight males aged
Counselors that are culturally responsive tend to impact professional competence by demonstrating their awareness of their own culture, as well as, their client’s culture. However, it does not mean that the counselor has to be an expert on every client culture, but more so needs to have an understanding. A counselor that understands their client cultural background, thus the counselor can provide appropriate assessments and treatments. Berger, Zane, and Hwang (2014) indicate that the therapist has multicultural awareness tend to have a therapeutic treatment orientation that is associated with multicultural counseling. In this case, counselors that are aware of their client's cultural background can be flexible in implementing an intervention
Having the ability to show authentic concern for the client and their tribulations is paramount in building trust. Freeburg (2007) explains that being able to empathize and respond in a manner that is not judgmental, allows the counselor to make the client feel safe. The sense of safety allows the client to share into thought and feelings that may have previously been off-limits to the client. It is important when working with clients to keep one’s own opinions about a particular situation at bay, so that the client can come to their own conclusion. Too much empathy can lead to the counselor projecting their feelings and views on to the
Although, these CBM studies have reported successful modifications of attentional and interpretational bias, CBM interventions effect still small and in most cases non-significant. Maybe the results are not significant, because we are not using CBM training in the optimal fashion way. In addition to that, CBM depends on feedback processing, and aggressive individual may have problems with feedback processing. Therefore, it would be extremely interesting to use (neurological) marking that would show feedback processing and ideally some marker that could indicate feedback related learning.
CBT has been extensively tested since the first outcome study was published in 1977 (Rush, Beck, Kovacs & Hollon,1977 as cited in Beck, J.S. 2011, p.4). More than 500 outcome studies have demonstrated the efficacy of CBT for a wide range of psychiatric disorders, psychological problems and medical problems with psychological components (Butler, Chapman,Forman & Beck,2005 : Chambless & Ollendick,2001 as cited in Beck, J.S. 2011, p.4)
The counselor should respect the client’s boundaries. It is important the counselor only discusses what the client is willing to discuss. The counselor should listen to the client and should use skills such a reflecting, interpret, and clarify the client’s thoughts and feelings. The counselor may bring some things to the client’s attention that he or she may have not been aware of before. The client should commit to the counseling process. The client should make sure that he or she is honest and forthcoming. The client has to be committed to changing and be responsibilities for any decisions that are made (Seligman,
My recommended treatment plan for Bert is cognitive behavioral therapy. For the reason that personality disorders are hard to treat if not impossible it’s hard to pick a treatment other than medications such as SSRIs. I recommend CBT because systematic, controlled studies for treating people with either medication or psychotherapy yet exist for paranoid, schizoid, narcissistic, or histrionic disorders (Butcher, 2008). With cognitive behavioral therapy the first three things we will primarily attempt to change for Bert is his low agreeableness with others, focus on his high arrogance, low altruism and then his tough-mindedness. Cognitive behavioral therapy will also help him problem solve for cases in which he finds himself being impulsive.
admit they have a disorder, so they can work on recognizing certain trigger and learning to redirect their irrational thoughts. The CBT therapy uses family involvement for the social skills by teaching social cues, body language and verbal tones. The explanation for CET therapy is that if individual have a difficult time communicating it could be a trigger. Noted by Chien, Leung, Yeung, & Wong, (2013) weekly sessions involved patients in practicing structured social interactions, solving of real-life social dilemmas, appraisal of affect and social contexts, initiating and maintaining conversations, feedback from other patients, and coaches and homework assignments to implement skills in real-life situations. There are a multitude
Furthermore, therapists schedule their meetings with patients for an average of 12-16 sessions, where each session lasts for 50 minutes. During each session, patients are taught new skills to increase daily functioning and counter negativistic thinking. There are four important stages in CBT intervention: Assessment, Cognitive, Behaviour and Learning. Firstly, assessment stage includes skill-building sessions on behavioural activation to increase patient engagement. Patients are asked about their understanding of what is causing depression, whether any daily activities have been discontinued and why they were discontinued. Then, therapists advise patients about balancing their lives with necessary daily activities and help form a treatment
QP provided Raekwan with a CBT activity geared towards anger management. QP explained to Raekwan that the activity will help him learn how to recognize his anger signs. QP discussed with Raekwan techniques to handle his anger. QP asked Raekwan, how do he know when he is angry. QP asked Raekwan, to list some events, people and things that make him angry. QP asked Raekwan to explain how he react to anger situations. QP brainstormed with Raekwan some physical signs of anger. QP asked Raekwan to list some feelings he has when he is angry. QP reviewed with Raekwan anger management skills and techniques. QP assisted Raekwan in identify some of his anger triggers. QP examined with Raekwan some effective ways to deal with his anger. QP pointed out
As counselors, it is our professional responsibility to be aware of the biases we possess. In the context of diversity, and from the viewpoint of multicultural competence one must delve into the core of their individual value system. Upon acknowledgment, of one’s personal values, one embarks on a journey of self-discovery, a process which is essential. Through being cognizant of the lens through which one, views the world, can one recognize that each of our clients, despite their sociocultural, socioeconomic status, or ethnicity; they too observe the world through their lens. Therefore, it is the counselor's responsibility to recognize the differences that exist amid counselor and client, to assure the needs and values of the client are satisfied. In the end, an experienced counselor proceeds to broaden their cultural competency.
Group activities included learning cues to anger, identifying events that trigger anger, and practicing “DEAL” method to solve problems. Mr. Fredrick appeared to be at his baseline. He participated well at the group work. He pointed out that “my brother” would be his most trigger for anger as his brother continues to use substance without thinking the negative consequences. He received positive feedback and advices from his peers. He was encouraged to focus on his recovery.
I think the justification for this topic in particular is showing that CBT can be used for literally anyone, anywhere. I think the class as a whole has learned a lot about CBT being used so much with individuals with intellectual disabilities, and this presentation will shed light on that, but also show it used in a setting one might not have thought of, jail. I think a lot of people will find it of interest because it will be a topic that not many will know generally about, let alone having CBT accompanying it, therefore I anticipate it to be a insightful and knowledgeable presentation. The topic relates to CBT as the particular article focused on three intervention strategies and found CBT to be the most useful. Moving forward, this study