Clinical Example Nonmaleficence Principle

of the therapy, the client meets the therapist to describe specific problems and to set goals they

A clinical assessment is then conducted for treatment needs. Different treatment plans are made for each client. Individualized treatment plans are used to make referrals and they are updated periodically.”

Clients have the right to confidentiality. Counselors cannot share information about clients without shared consent. Counselors throughout treatment process must inform clients when confidentiality can be breached (Mears, G., 2010). If a counselors foresee that a client is a danger to himself or others confidentiality must be broken.

Constant assessment of the clients’ problems and cognitions is very important in evaluating if techniques are being effective. Often in the beginning there is an extensive interview process that can last several hours. This interview gives the therapist insight into the client’s past, what the current problems are, and client goals. The interview will allow the therapist to set up a structured plan for how the therapy will proceed.

The nature of therapist-client relationship and understanding the therapist’s role is vital in making sure that the client’s rights are not jeopardized. The client must be willing to trust the therapist. The therapist can earn the trust of the client will confidentiality guidelines that are established by requiring informed consent. The therapist-client relationship is based on counseling approach as well as relationship with the client. The therapist’s role is to understand the client’s needs, help them get their needs met mentally, and to develop the proper plan that fits the client’s needs. The therapist must fully

Allowing for our ethical codes of conduct, if the client is someone we feel we can proceed with, then as always, the first stage would be to develop a good rapport and gain the clients trust to develop an honest and open relationship with them. The client centred approach as always is the best method for this – to put the client at ease in a non-judgemental space where they can express their emotions and explore what it is they want to achieve with therapy. In giving the therapist an

The dynamics of the client-therapist relationship in cognitive therapy is a collaborative effort. Cognitive therapists elicit patient’s goals at the beginning of treatment. They explain their treatment plan and interventions to help patients understand how they will be able to reach their goals and feel better. At every session, they elicit and help patients solve problems that are of greatest distress. They do so through a structure that seeks to maximize efficiency, learning, and therapeutic change (Robert & Watkins, 2009). Important parts of each session include checking the client’s mood, a connection between sessions, setting an agenda, discussing specific problems and teaching skills in the context of solving these problems, setting of self-help assignments, summary, and feedback (Robert & Watkins, 2009). The status that CBT has with insurers and funding agencies is a result of concrete and measurable goals, goal-focused processes and clear outcomes-based evaluations/results. Therapy is typically conducted in an outpatient setting by trained therapist in cognitive behavioral techniques. Treatment is relatively short in comparison to some other forms of psychotherapy, usually lasting no longer than 16 weeks.

The foundation of therapy starts by building rapport with the client and applying strategies when necessary to overcome a variety of barriers. It is imperative to have rapport with a client and to be aware of barriers to facilitate a good treatment outcome. This will take practice and the use of methods and strategies ready to be implemented when needed. There are many components to building a good client rapport such as: intimacy, vulnerability, exploration of inner challenges, self-awareness, staying present; inner resiliency, empathy, anxiety management, and self-integration, and relationship acceptance. The two types of barriers are internal and external and this is for both the client and the therapist. The common barriers to rapport are countertransference and transference. Strategies for overcoming barriers are: Pause Moment and self-awareness. It also requires skills such as being genuine, sensitive, open, and

clients. I think this can be extremely detrimental to clients, specifically because the therapist has

While implementing the client's treatment plan, I would conduct individual, family, and group therapy sessions that provides various of interventions and strategies to which the client would be able to use when services

Sometimes those situations are very dangerous for the client, the therapist and unbiased observers. The counselor will then be left with a few ethical decisions to make as far as protecting those that are facing harm to themselves and others or possibly safeguarding the public (Corey, G., Corey, M., Corey, C. & Callanan, P., 2015). Although observation alone, is often difficult to see if a client is dangerous to himself or a potential safety issue to others. Because of that, there are assessment tools that are used that will help to assist the therapist to make that determination. The therapist will face some ethical challenges around confidentially and deciding on remaining confidential to the client or protecting the public (Corey et al., 2015).

“The goal of CBT is to teach clients how to separate the evaluation of their behaviour from the evaluation of themselves and how to accept themselves in spite of imperfections” (Corey, 2009, p. 279). In CBT the clients are expected to change their current behaviour (normally full of automatic thoughts) to a more rational way of thinking. The clinician will challenge the client’s behaviour in order for the client to understand his or her behaviour and get alternatives to change his/her behaviour. When using CBT, the client’s behaviour changes when they are aware of the abnormal behaviour. This approach allows the client to focus on improving his/her wellbeing. This enhances the client’s awareness of an existing issue and that changes are necessary. The client will develop new coping skills to deal with the situation and develop a new way of thinking from negative (automatic thoughts) to positive (more realistic thoughts). Initially the client may not recognise that a problem exists, but through this process will get

Therapy relationships with clients. The psychologist to patient relationship during therapy is a crucial aspect. It is within ethical guidelines that the psychologist clearly establish his role whether it be with an individual, group, or family therapist. These roles need to be understood for the variety of issues that may arise; one of which is the disclosure of information. Psychologists, for obvious reasons, are not to have sexual relationships with patients or former patients within a

Recognizing hazards in the workplace and setting clear boundaries initially and maintaining them throughout therapy will go a long ways in a therapist “keeping their sanity” intact. It is better to be proactive than reactive in this respect and dismiss the notion that “Boundary issues or countertransference issues won’t affect me.” “Those who understand the etiology and impact of these liabilities are most effective in minimizing their negative consequences, and thus more successfully “leave it at the office” at the end of a long workday” (Norcross & Guy, 2007, p. 36). I believe that all counselors will carry pieces of their clients with them at all times, but remaining aware of the risks and dangers associated with our specific occupation will allow counselors not to be affected as

As explained in this chapter, an essential part of the ethical practice is to discuss the rights that clients have before starting the session. This is beneficial for clients as they become autonomous of their decisions, and for counselors because they can avoid ethical complaints from their clients. Providing an informed consent document to clients is one of the most important ways of respecting their rights. This document clarifies the boundaries within the sessions, provides general information about the therapeutic process, the benefits and risks of receiving therapy, and informs the client about his/her right of confidentiality, including its limitations and exceptions. In the first meeting with the client, the counselor should provide informed consent either verbally, with a document, or in both ways (Corey, Corey, Corey, & Callanan, 2015).