Conjoint Reflection

AT might unconsciously view therapy as another "comforting mother", who is providing care, support, and comfort, and might unconsciously want to have the therapist replace and fill the empty space after losing her

Emotion focused therapy (EFT) uses multiple techniques to illicit emotional reconstruction. “By bringing awareness, regulation, reflection and transformation” (Seligman & Reichenberg, 2014, p. 160) to the forefront, the client, has the ability to focus on those emotions and recognize the maladaptive strategies used to alleviate these responses. Within EFT validation is key in promoting congruence, positive regard and empathy. “Validation is the processes of letting the [client] know that the therapist views their needs and reactions as understandable, valid, and normal” (Denton, Johnson, & Burleson, 2009). By allowing the client to lead the session and reflecting the client’s emotions back to her you reinforced to the client that it was safe

P: Facilitator and PP met with the client and mother to identify situations and triggers that contribute to the client’s behaviors.

During this initial session, the client stated she is seeking counseling to "help find herself" due to some concerns she is dealing with in her personal life. When asked "to describe what does finding herself mean" the client was unable to answer. The client struggled to provide her view or a meaning to certain issues she identified as concerns. The counselor then assesses the client's family and her interactions with her family to find a correlation in her family interaction and what changes she wants to make in her personal life. Initial impression from the counselor is the client is aware of herself and her family and what she views as a positive and negative interaction which has or could impact the way she views things now. The client

Therapist stated that the communication between Kelly and her mother is very limited. She reported

My first assumption of family therapy was to involve the parents and the individual that had the problem. This book explored further what it

The objective of therapeutic communication in family nursing is to provide the family with guidance and support. Effective communication between the nurse and family is vital because it will help the nurse to develop trust from the family, as this is one of the most important and influential factors (Wright, & Leahey, 2013). Therefore, nurses should be aware that the family and/or patient must feel respected and confident

I encouraged the mother to bring in her two daughters and partner to do family therapy. After a few visits, client brought in her 16 year old daughter and 18 year old daughter. The 18 year old did not want to be in therapy because of conflicts she had with her mother and partner. The 18 year old preferred to have individual counseling first. I then recommended her to another therapist at the clinic. The 18 year old only stayed in the session for 20 minutes. However, the 16 year old remained in the session and was relieved she was able to finally talk.

She is very concerned about the confidentiality of your sessions and her mother talking to you. I will allow her to explain her reasons for this. After this communication I will leave this up to you and her as that is what she has requested, however if there is anything that I can do to help her or I need to change that I am doing please let me know and I will do

Counselor contacted mother to cancel session scheduled for 09/08/17. Mother discussed her safety plan for the upcoming hurricane with counselor and updated counselor on TC's well-being. Mother also talked with counselor about her financial problems and the worries she has regarding her finances. Session date and time TBA.

Discussion of treatment goals occurred with the family and themes emerged around interactions and effective communication. The first goal: The client and family will learn how to identifying stressors and learn emotion regulation. The second goal: the family will learn effective communication skills and interactions to develop a secure attachment. The third goal: build caregiver self esteem and confidence, not only improve self-image, but to model behaviors for her daughters.

Mr. Chronis stated that the clinician has not given any direction to the parents to address the child’s refusal to see her mother. The father reported that he does not think that Dr. Hardwick is the right person for Thekli. He feels that the child is getting to know the therapist but she needs someone who will assist her around the defiance. The father reported that he worries about the child because she does not show

The clients presenting issue was forgiveness. She expressed her inability to forgive others and how it is affecting her life. The client begins by reminiscing on her past. Telling stories of how her mother, sister, and niece would call her names such as ‘fat ass’ while she was an adolescent. This has led her to hate her sister and feel negatively towards her mother. The client goes into detail about her current relationship with her mother, as well as expressing her hopes to have a stronger relationship with her. She feels as if her mother does not and will not validate her feelings and wishes her family would acknowledge that they wronged her in the past. In addition to her mother, the client states she also has issues forgiving her friends,

The therapist was also able to show the client how important is the use of “I”, while she was describing her feelings. This is because the use of “I” demonstrates that the client was experiencing/ owing those feelings at the moment rather than saying “it makes me anxious”. Another positive action that the therapist did was to use the two chair technique as a way to explore how the client would have speak to her mother and how she could have express her feelings towards her mother. The client mentioned that she usually does not defend herself when her mother says hurtful comments towards her such telling the client that she was an accident. The therapist allowed the client to discover how she could defend herself by talking back to her mother throughout the the real role

This case study is about a couple, Mike and Sally that have recently lost their 6-year-old son to cancer. They have decided to get counseling because Mike is unsure how to help Sally, she is having a difficult time coping with this loss, she cannot register how a child can die before a parent. Mike is handling this loss differently, he feels like this is the life cycle, and doesn’t quite know what to do to help Sally. When speaking to this couple I would start with the ABC Model of Crisis Intervention which will help Sally and Mike get comfortable with speaking to me. “The ABC Model of Crisis Intervention is a method of conducting very brief mental-health interviews with clients whose functioning level has decreased following a psychosocial stressor” (Kanel,2015). There are three stages in the ABC Model of Crisis Intervention. Stage one in the ABC Model of Crisis Intervention is to develop and maintain rapport between the counselor and client. This means that the counselor does what they can to help the client feel at ease, some ways to do this are making eye contact, showing warmth, compassion and empathy to allow the client to feel that they are safe and can talk to the professional openly. When the clients feel more comfortable it makes it a safe place for them to talk about the issues they may be having at home. Establishing a good relationship with the client must consist of being supportive and not being judgmental. Once this goal is achieved we will be able to move