Group Therapy Dilemma Paper

Cognitive therapy is one of the few theories that have been extensively scientifically tested and found to be highly effective in over 300 clinical trials. It focuses on the immediate or automatic thoughts the client has and how these thoughts affect their feelings and behaviors. The goal of cognitive therapy is to identify these thoughts that are poorly affecting the client. Then teach the client how to identify these automatic thoughts and how they can effectively change them. Through the very structured sessions of cognitive therapy, a client should essentially learn the tools to be their own cognitive therapist for future problems they may encounter. The therapy session will not make them an expert but they will be better prepared to

Before a counselling session starts it is important that the client understands confidentiality. To be able to understand this the counsellor must explain to the client that anything they say within the

The Effects of Psychoeducational Group Therapy on Symptoms of PTSD, Anxiety and Depression Among Incarcerated Women

Remley and Herlihy (2016) defines confidentiality as an ethical concept which refers to the counselor 's obligation to respect the client 's privacy and in session discussion will be protected from disclosure without their consent (p.108). The receptionist never disclosed what was being discussed in wife A session; however, her inadvertent breach of confidentiality occurred the moment she divulged the fact that wife A is a patient at a mental health facility. An important premise to understanding the ethical principle of confidentiality is base that a counselor respects the client 's right to privacy (Remley & Herlihy, 2016; Quigley, 2007). Premise one states the "counselor honor the rights of clients to decide who knows what information about them and in what circumstances" (p.110).

The guidelines also assert to maintain boundaries, beware my own values, be prepared to lose a friendship, remain mindful of confidentiality, and to recognize when treatment should be terminated (Gottlieb, 1993). However, concerning the dual relationship at hand, these guidelines give me ideas to ponder on when dealing with a close acquaintance.

Discuss Confidentiality. The therapist must keep all the information confidential. violation of confidentiality is one of the most important legal responsibility in counseling and cods of ethics. The therapist is subject to the law suit and losing their license.

G’s back injury. This could provide the physician with an opportunity to possibly contact the patient and request for a reevaluation post physical therapy purely based upon my objective evaluation of the patient. This would not be violating Mr. G’s confidentiality, as I did not disclose any details of our conversation or dictate any subjective opinion of another injury. This is important as “the importance of the professional secret in health care is best seen by contemplating the consequences if patients lack faith in the confidentiality of their dealings with the health care system” (Baillie, Garrett, Garrett, McGeehan, Health Care Ethics: Principles and Problems, 2009, p.117). Also, a physician is not to break a professional secret by disclosing information that he or she has learned in confidence from the patient, unless the patient gives the physician permission for this information to be disclosed. Also, “unless explicitly forbidden by the patient, a health care professional has a right to consult other health care professionals in an effort to help the patient (Baillie, Garrett, Garrett, McGeehan, Health Care Ethics: Principles and Problems, 2009, p.118). We can see that in this case, the patient unfortunately forbid Gina in disclosing his secret, so I would take the initiative to record my

Confidentiality in a therapeutic relationship can be defined as any communication, diagnosis, or treatment between a patient and a mental health professional. Confidentiality and trust are critical components of a good therapeutic relationship therefore, it is imperative that mental health professionals thoroughly explain the meaning of confidentiality and disclosure clauses to their potential clients.

By encouraging adolescents to become more social in expressing their experiences, the members will naturally form a relationship. At times, trust can develop, which promotes a sense of belonging among the members and allow indirect identification with an understanding of each other’s situation. Clients with PTSD, especially in the early stage, experience anxiety, or recurrence of a dangerous event in which they lived through. Thus, partaking in a group treatment where others, not only the therapist, can understand there’s thoughts and emotions and then, rationalize together because they too have experienced a dangerous event and are now, also, seeking ways to deal with similar symptoms will enhance individuals’ mental progress. In other words,

Staff that are typically involved in the treatment process are a psychiatrist, a nurse, a dietician, and social worker if applicable. The coordination is provided when the client first enters the program. The patient is put on both the nurse and psychiatrist schedule for weekly follow ups. If the patient is in the eating disorder program, they also need to meet with the dietician.

I agree that therapists who are unwilling to keep a secret with one partner commonly operate on the premise that it is most imperative that he or she remain trustworthy and foster a strong therapeutic relationship with both partners (Goldenberg et al, 2017). Such therapist believes that a willingness to keep a secret with one partner undermines the ability of clients to be able to trust them. They also understand that collusion with one partner against the other by keeping a secret puts them in a precarious position and can ultimately undermine the therapeutic process. This process, known as triangulation, occurs when a third party (i.e. the therapist) is drawn in to form an alliance with one partner against the other (Long & Young,

This would be an important conversation to have with Kathy, especially given her history of suicidal ideation and other behaviors that may put others in harm’s way, including purchasing gasoline to start a fire. Informing Kathy of the limits to our confidentiality would ensure that she was aware that I could not keep everything she says in therapy private, if this means that she may harm herself, someone else, or is at risk for being harmed. Furthermore, I would want to ensure that I have given Kathy informed consent to participate in therapy as outlined in standard 10.01 A (APA, 2017). Given Kathy’s current depressed mood and general distress, I would want to make sure that she fully understands the nature and course of therapy and the financial aspects of therapy as well. Given her history of not fully reading documents, I am ethically obligated to ensure that she fully understands the relationship that she is entering. Additionally in accordance with 10.01 C, I would need to make sure Kathy was informed that I am a student and that my work is being supervised by a licensed

When counselors meet with clients each and everyone of them are granted confidentiality as part of their therapeutic process. Confidentiality is a trust between the counselor and client, any and all private information shared during a session is protected, therefore anything the client shares the counselor cannot share this information with anyone (Lasky & Riva, 2006). Unless a rapport is established in the first couple sessions between the client and counselor the client will remain reluctant to open up sharing personal information. Although, there are limitations to confidentiality in certain circumstances when the counselor suspects or is informed by the client their intent to potentially harming themselves or others. The American Counseling

Where I currently work at, we make every client sign a consent regarding confidentiality. We let the client know we are not able to share any kind of information with no one. We inform the client that every therapy session is confidential unless the client wants to commit suicide. Having a consent protects the client and the counselor as well.

The second ethical issue occurred when the psychologist disclosed information about Mr. Hartwig’s to his psychiatrist without Mr. Hartwig’s consent. The psychologist motivations for contacting Mr. Hartwig’s psychiatrist appears to be ethical. He was attempting to establish a collaborative relationship with the psychiatrist in order to maximize the effectiveness of each for of treatment in order to best serve the client (APA, 2002). However, The APA guidelines on stipulate that while psychologist should attempt to establish a collaborative relationship they must request release from the client before disclosing confidential information (APA, 2002). The client shared the name of his psychiatrist, but there was no evidence that the client consented to an exchange of information between the two professionals. In addition to the psychologists’ obligation to obtain consent to disclose information to the psychiatrist; he was also ethically obligated to ensure that the client understands what he/she is giving consent for. Koocher and Keith-Spiegel, suggest elements that a release-of-information form should include; who the information is to be released to, and any limitations on the information to be released (2008). If the client consented to disclosure with the