Goal: Learn how to effectively manage impulsive behavior at school within a 6 month period. Intervention: MHS began the session with a check in form the last session. MHS met with the client to address her impulsive behavior. The client’s mother was present and shared her concerns with the MHS about the client. The client’s mother informed the MSH that the client has been lying and being disrespectful at home. The client informed the MHS that she will stop lying. MHS and the client talked about telling the truth. MHS encouraged honesty with the client. MHS let the client know that they may be able to fool some people, but they can't fool themselves. MHS shared with the client that there is no pride in stealing, cheating, or lying. Observation/Participation:
I don’t know what to do. No matter what I am doing never satisfied her.” Client reported participating in self-help meeting regularly and will continue to do so. Verification of self-help meeting attendance was provided. No other problem was identified. Reviewed initial ISP dated on 03/19/2018, to identify new ideas about addiction and learn to practice coping skills, reported still working on completing the ISP. Reviewed ISP dated on 03/26/2018, to maintain sober and not to use drugs and alcohol. Reported that he has not started working on it yet. Both ISPs were extended for 04/25/2018. ISPs are continued to be monitored. No new ISP was developed at this time. Discussed relationship issues, and assisted client to understand the importance to have health boundaries with oneself and others. Discussed the reasons to complete ISP on time and to abstain from alcohol and drug with client. Discussed personal
The client does not have appear to have much insight into her condition on her own but has heard the opinions of her parents and agrees with them. She says she would like to try and receive help dealing with her disorder if her parents believe she needs help, however, Molly, herself, does not believe she needs help.
Intervention: MHS reintroduced herself to the client as him counselor. MHS facilitated a family session in the home. MHS explained her role, the purpose of the program, and allowed the client to speak freely about things he wants help with. MHS allowed the client discuss some of his behavioral issues. The client reports that he fights a lot with his siblings. The client shared why he fights with his sibling, the client said they take his things and they are not nice to him. The client and his sibling began to yell and blame each other for all the fighting in the home. MHS asked the mother to shared with the MHS some concerns she has with the client behavior.
I was among three therapists sent to New Hope Corps transitional home for quarterly face-to-face contact with client. Client has been at the transitional home for three months and all reports are that he is doing well. I met with transition home counselor at the home prior to meeting with client. The transitional home counselor reported that the client had made much progress in his therapy group this quarter. She had reported at previous meeting that client had not wanted to share any of his issues with the group and just sat there until the time was up in group and then left with no remarks. During this quarter, he has begun to open up about his feelings regarding his birth father and his anger toward him. He has talked about his drug use. The transition home counselor began meeting with him individually two months ago and that one-on-one counseling has given him the encouragement to share with the group. The transition home counselor warned me that client would want to discuss his desire to return home as soon as possible. I met with client alone to discuss his progress over the last quarter. He reported that he is feeling good about
The client reported his mood is a lot better. The client stated he has no thoughts of wanting to hurt self but he continues to have thoughts of hurting others. The client has no plan or intent. The client reported to the therapist that he had good news. The client stated that he has able to have dinner with his aunt and her daughter. The therapist allowed the client to discuss his dinner date with family, then the conversation was redirected back to the client current feelings of wanting to hurt others. The client reported sometimes he feels threaten by any race when they are staring at him for a long period of time. In the session the therapist used a Socratic questioning worksheet, the purpose of the worksheet to challenge irrational or
Intervention: MHP. Loshane, and MHS discuss being honesty and accepting responsibility. MHP and Loshane review ways he can demonstrate compliance. MHP praise Loshane for expressing his adjustments in the home and community in a positive manner. MHP, Loshane and MHS debrief an incident and process the details. MHP validated Loshane’s emotions about processing the details to the incident. MHP and MHS review alternative ways to provide healthy interventions.
Client arrived 30 minutes late. She was more talkative, but, she had a slurry speech. She didn’t wear her white gloves. She stated that she had a drink before heading to the therapy. The client is very anxious, since yesterday, her children’s school ISD warranted her next time, she has to go to the court, if this happened again. The client expressed that she wants to reduce her drinking, but, she is not able to be sober. After supporting her decision, and, her agreement to do B-MOD therapy, we started to work on it: Her goal behavior is to decrease her drinking from 5 glass of wine per night to 2 per night for the next month. We talked about: Antecedents: Stressful situations, staying home all the evening with her hubby. Consequences: Decreasing
Client was invited to introduce herself to the other members of the group, and she did so with genuine enthusiasm. She had just been released the day prior from BCP, after completing her mandatory 5-day sentence and adamantly declared that she will not be doing anything that would jeopardize her freedom again. Also, she explained how her mother, father, and daughter are supportive of her recovery, including that her mom would make her leave if she “slipped.” She was fast and thorough with the assignment in which she elaborated on her three top relapse signs which included working too much, thinking about the past, and avoiding talking about her problems in recovery for which she had solutions for: “slow myself down”, “call somebody to talk to” (in recovery), and talk to people at AA meetings respectively. Client was warned about over excursion and seemingly was open to the feedback
Impulsiveness is an action that occurs when there is not much thought put into an action and adolescent’s ae no exception to this rule (Siegel, 2013). An example of this would be when Sam was the school mascot after the original broke his arm, but after a disagreement, he decides that he does not want to do it and that is when his friend Neal decides impulsively to do it. This was a bad idea from the start and it did not go well. For Neal, it was fantastic, but for the cheerleading squad, they were embarrassed. For Neal, he was thinking of himself and not seeing the whole picture and what the risk could be. This is what Siegel calls Hypperrationality (2013).
The client meet with a substitute counselor for his 1x1 session to discuss how are things going and to assist the client if he had any question about hie recovery. the client has been in compliance with the program rules and regulations. the client has been participating in group process sharing his character defaults with other member of the group. The client has no trouble with being open about what he needs to work on as an individual and will asks for help if needed. The client at this time is working on learning how to have a healthy relationship with people in general. The client seems to understand the importance of communicating his needs and listening to the needs of others. The client counselor will meet with him next week to
ADHD is a disorder that can cause one to have a very short attention span. It also leads you to be a very hyperactive person, which can make one appear overjoyed and energetic about life. ADHD is found in young children and adults and varies from person to person. This disorder has many levels. For example, you could be in school working on an assignment and notice a friend playing with his/her pencil so you get their attention and tell them to do their work only to look back a few minutes later and see him/her digging in their bag unfocused. This doesn't represent anything bad ,it is a neurological disorder that cannot be controlled and the person has a hard time staying focused for long periods of times. People affected by this disorder
Th met with Cn in her home. Th husband and children was home and Cn chose to meet with Th in her living room. Th checked in with Cn and used open ended questions to engage Cn in sharing about her week and what she have been struggling with. Th used active listening and encouragement to process Cn experienced feelings. Th used collaborative
Intervention: CSP, MHS and Deonte discussed the recent display of impulsive behaviors in the classroom. CSP and MHS reviewed redirection used to encourage positive outcomes.
Ms. Key remains at The Lighthouse. She will continue to need direct supervision for impulsive behavior. She is a contact assist with ambulation. Her left leg and arm hand continue to need bracing. She is ambulating using a cane with staff using a cane belt due to balance issue. Her speaking voice remains weak and a whisper. Ms. Key is waiting for a bed opening in an adult home now that she is over 18 years old. She continues to go to school and work with therapies.
Invention: MHS met with the client at her home with her mother. MHS and the client discussed the client misbehavior at school and at home. MHS instructed the client to follow her mother directions without talking back. The client’s mother said the client has been talking back a lot and being very rude and disrespectful to adult in the home. MHS and the client discussed the client cleaning up after herself. MHS asked the mother tell the client what is expected of her around the house. MHS remembered the client to talk nice or do not say anything at all. MHS informed the client to that talking back will not be accepted. The client was instructed to be respectful