Jerry's Therapy Techniques

Monk’s treatment was to go to Dr. Charles Kroger for psychotherapy that would aid him to cope with his disorder. In the sessions, Mr. Monk talks about what he did during the day and the goals he accomplished. The treatment is not entirely effective, but it helps Mr. Monk relax and get all the stress out. In the long term, Mr. Monk cannot overcome his disorder because he cannot imagine that he can be cured. In addition, he is not a risk taker, meaning he could never do anything that would make him uncomfortable. Because of this, there is little hope that he will be able to completely overcome his disorder. This makes sense because his disorder is inherited, and not attributed to environmental causes.

One of the more puzzling aspects of therapy and one that escalates to crisis proportions is

What goes wrong, thus bringing a client into therapy? Rogers considers the problem to be lack of

When a client seeks treatment, they have a reason. Among those reasons are self-deprecating beliefs and maladaptive life views.

1. Client demonstrates excessive and sometimes unrealistic worry that has been occurring more days than not for past seven months. Client has been affected by physical issues due to anxiety; such as, nausea, diarrhea, lack of sleep and trouble falling asleep, excessive crying, discourse at home, and hypervigilance.

While using Dialectical Behavior Therapy, it has a couple special theories. The biosocial theory deals with whenever the client is most likely born with a predisposition toward emotional vulnerability. The theory itself deals with how issues from borderline personality develops. When the client lives in an unstable environment, the structure of the home living can affect their mental minds. The client's mind can cause them to become very destructive and affect their relationships with others and most likely diagnose them with personality disorder. (Dialectical Therapy) “DBT draws mindfulness techniques from Zen Buddhism in order to use here-and-now presence of mind to help people in therapy objectively and calmly assess situations” (Dialectical

Bannick’s report indicates that since the client being the expert they can find the solutions to their problems and since the client found the solution the solution will sustain.

Medical care in America is estimated to cost $2.7 trillion each year with roughly 30 percent of that cost attributed to ineffective or redundant care, approximately $800 billion (America's Health Insurance Plans, 2014; FOX, 2010). Within this section $44.6 billion is attributed to suicide treatment and medical cost (Center for Disease Control and Prevention, 2015). The CDD further estimates that with approximately 40,000 people dying of suicide annually suicide contributes to the 10th leading cause of death for Americans, narrowly being outstrode by kidney disease and influenza yet still achieving a higher overall medical cost than the ninth and eighth ranked causes of death (Keren, Zaoutis, Saddlemire, Luan, & Coffin, 2006;Webberley, 2015).

The new patient to the clinic is a 27-year-old Native American female who is a mother of two girls, ages 11 and 8 years old. The patient was referred from her primary care doctor after a routine checkup. The notes in the patients chart forward from the doctor stated that the patient is unable to sleep at night due to recurring nightmares. Which is causing the patient to be very irritable, difficultly concentrating, and having high levels of anxiety. The anxiety is causing the patient to be easily overwhelmed, always worried and feeling hopelessness. Also, the patient is noticing memory gaps which are making her have a lack of mental energy throughout the day.

I felt that Larry was having a lot of emotions today due to our termination getting closer. He spent the first half of the session describing his depressive symptoms and it felt like a regression in progress. He made provocative comments that required me to assess him for suicidal ideation. He clearly contracted for safety, listed protective factors, and it was not my impression that he was in need of a higher level of care or hospitalization. Something in our interaction had a personality disorder flavor. I thought traits from someone who has borderline personality disorder emerged but maybe it could be explained as a strong reaction to abandonment. He twisted a conversation that took place in our last session about facial implants and made me the villain. I think he did subconsciously as a way to facilitate the termination process.

In cognitive therapy, the counselor looks at an individual’s way of thinking as a cause for the individual’s emotional disturbances, rather than attributing guilt and depression as a cause of the emotional problems. Hence, Stan’s way of thinking is contributing to his current emotional disturbances and other problems in his life. Stan is critical of himself, stating that he feels like a nobody, that no one cares, and that he is boring. Being critical of himself is a way for Stan to control his behaviors and rely on guilt. Stan does not make clear decisions; instead, he relies on his automatic thoughts to function in his life. For example, thinking that he is unable to socialize without drinking, hence he thinks he needs to drink to be able

I would not conduct the child custody evaluation for him because this would be a dual role or multiple relationship. Since I have already been counseling this client, and already have a relationship and opinion (that he is a good person who loves his kids) with him, this may make it hard to remain objective if I were to conduct the child custody evaluation. Also, there are two sides to every story, thus even though the client seems nice and loving while in therapy, that may not be the case outside of therapy. Also, entering into a multiple relationship is against the American Psychological Association (APA) (2010) Ethical Principles. Ethical code 3.05 states that therapists should avoid multiple relationships because being in one can impair their competence, effectiveness, objectivity and can put the client at risk for harm or exploitation. The APA ethical principle of avoiding harm also applies to this scenario (APA, 2010). If I was to do the custody evaluation for my client, and find that he should not have custody, this would ruin our therapeutic alliance and greatly harm the client. Although some therapists may belief that they would be competent and objective enough to conduct the child custody evaluation for their current client, they should stay on the side of caution, not take the risk and refer the client to a different professional who is competent in these evaluations.

In doing this he tried to get the families to go somewhere in order to get them unstuck. During this part of the therapy the therapist and the family learned to express anxiety more openly during the session.

Federn (1961) states that individuals separate their internal experience from the external world through psychological boundaries. In addition, these boundaries allow an individual to maintain the distinction between oneself and others (Mahler, Pine, & Bergman, 1975). In the context of therapy boundaries between the therapist and client provide an environment that fosters safety and trust enabling exploration. This dynamic places mental health professionals in a position of power over the client (Simon, 1992). This power differential creates a responsibility for the therapist to create and maintain appropriate, professional boundaries. When speaking about departures from commonly accepted clinical practice it is necessary to distinguish between boundary crossing and boundary violations. Whereas boundary crossing may or may not benefit the client, boundary violations have the potential to seriously harm the client or the therapeutic process (Simon, 1992). It is important to note that either the client or the therapist has the ability to cross or violate boundaries. However, the duty to put the client’s therapeutic care and goals first lay with the clinician alone.