Motivational Interviewing Essay

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 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

Combined Motivational Interviewing and Cognitive-Behavioral Therapy with Older Adult Drug and Alcohol Abusers is an article written by Lyle Cooper concerning the abuse or misuse of illicit drugs, prescription medications, and alcohol in older populations. Due to lack of knowledge or resources, elderly individuals are falling victim to substance use problems and the numbers are projected to rise. Therefore, an assistance program called HeLP was created to provide evidence-based treatment to the specific cohort of 50 and up age range. Motivational interviewing is used to eliminate internal uncertainties clients may have concerning their treatment; hence, opening themselves up to behavioral changes. Clients who decide to move on to the next stage and if HeLP workers deem it necessary, cognitive-behavioral therapy is implemented to promote changes in thoughts, behaviors, and prevention of future relapse.

All done within a serene setting, that is designed to be free of distractions, and whereas the therapist I will inspire all members to participate in the therapy, using the systemic processes will help to facilitate this goal. Using the Strategic Family therapy, I will use the two maps of human behavior, which is used to guide me during the healing session. The first is PUSH is the ellipsis, which will authorize my point of view as the therapist (M.U.S.E, 2010). .

Creating trust in the helping relationship is one of the fundamentals of family therapy. Not only must the family learn to trust the counselor, but also the counselor must trust that the family is there willingly to receive help and to learn how to set their own goals and access their own resources to achieve them. Rather than being a passive listening post, a counselor must strive to actively listen and must keep an active engaging mind to compare what each family member is revealing. Clients in turn use the process to try to make sense of their experience. Communication is key

The goal of each session is to manage anxiety and increase the client’s level of differentiation, incorporating “I-statements” (Goldenberg, Goldenberg, 2013, p. 227). The evaluation interview begins with a telephone call between a combination of family members (Goldenberg, Goldenberg, 2013, p. 223). A therapist is to remain neutral and avoid being triangled into family issues. Sessions focus on symptoms in relation to the presenting problem (Goldenberg, Goldenberg, 2013, p. 223). The counselor gages each member’s perspective of the issue, while remaining aware of patterns of emotional functioning (Goldenberg, Goldenberg, 2013, p. 223). Sessions conclude with intentions to understand third-generation family systems. This part of the technique

can put you in the mindfulness moment with the client. By being a mindful listener as a therapist,

The discussion of the video below is in accordance with the Motivational Interviewing Reflection Tool (MIRT).

Psychologists William Miller, PhD. and Stephen Rollnick, PhD. developed the counseling approach known as Motivational Interviewing (MI). Motivational Interviewing evolved out of experience in the treatment of persons who were problem drinkers, and was first described by Miller in 1983. In 1991 Miller and Rollnick provided these techniques as a method that promotes and engages intrinsic motivation within the client in order to change behavior. MI is a client-centered counseling style that is goal -directed and brings about behavior change by helping clients to explore and resolve ambivalence. Traditional Rogerian client-centered therapy does not guide or direct or focus in the way that MI therapists do to influence individuals to consider making changes, instead of non-directively explore themselves.

In the vignette, it is mentioned that the client Julie, a 34-year-old African American female, is calling about her son 12-year-old son Derik, who seems to be having an adjustment issue relating to her recent marriage to John. Although Julie indicated that she is calling on behalf of her son’s adjustment problem, she spends most of the time talking about her dissatisfaction at work and within her romantic life. When approaching this case through a solution-focused lens, I would stress to her that anyone who is concerned about the problem situation (Derik’s adjustment problem, although it is apparent there are other issues) should attend the sessions. In the initial intake phase, little information is taken, understanding that the client is the expert in what needs to change; as the therapist, my role is to help her access the strengths she already possesses.

The process of introducing adaptations can only be accomplished once a therapist properly establishes both a relationship with the client, and after observing the client performing tasks that they engage in everyday. One of the most important aspects of developing the client therapist relationship is the interview

One of the main instruments to success in client treatment is when professional is engaging and recall the client and family in treatment (Thompson, Bender, Lantry, & Flynn, 2007). Thompson, Bender, Lantry, & Flynn, (2007), states that engagement is a vital yet challenging element in active treatment. According to Thompson, Bender, Lantry, & Flynn (2007), “clients that engaged are likely to bond with therapists and counselors, endorse treatment goals, participate to a greater degree, remain in treatment longer, and report higher levels of satisfaction.” The engagement process involves the client and the professional to create and develop a connection or association (Thompson, Bender, Lantry, & Flynn, 2007). Engagement is successful with treatment replicates the value of the

McCabe C. (2004) Nurse-patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing. 13, 41-49.

Case Notes Case notes are to help me remember the important details, important aspects of what occurred in the session, and how it’s adding to the treatment plan (Laureate Education, 2012). Case notes are important because they are written for benefit of the client. When counseling a client, there is a lot to remember and case notes can help us to recall the important facts. This paper will provide a sample case note, discuss the theory used in the session, identify the counseling goals and demonstrate counseling skills. The paper will then evaluate this experience and incorporate thoughts about the process.

It is my understanding in client-centered therapy the client knows what they need best and can set their own goals while monitoring the progress of these goals. Rogers calls this basic optimism. It is a trust and understanding of the counselor for the individual or group that encourages this process. The client sets the tone in the therapy process, the clients can choose their own therapist, the amount of time they spend in counseling, what they chose to share or not share in the sessions, and the opportunity to come to their own conclusions and solutions (Corsini, 1989). During this time though Rogers believes the individual is trying to solve an issue regarding self-concept. The individual has a distorted view of self-image so the conflict resides between their ideal-self and their perception of themselves. In most situations, the conflict with self is brought on by a self-esteem issue and the idea that who they want to be is not in line with how the client sees themselves here in the present (Corsini, 1989). As the client grows in self-esteem and awareness they are continuing to enhance their self- concept through self-actualization. This shift in thoughts and feelings for self moves the initial external-locus of evaluation to the internal-locus. Now the client can base the value of self on the inside by what they believe and not what others believe to