Post Therapy Case Study

Brief therapy helps people by focusing on solutions, instead of problems. The therapist asks questions thereby facilitates the client by helping formulates solutions. The client leads the meeting by actively formulating ideas in which he/she can serve to improve the client's negative circumstances. This is contrary to cognitive therapy, which focuses on a client's cognitive processes (how he or she thinks about people/places/things). The therapist collaborates with the client to help the client develop alternative solutions.

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 process of motivational interviewing is essentially about creating "intrinsic motivation to change" within the client (Moyers, 1998). The choice to change must originate with the client and the process for helping this occur begins with motivational interviewing. There are two phases within motivational interviewing, the first focuses on increasing the client’s motivation to change and the second phase is negotiating a plan and consolidating commitment. It is important to understand the traps that can be encountered within this process, such as the question/answer trap. In this trap the client is led by the counselor with little chance to have free speech to explain themselves because the counselor is just focused on the next question instead of focusing on where the client is leading them. This trap is very similar to the expert trap in the fact that the client is left to believe they cannot find answers for themselves; they instead must listen to the expert who is giving them the answers. This is most definitely not the way to motivate a client to make changes for themselves. Other traps include premature focus, denial, labeling, and blaming; all of which can prevent the client from opening up in the treatment process.

Please state what type of community mental health therapy services this minor will need post-release -- if any. (Trauma focused CBT, Individual/and or Fam. therapy, solution therapy, etc.)

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.

Engagement and rapport building. The client is motivated for change and has a support system that will support him. I think in order to engage Terry, a good practice would be to empower him. He is used to taking high responsibilities and orders from others and following through. However when it comes to something that he sets for himself and no one else, he tends to not follow through. I think the goals to treatment should be mutual between the client and myself and the objectives clearly defined. Having someone that is going to follow through with Terry is something that I feel is important. I feel as part of rapport building with Terry, it is important for myself to let him know I am going to be there to guide him through the process so that it won 't become overwhelming. He should also be reassured that setbacks do not mean failure. Due to his history of setbacks, Terry has previously been known to not follow through with treatments, I feel it is because he has lost the accountable person to assist and empower him to no get off track.

Through looking through internet catalogs for therapists in my area, I learned that there are quite a few therapists all doing essentially different things; also I learned that there are a lot of residential treatment centers here.

You asked: what if ACEs were the basis of mental healh treatment? I am employed as a crisis specialist in one of NewJerseys screening and crisis intervention programs, and I intern through their mobile outreach program. Last week, I evaluated a 5 year boy who has been taken in by his grandmother, instead of entering the foster care system. This particular boy had been kicked out of his partial hospitalization program, is prescribed medication by a psychiatrist and is very compliant. I evaluated this child, because he was threatning to kill himself and others. Before speaking with the kid, his grandmother explained that his mother is a heroin addict, he watched his mother use heroin via IM and is able to tell others the best places to stick

In regards to patients that are resistant to the first dose of IVIG, in the video Dr. Bookstaver agreed to giving the patient a second dose, but this might not be an appropriate option for some patients due to cost restraints.

I really enjoyed your post. Certainly, I can relate to your frustration about aiming to support a client who lacks commitment to the treatment. Based on my past experiences in working hard to gain what I desired, I have always been a person of commitment. However, I get frustrated by individuals who want to change, although, believe others should do it for them or provide them happiness. On the other hand, the textbook this class provides aided me in researching how to commit to assisting this type of individual.

Have you ever had an experience in therapy where you delt was unsuccessful? Did this experience effect the way you conduct your therapy sessions? Did you discuss your concerns with your therapist. If not what steps did you take? How would you handle if a client expressed concerns about how you were communicating or conducting the therapy session?

The role of Psychiatric Rehabilitation worker (PsyR) emerged with the aim of helping people with mental illnesses integrate into the community and assisting these individuals to regain independence. Prior to 1980, the goal of the PsyR professional was to focus on treating symptoms in order to stabilize behaviors and decrease hospitalization rate. After 1980, there was a shift in the way people viewed the role of a PsyR professional. The focus turned from simply maintaining stability to rehabilitation that focused on helping people with mental illness achieve independence, self-awareness, and a better quality of life. According to Drake, Alan, Mueser and Howard (2003), there have been profound changes in our knowledge about serious mental health disorders and in the development of effective treatment that permits these individuals to live and thrive in a community of their choice. These changes have inspired a paradigm shift in the way services are delivered to individuals living with mental illness. It is a consequence of these changes

After the tsunami of 2004 Sri Lanka experienced one of the largest influx of mental health practitioners from western countries ever known to man. Dr Sebastian Von Peter is a medical doctor at the Hospital of Nuekollen in Berlin, Germany and remarks that Sri Lanka saw assistance from, “CARE, the Red Cross international, The World Health Organization (WHO), The Global Development Group, The National Centre for Post-Traumatic Stress Disorder, and the European Society for Traumatic Event Studies.”(Watters, 2010) Although this is quite an extensive list it only mentions a mere fraction of the NGOs as well as charitable organizations that arrived in Sri Lanka with the hopes of providing psychosocial restoration.

Rogers believed the role of the relationship between client and therapist was of great significance in therapeutic practice. He centred his therapeutic approach on six conditions which he deemed as being ‘necessary and sufficient’ for psychological change to occur within a client and if these conditions were met, they were enough to produce change, nothing else was needed. (Rogers 1957)

3. Discuss the approaches to be used and implications of treatment, then develop a contract