Presentin Client Assessment

People with abnormalities in this field have a couple treatments from their therapist. One treatment is called client-centered therapy, in which the therapist talks to the client face to face and helps the client begin to feel positive about themselves and develop more positive regard for themselves along with better developed empathy. The second form of treatment is gestalt therapy, which can be similar to client-centered therapy, but uses different techniques. These techniques are skillful frustration and role-playing. In skillful frustration, the therapist’s job is to basically make a person mad and not meet that client’s needs in order to show that client that they are often manipulative in their life. In role-playing, the therapist has the client play various roles such as maybe being another person, a different character of that client’s self, or even an object. This helps clients become more confident in themselves to accept the feelings that they had before about themselves that would make them feel negative. Now, with the existential approach, it is believed that people are not naturally born as friendly, cooperative and constructive. Instead, they

After almost 20 years without a theory, Glasser published Control Theory in 1984. “In essence, reality therapy was the art of change, and control theory was the theory of what needed to be changed and why.” Howatt (2001).

Also, like cognitive behavioral theory, reality therapy’s main goal is to help the individual gain a new perspective, then work on how they will manage life’s challenges on their own. Making better choices seems to be at the heart of reality therapy and for student’s this can be a daily struggle. Reality therapy also focuses on the student developing the plan on how they will achieve what they are seeking, whether it is a better attitude, a better relationship, or better grades. The student may need some suggestions or possible some prompting, but the actual plan would come from the student. If the plan does not work, or the client does not work, excuses are unacceptable. Instead, the client and therapist agree to stay committed to each other and the goal and work to devise another plan until they find one that can be carried out (Good Therapy, 2014). When students commit to developing the plan they are more likely to succeed and with success comes

overview of their lives and feelings, the therapist will get an insight into what the client is going through and a little of what brought them to their presenting issue. It is important at an early stage to make the client feel that there is hope and light at the end of the tunnel – without making unrealistic promises that cannot be reached. The therapist needs to make the client feel they are in safe hands and that they are being listened to and really heard. A potentially suicidal client should not leave a therapy session feeling worse than when they arrived, yet at the same time, the client needs to know that they may have to go through some difficult times in order to start to heal

The attending physician must refer the patient to a consulting physician to confirm the diagnosis and prognosis, while also determining whether the person is capable for making health care decisions. If either physician suspects the patient may be suffering from a psychiatric or psychological disorder that could impair judgement, the individual must be referred

Jose is a 31 year old Hispanic male. He is a self-referred patient seeking help for Post-Traumatic Stress Disorder. He is married with no children. He is oriented to

Therapists basically explore avoidances, thoughts, feelings, relationships and life experiences. A patient sometimes may be aware of his condition but not be able to escape or explain it. Through the analysis of a patient’s early experiences of attachment figures and how they have affect him, he will be able to free himself from the bonds of past. To accomplish that, the psychodynamic therapy, focuses on interpersonal relations, on the affect and expression of emotions helping the patients through discussion to describe feelings which are troubling them and they do not recognise. Patients usually attempt to avoid distressing thoughts and feelings. At some cases, they present avoidance, defence and resistance by missing sessions or change the topic when certain ides arise. They also view the therapist with suspicion because they may have feelings of disapproval, rejection or even abandonment. This kind of therapy based on research has shown that leads to on-going change, even after it has ended.(Jonathan Shedler, American Psychologists;University of Colorado Denver School of Medicine; February–March 2010)

Monica is 32 year old African American female seeking mental health treatment and therapeutic supportive counseling. Monica is divorced and currently lives with her two teenage sons in Virginia. Monica struggles with being a single parent, maintaining stability, and has been homeless a few times. Monica is of low socioeconomic status in which she is currently unemployed and receives disability for income. Monica has a history of oral cancer in which she was diagnosed in her early 20s. Due to the severity of the cancer, Monica had to have her upper right jaw bone removed along with several teeth. She now wears a prosthetic which causes her to have a speech impediment. After years of chemotherapy and countless surgeries, Monica’s cancer is currently in remission.

The desired outcomes for reality therapy groups and Adlerian therapy groups are both similar and dissimilar to one another in varying ways. Reality theory groups seek to change a members“…being stuck in repetitive and nonproductive activities” and that failing to achieve their goals should not bring self-deprecation (Gladding, 2016, p. 334). Adlerian groups “emphasize social cooperation and teamwork…focusing primarily on the growth and actions of the individual within the group rather than the group itself” (p.

I have always lived by the principle that the past does not define you, that present choices and actions do; my children heard this “mother’s quip” after every mistake, failure, or road-bump in life. I am also highly intrigued by other the core principles of freedom, responsibility, focus on the present, action, behavior, thoughts; all of which are only effective when precipitated by a therapeutic and empathetic client-therapist relationship. This theory incorporates many of my core beliefs into a neat, but not necessarily perfect, package. Some strengths of reality therapy include its effectiveness across a diverse population, it is very goal-oriented, there is a focus on the present, immediate action and results, and it looks toward the future where existential considerations can be explored (Tan, 2011). Some of the weaknesses are its unproportionate view of sin and the fallenness of mankind, its neglect of the past and/or the unconscious in reviewing unresolved issues, rejection of transference and countertransference considerations, and a lack of empirical research to support its effectiveness (Tan,

These correct conditions which are required within person centred therapy in order that the client can achieve self actualisation and personality change were outlined by Carl Rogers and he believed that if this 6 conditions were met, it would facilitate change within the client: Two persons are in psychological contact- both client and counsellor are present physically and psychologically. The client is in a state of incongruence, (which will be discussed in more detail) the communication of the counsellor’s empathetic understanding and unconditional positive regard is met at a minimal level. The last condition mentioned involves 3 other conditions, which are essential attitudes and qualities necessary for the counsellor to posses for successful therapy; empathic understanding, unconditional positive regard and congruence. (Rogers C, 1957).

For this client system assessment, I have chosen a client I engaged with while at work, my client’s name is Keith. Keith is 34 years old and has had many unfortunate circumstances surrounding his life, beginning with his birth. Keith’s family system consists of himself, his mother and two step siblings. Keith was unfortunately the product of a rape, witnessed repeated domestic abuse situations with his mother’s boyfriends and husbands, was abused himself and to this day, Keith continues to suffer in all domains: emotionally, mentally and physically. I will assess Keith’s family system as well as Keith as an individual utilizing Erikson’s Psychological Stages of Development, Bowman’s Family System Theory and Marcia’s Identity Status Model.

This case study illustrates Ruth being the client. This provides background information about Ruth includes the presenting problem, the history of presenting problem and the psychosocial history. The key concepts, the therapeutic process, the therapeutic relationship, therapist function and roll comes from the three theories Gestalt, Existential and Adlerian. The case identifies and describe goals that would be established for Ruth using all three theories. This case study applies detailed techniques from Gestalt and Adlerian also providing specific examples of Ruth participating in the different techniques. Such as advice, catching oneself, lifestyle assessment, encouraging, task setting and commitment, future projection, empty chair and

The purpose of this assignment is to review the case study of the therapeutic session of Dr Carl Rogers and his client, Gloria. I will give a brief account of the presenting problem and some theory of Person Centred Therapy to enable me to observe and analyse the techniques used as a strategy to self actualisation. Using transcripts, I will identify some of these skills and observe how effective they were by observing Gloria. I will discuss my opinion of the counselling session and evaluate Dr Rogers’ strengths and weaknesses. In closing I will provide my thoughts as to how he could have improved the therapy.

Reality therapy, devised by William Glasser in the 1960s, focuses on current behaviour and the choices people make in an attempt to satisfy their basic needs. Glasser trained as a psychoanalytical psychiatrist but became disillusioned with the methods used due to the constant examination of the client’s past to gain insight into their behaviour and resulting in the client being seen as the helpless victim of their circumstances. He believes that insight alone is insufficient to bring about change. Reality therapy is based on choice theory and is frequently classed as a behaviour therapy; however, it is probably more closely aligned to existentialism as the emphasis is on an individual’s freedom to choose