Process Recording

S: YMR stated that she had been living with her mother about one year, has is a newcomer. YMR lived with her maternal grandmother for many years back in her country. YMR stated that when she arrived to the U.S., she found out that her mother was pregnant, She shared that her mother did not want to tell her because she did not know how the client was going to react. YMR stated that she was happy because her mother had had four miscarries before. YMR explained that almost at the same time that she started living with her mother, the mother's partner and father of the child that her mother was going to have moved into her home. YMR stated that her mom used to work from 6am-12pm and the YMR spent a lot of time with her mother's partner. YMR stated that this man has

2. What should a therapist be aware of when taking note of a clients manner and content of talk?

The counseling settings is a Community Mental Health Facility which involves in working with families going through adoptions. Client B and adopted parents came to the facility to address the client anxiety, emotional withdrawal issues and anger problem. Client has been showing symptoms of distress and depressive mood. Both adoptive parents are concern about the issues as it is affecting the relationship building process thus seeking help for a better relationship and for client B to feel a sense of belonging.

Client (AM) is a 20-year-old heterosexual African American female, born in Durham, and currently still resides there. Her primary language is English. She lives with her 13 moth old child (NM) in a one-bedroom apartment. The client is unemployed and currently receives SSI benefits. AM resides in subsidized housing because of her social security income. Client did not finish high school and has no desire to do so.

When speaking to my client I always have a positive body language always making sure I listen and take time to smile and make my client feel relaxed and at ease and able to trust me, and that I will deal will their needs in the best way for them.

During the session I communicated to the client by saying things such as ''mmm'' and ''yes I hear you''. Minimal encourager's were used to demonstrate that I was listening to the client, without disturbing her flow too much. I nodded my head on a couple of occasions which again showed the client that she still had my attention. There was a brief moment of silence which I managed by acknowledging that the silence provided a space for the client to think about what she had just said. At this point my attention was on the client and I felt I gave her respect by not interrupting her thinking time as I waited for her to begin talking again.

I: This facilitator and PP, met the client and mother in order to open the case and begin the process of identifying client and family needs. FF went over the POC with the family. FF and PP asked client and family for good news. The client shared he didn’t have a good day at school. Client

The department’s intervention plan was to remove the child from the home and place her in a safer environment. My client’s response to this intervention at first was very angry and resentful towards the department. Father especially angry with the department and did not understand why he couldn’t keep his daughter since mother had the drug issue. I realized how difficult it would be to build rapport with them after removing their child. I ensured them that I was there to help; I was very empathic and showed them that I cared about their case. I worked with the parents and helped them to

She is observed to be in this stage because she is resistant to change her behaviour. Additionally, she doesn’t have the insight to determine that “people are responsible for their own behaviour and how they react to other people’s behaviour in their environment” (C. Marino, personal communication, 2001). The client stated that she would be fine if her son “stopped causing her grief”. However, when queried about her reaction to the son’s behaviour and actions, she just simply stated that the son could rectify the situation if he “would cooperate with the London people.” The client was visibly upset during the interview and wringing her hands. When she would get to the most sensitive areas of her distress, she would make a joke and laugh at herself. However, the client stressed that she was not responsible for her distress, as it was her son’s responsibility that she was upset.

“Living on my own and having to pay bills and having to take care of myself, you know, made me into a real adult. Where in high school you still have a lot of growing up to do.” Eggert said when asked about an event that changed her from the person she was in high school to who she is now. It is important to her to always be independent and to be able to think on her own. “ I still have the same values and things that I’m passionate about -- but more so now. I think having children changed my outlook on parenting enormously.” Eggert said. The values my mother holds dear to her, such as parenting, ethics, and political views have stayed, for the most part, consistent through her life. However, she is always accepting to change to accommodate the new world into her

The client has a family that she deeply cares for manages. This will be useful for her motivation to get the help they require while adjusting to America

The client’s mother suggested Molly come in because she has become more and more dependent on her parents for a many aspects of her life. Molly reports that she is in jeopardy of losing her job because she is constantly falling behind and has difficulty completing necessary tasks on her own. She reports she does not enjoy making decisions for herself and it causes much distress in her daily life.

First, we will examine my initial clinical note on 8/15/16 with client, Rhonda Smith, session one. During this first session, I collected Rhonda’s demographic and intake information (Murphy & Dillon, 2015; Reamer, 2001). This included a signed consent for treatment, which we reviewed and all her questions were answered, as well as signed medical releases for previous therapy and agency records, i.e., DVIS, CPS, CASA, that will be requested (Murphy & Dillon, 2015; Reamer, 2001). Additionally, she was informed about HIPAA, patient privacy rights, billing practices, professional boundaries and expectations, and how to contact me during business hours, and after-hours crisis lines, and on-call assistance phone numbers for resources if it is outside of my business hours (Murphy & Dillon, 2015).

The client’s mother referred her son to the agency because he was suffering from anxiety. He was resisting going to go to school and becoming distressed when his parents tried to leave him at home.

When she finally caught her breath and was not crying anymore, my parents asked her “What happened?”