Reflection On Counselling

With this client’s extensive team of supports case management is critical to her success in maintaining sobriety and

Cassandra shared her experiences of relapsing with the group. She expressed her emotional feelings of shame and guilt after her usage. She encouraged the group to be transparent with themselves and consider the consequences before relapsing.Christopher shared with the group how fear can be an issue and one can continue to use to avoid it. He also expressed to the group his definition of relapsing and having an alcoholic drink that is not ones' DOC is okay. The client was immediately redirected and provided with psychoeducation on the consequences of illegal substances.shared his fear of leaving and going home. He noted he is afraid of how his family will react and treat him. He was provided with coping skills that will help him through the

The client session presented in class is for a twenty one year old female with a history of methamphetamine and intravenous heroin use. The client has two children under the age of five. The father reported the oldest child has developmental delays such as being one year behind grade level. The client would like to become a full time mother again once she graduates from treatment in approximately three months. The children are not placed at the facility; however, she has received overnight visits. The client is currently working her fourth Alcoholics Anonymous step with her sponsor. She reports that her sponsor “helps me be more human” as she can share some of her imperfections with someone who has successfully worked through their addiction cycle.

Client was invited to introduce herself to the other members of the group, and she did so with genuine enthusiasm. She had just been released the day prior from BCP, after completing her mandatory 5-day sentence and adamantly declared that she will not be doing anything that would jeopardize her freedom again. Also, she explained how her mother, father, and daughter are supportive of her recovery, including that her mom would make her leave if she “slipped.” She was fast and thorough with the assignment in which she elaborated on her three top relapse signs which included working too much, thinking about the past, and avoiding talking about her problems in recovery for which she had solutions for: “slow myself down”, “call somebody to talk to” (in recovery), and talk to people at AA meetings respectively. Client was warned about over excursion and seemingly was open to the feedback

In my opinion, this session went extremely well, however in the beginning of the session; Amanda was not ready to change as evidenced by her repeatedly stating, “Smoking marijuana is not a big deal.” I found this to be a challenge because although Amanda’s kids were removed she still was not ready to proceed with change as indicated by her stating that “it’s not hurting anyone.” After Amanda stated why she was visiting me, I began the session with an affirmation, by telling Amanda that “I knew that it took a lot for her to come and willingly share openly with me, and I thanked her for that.”

Client’s name is C.H. she is a 45-year-old women who was admitted on August 15, 2016 for a right knee replacement with alcohol intoxication who was currently going through delirium tremens (DTs). Past medical history included hypertension, type II diabetes and alcohol abuse. The most pertinent relevant family/social factors about this patient was the fact that she has a history of physical abuse from her past boyfriend and a history of abuse with alcohol. This was a vital piece of information that helped to mold care for the patient. This patient was chosen due to the fact that the interaction of the patient was one that has not been previously explored during other clinical rotations and changed my overall perception on how patients should be treated.

The client and social worker mutually agreed. One of her strengths was setting a safe environment for the client. The client felt safe and discussed with her his parent’s alcohol issues and how he experienced the same. She was building rapport with the client by asking his opinion in his treatment. In the first video, she did not provide him any other program options other than the one he previously attended. In the second video, she provided him with different options to attend treatment. She provided him with her contact information and to call if the program was similar to the previous and they would find a program for

D)Client met with his counselor for his weekly one on on one to discuss what progress has been mad regarding his treatment plan. Client this week has completed his third step and went over it with his counselor. The client shared that what he learned from the third step that self- will can only help in certain instance by not with his addiction , that he needed to find a power greater than himself to defeat his addiction. Client reported that his was his own self-will that kept him in trouble. We also discussed his weekend pass with his mother, and how it enjoyed spending time with the family without running off using any mind alter chemical to have fun at the family function A) Client appeared to feel good about his positive interaction

My interpersonal communication was effective between my patient and I. I felt quiet comfortable during my communication with my patient. I realized that she was an alcoholic, based on questions I asked. She mentioned that, by midday she would've consumed half a bottle of rum. I felt disappointed that a woman her age felt the need to drink so much to comfort herself. My patient also stated that if she doesn’t drink she feels sad and drinking made her happy. My patient is a 60 years old, single, re-tired woman, whom lives alone and has no children. All she had was a social life with friends, whom also drank as much as she did. I felt dissapointed because of to her life style and the fact that she is unaware of the alcohol problem that she

The therapists questions are likely to elicit answers such as”I want robert to stop drinking “ and not what they want for themselves .A prompt reminder that only peter can change his behaviour and she can only change herself.

This social worker and Dick met on time at the client’s home on time for a 1 ½ hour session. Dick shares with this social worker his thoughts that Mike’s troubles were due to the going from his Dick’s home and his mother’s home for two years, during their divorce. This social worker and Dick discussed an allowance for Mike’s chores. Dick agreed to the allowance system. Dick goes one to talk about his other children and their drug use. This social worker and Dick talked about his drug use. Dick showed a sense of relief when he uncrossed his arms and turned his body toward this social worker when discussing his drug use. Dick is very positive about staying off drugs and showing Mike that he is capable of being drug free. Dick and this social

his the client has met his treatment plan goal regarding completing his second step. the client shared about the insanity of his drinking and the people that he had hurt in the course of his drinking, getting DUI's and being force to retire from his broker business , the huge financial cost of getting these dui's , and being selfish in his addiction. The client mention that he is 65 years of age and it's time to get a grip on this thing called addiction. The client also completed a list of triggers which were stress , and social gathering. The client has yet to come up with ways of dealing with this triggers. Client at this time seemed to genuine open and honest during his 1x1 session. However, the client needs to be connected to what

Counselor initialized conversation of the dangers of change in correlation to sobriety and its maintenance. Client was respondent to conversation and verbalized viewing his recent move as motivation for maintaining sobriety and looked forward towards the prospect of being a "real family" (client, girlfriend, and son under one roof) because of it.

Intervention: MHS began the session with a check in form the last session. MHS met with the client to address her impulsive behavior. The client’s mother was present and shared her concerns with the MHS about the client. The client’s mother informed the MSH that the client has been lying and being disrespectful at home. The client informed the MHS that she will stop lying. MHS and the client talked about telling the truth. MHS encouraged honesty with the client. MHS let the client know that they may be able to fool some people, but they can't fool themselves. MHS shared with the client that there is no pride in stealing, cheating, or lying.

Jamie’s response to me telling her about our conversation was that of disbelief. Jamie said the patient would be unsatisfied with the mediation because she wouldn’t get the same “high” she gets from alcohol and she wouldn’t be compliant. Jamie agreed to send a text message to the provider about the patient’s medication request, but that was the end of our involvement. Part of me feels like we didn’t do enough to help, yet the other part of me trusts Jamie’s experience. The whole situation makes me question whether Jamie is too compliant with the substance abusers that come onto her floor or does she have the experience to know where to devote her time and service? The patient was pretty insistent on just talking about medications she could take and always redirected when I attempted to talk about alcohol treatment options. By the same token, Jamie knows how to manage her time, but I also believe there are or will be patients at the appropriate readiness for change level and maybe, because of Jamie’s complacency with these patients, there are some missed opportunities to help these people make some changes in their