Reflective Report 2080 Placement

This essay intends to introduce the reader to the most important skills involved within developing and maintaining a therapeutic relationship between a client and the therapist or counsellor. The onus will be on Humanistic counselling but many of these skills are central to all counselling types.

As I was working to time scales in order to compile my report for panel I had to build rapport quickly with the service user and his carers and I did this by being very open and honest and conveying respect to the carers when I entered their home. I wanted to gain trust so I could conduct the best possible assessments which would reflect the needs and wishes of the service user but also assess thoroughly the capacity of the carers for safe guarding, caring and supporting the service user. I understand however, that these skills need to be expanded for example; there will be occasions whereby I need to address barriers in order to build rapport for example when working with resistant service users.

The ability to effectively communicate with a wide range of people is a vital factor in working towards building relationships that may flourish and enable the gaining of confidence and trust. As a practitioner, it is important to be patient, approachable, non-judgmental and a good listener. Open communication and a positive attitude

Rapport is built from a trusting, honest, and authentic relationship, which strengthens the therapeutic bond in order to reach goals and maintain treatment. Moreover, the use of verbal encouragement and reflection of feelings is helpful for strengthening the alliance (Sharpley, Tabary-Collins, Bates, Lee, & Fairne, 2000). Additionally, rapport is associated with better positive client outcomes due to the therapist-client interaction and is more important than the type of treatment being applied (Sharpley, et.al., 2000). An example, of when to employ these methods is when clients are at high risk to include complicated disorders such as borderline personality disorders. Many times a clinician will have to work with clients that are going through a lot of pain, traumatic moments, death, personal doubts, and professional risks that will require using the above methods to build rapport and overcome barriers (Geller & Greenberg,

One of my skills I used as a mental health technician is having the ability to listen on multiple levels , this allows me as a technician not only to hear what is said, but how it’s said, why it’s being said, and what it means in the context of that client. I also have a sense of humor, but counselors, I should know how to form a relational connection with someone to the point of developing a shared sense of humor in a therapeutic environment that the client can feel comfortable. Another strength is having patience with my clients as they process our discussion. Using patience can help build a good rapport with clients, and realize it may take them time to accept certain things and to move towards positive changes. Working in the field of behavioral health for 20 years, I work with clients that you need to discuss something many times before they were prepared to make a move in any particular direction. I also understand you are not likely going to see large changes in an individual client; therefore be okay with incremental progress in their lives and rejoice over small

As previously mentioned, it is thought that engagement and understanding are key elements involved in creating and maintaining a therapeutic relationship (Orlinskey et al 1994). Throughout the risk assessment I checked the patients

All of these skills have meanings and they all tie in to one another. Without one the whole process would be incomplete in my opinion. The first skills that we learned in class were attending behavior and empathy. In the book it states that, “attending and empathy are essential to establish a working relationship with your clients and a good understanding of their issues and concerns.” (Ivey, Ivey, & Zalaquett, 2010, p. 63) I agree with that text from the

As the semester begins, I would like to continue to work on enhancing the previous goals and skills in my previous practicum class as well as use more advanced skills. I would like to work on implementing and illustrating enactments and scaling interventions in my sessions/videos. Be able to identify and understand situations/feelings that arise in therapy sessions pertaining to self-of-therapist and enhance my professionalism. Hence, having confidence to lead my therapy sessions by relying on what I have learned in previous classes. Also, be able to use proper clinical language. Moreover, continue to work on understanding my limitations, biases, comfort levels and work on being transparent in order

Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill, that I have learnt and supporting this with available literature.

A possible occupational therapy intervention that would benefit a client or clients at the facility is working on their social skills. The intervention could incorporate role-playing about the basics of conversational skills. Since some have difficulty in distinguishing between social cues working on their ability to identify them during conversations can help them emotionally, spiritually, mentally, and

Since the first session is so important in determining if a client is going to return

These are the skills and competencies I have learned through my studies at Walden University. Kaslow, Grus, Campbell, & Fouad, et al. (2009) stated professionalism comes from my respect for those who need help. Integrity can be built with confidence in the therapist. Attitudes are charitable, polite, caring emotions toward others that fuel my motivation toward helping. This concern welfare of others comes from my religious and personal experiences as a child and young adult.

The following will discuss the benefits of a positive Clinician-Client relationship during the therapeutic process. It will discuss different ways to foster Clinician and Client relationship in order to gain a positive report. It will provide supporting evidence that the relationship positively influences the outcome of the therapy. It will show the view that being personable with the client can help the client to relate through the session and encourage the client to open up and enter in to a positive relationship. The following will also review the ways for one to be a better clinician, that

(Sully & Dallas, 2005, p. 204) It demands effective communication skills and is built upon the work of Carl Rogers (1957) deploying empathy, unconditional positive regard and openness/genuineness. (Brooker & Nicol, 2003, p. 45) Though there are several Models in use I chose to examine the Roper, Logan and Tierney Model since it is widely used across the UK, within my clinical area and is popular through its use of simple language (Brooker 2003). I have used the Model when admitting patients, and believe it to be an efficient model to use.

I think that the elaborating skills are very important in a therapeutic session. The client has never seen the social worker before, generally the client meets the dressed up social worker and walks to their office to see a bunch of degrees on the wall and then the social worker begins their session. Clients can be intimidated