The client reported his mood is a lot better. The client stated he has no thoughts of wanting to hurt self but he continues to have thoughts of hurting others. The client has no plan or intent. The client reported to the therapist that he had good news. The client stated that he has able to have dinner with his aunt and her daughter. The therapist allowed the client to discuss his dinner date with family, then the conversation was redirected back to the client current feelings of wanting to hurt others. The client reported sometimes he feels threaten by any race when they are staring at him for a long period of time. In the session the therapist used a Socratic questioning worksheet, the purpose of the worksheet to challenge irrational or
The intervention that was implemented was the invitation for the father to participate in the therapeutic sessions with his son and ex-wife. I explained the client’s recent behavior and the subsequent admittance to my agency. I clarified that the client’s behavior worsens after their divorce which is evidenced by the increased disciplinary infractions he received at school. The client also became more combatant and argumentative with his mother and siblings as reported by them. I proposed the idea of meeting for a family therapy session to uncover the cognitive reasons behind the
MSW met with client Tim Thomas to complete his psychosocial evaluation. Tim presented on time as well groomed with good eye contact. Tim displayed a dysphoric
“WHAT WILL A THERAPIST NEED TO CONSIDER WHEN PLANNING THE TREATMENT OF A DEPRESSED CLIENT?”
Whether intentional or unintentional, the misdiagnosis of client concerns is a problem that can have implications for counselors and clients. Mead (1997) reported the
What goes wrong, thus bringing a client into therapy? Rogers considers the problem to be lack of
Through the interpretation of both verbal and nonverbal language, as well as the specific client complaints, clinicians can pinpoint important markers within behavior and can generate an understanding of their patient and determine the type of treatment that would be best for their client.
The practice that assist a therapist in determining a client diagnosis and the proper treatment plan that would resolve the issue surrounding the clinet’s diagnosis is Case Conceptualization and Treatment Planning. The clinet’s treatment plan must be appropriate and relational and this will alow any type of medication and adaptions to be adjusted if needed so that modifications and adaptations can be adjusted as needed (Altman, Briggs, Frankel, Gensler, and Pantone, 2002). The ultimate goal of case conceptualization and treatment planning is to discover complete findings in relation to the client. One approach is Existential Therapy. The human
The aforementioned client described problems with low self-esteem, feelings of constant failure whilst belittling the reported achievements in his life; and feeling the need to constantly better himself. When we tried to formulate the problem collaboratively, we were able to establish that his thoughts were: negative, discounting success, black and white and following rigid rules. He experienced feelings of low mood and exhaustion and noted that his behaviours involved constant checking, trying to multi task, being over thorough, making lists that were unrealistic to achieve and tendencies to avoid tasks and
of the therapy, the client meets the therapist to describe specific problems and to set goals they
Case conceptualization explains the nature of a client’s problem and how they develop such problem ( Hersen, & Porzelius, p.3, 2002) In counseling, assessment is viewed as a systematic gathering of information to address a client’s presenting concerns effectively. The assessment practice provides diagnostic formulation and counseling plans, and aids to identify assets that could help the client cope better with concern that they are current. Assessment is present as a guide for treatment and support in the “evaluation process. Although many methods can be employed to promote a thorough assessment, no one method should be used by itself” (Erford, 2010, p.269-270). Eventually, it is the counselor's job to gain adequate
This therapist conducted morning process groups and afternoon didactic groups with the client during the week. The client stated that he was placed on a certain bunkbed when he entered into the program because the jail staff were “conspiring” against him. The client stated that he did not commit his crime that he pleaded guilty to because he was “set up”. However, the client would not say that he was a victim. The therapist will continue to use CBT techniques to change the client’s negative thinking patterns and MI to increase the client’s readiness for
Constant assessment of the clients’ problems and cognitions is very important in evaluating if techniques are being effective. Often in the beginning there is an extensive interview process that can last several hours. This interview gives the therapist insight into the client’s past, what the current problems are, and client goals. The interview will allow the therapist to set up a structured plan for how the therapy will proceed.
His treatment plan goals are to reduce his sensitivity of criticism and improve his social skills. Use Cognitive Behavioral Therapy (CBT) to develop trust, agreeability, and practice nonjudgmental thought processes during psychoanalytical therapy sessions. Short term goals: “develop therapeutic alliance with client, model appropriate communication, track baseline functioning using a chart including triggers and frequency, use psychoeducation to address relationship” (Gehart & Tuttle, 2003, pp. 180-181). Long term goals: use contingency contracts, identify symptoms that signal return of symptoms and devise a plan, identify
Understanding the counseling session from the client’s perspective is a very important aspect in the development of a therapeutic relationship. A clinician must be an excellent listener, while being to pay attention to the client’s body language, affect and tone. The dynamics in the counseling session that is beneficial to the client include the recognition of the pain that the client is feeling. The detrimental part of this includes a misunderstanding of the real issues, a lack of consideration of the cultural aspects of the client, and a lack of clinical experience or listening skills. In this presentation, we will discuss the positive and negative aspects of the counseling session from the client’s perspective which
As recommended by the supervisors, I worked towards looking at their charts and understanding their history. It was helpful to gather information through the comprehensive assessment, the individualized plan, and the clinician’s progress notes. One of the new clients has been diagnosed with Obsessive Compulsive Disorder (OCD) and panic disorder. It was disheartening to read her history and I prepared myself for exploring my challenges working with her. The first stage of the session went well, however in the exploration stage, the client mentioned that, “Nothing is working as I have tried