Struggles with Client Resistance

The relationship between therapist and client is collaborative and caring. Goals are set by the client with the help of the therapist. The therapy is very goal-orientated and specific. They then work together to assess and then change faulty beliefs that interfere with accomplishing these set goals. The basic goal is to remove biases or distortions that hinder the client from functioning effectively. Changing cognitive schemas can be done in three different ways; reinterpretation, modification, and restructuring.

Internal barriers are emotions and attributes that keep people from seeking help. Internal barriers are dealt with in the worker-client counseling relationship. The difficulty of evaluating the seriousness of a problem is explained on page 15 of our text “An Introduction to Human Services”. Some of these are that one will sit and wonder if they really need help, or if their child has a learning disability or just a slow learner, or are they really depressed or are their child hyperactive or just have a high energy level.

The complexity of the case meant I had to draw on a large range of social work skills to facilitate my engagement with the service user and carers and to complete my recommendations for panel. My Skills strongly developed throughout the process of assessing the service user and carers and they were acknowledged by my practice assessor.

Challenging behaviour can be explained through the use of psychological theories, Maslow’s theory, and his hierarchy of needs is based on motivation and that every person is driven to grow into a self-actualised person (Bingham et.al. 2009:86). Maslow’s hierarchy of needs has six stages; Physiological Needs, Safety Needs, Love and Belonging Needs, Self-Esteem Needs, Fulfilment Needs and Self-actualisation. This theory relates to Client X because all her physiological needs are being met through the attention of her carers. Some of her safety needs are being met through safety of family and she has a home, however due to having to take medication every day and being unable to walk without the use of a walking aid is affecting her sufficiently meeting all of her safety needs. This would then cause Client X to display challenging behaviour because she wanted to be more independent and be able to walk without

When working with a new client, it is important to have as much information as you can obtain to help determine what services may or may not be needed. The multidimensional approach can assess all areas of a person’s life. This helps the social worker not just look at a single facet, but the entire person as a whole. People are not one dimensional hence their treatment shouldn’t be one dimensional. In many instances, treating the presenting problem will only put a Band-Aid on the situation. As social workers, we should look at the underlining cause of the problem in order to give the best treatment available.

As a result, the usefulness of any therapy depends on the client, the therapist, and the nature of their relationship. In behavioral therapy based on operational unconditional or operant conditioning, it’s important for both the client and the therapist to reach a clear understanding about positive and negative behaviors and their rewards or consequences. Behavioral therapy seeks to change the behaviors associated with psychological problems using exposure treatments, such as systematic desensitization, implosion therapy, and flooding. What makes psychotherapy an effective treatment? 1) Support, is the success, regarding to a number of identifiable factors. The identifiable factors, are about people struggling with depression and self-doubt. (Psychotherapy may provide a welcome dose of acceptance, empathy, and encouragement). Many therapists, think carefully by providing support. The therapists first and foremost decision is before and when to tackle a task, of clients. 2). In Hope, to develop a communicable, visual sight, the light, towards at the end of the tunnel. The expectation, things will get better. 3) A New perspective, therapists will give their clients the opportunities and ability to recognize alternative solution(s) of the situation, circumstance at hand. 4). Motivation, (Therapists sometimes explain a client’s lack of response to treatment by saying that the client was not “ready to do the work.”), The patient, as a client must and willing get motivated. For the reasons, willing to put efforts and time, as measures require. Therapy, isn’t a passive process, it does get better. My closest friend, Kristy Rudolph. owns phobia’s and has a panic disorder, called. Agoraphobia, a very intense fear(s) of herself, being in a situation, being in a circumstance(s), from which, she won’t be capable, as able to escape. She, developed these fears, will occur, any given moment, fears of it happening, to

However, “it is the responsibility of the social worker to enter into the case file the gist, as some type of documentation is needed to verify services. In addition, a verbal contract does not lock a client into specific time frames and goals, as there tends to be more flexibility regarding the nature of the work together” (Cummins et al., 2012, p.229). However, there could be barriers that could impede client progress such as the social worker is working harder than the client, the client is mandated to see a social worker, and clients may be manipulative. It is important for the social worker to be supportive and understanding with clients and allow them the choice if they want to continue with services or not. However, for clients that do not participate they need to understand the consequences if they are court-ordered to participate and for clients that are manipulative a social worker needs to beware of a client’s nonverbal facial expressions and pauses that can be an indication of

Our text describes a non-cooperative patient as people who simply “don’t follow medical advice” (Du Pre, pg 82). I make this assumption because Gemma talks about her struggle to keep up with her Cognitive Behavior Therapy (CBT), and mentions several times that she goes for long stretches without any medical help, despite knowing that she needs it. The book covers several potential reasons for patient noncooperation, the two most relevant to Gemma based on her posts would be that the treatment is “unaffordable” and the “treatment seems unneeded or unhelpful” (Du Pre, pg 83). This can be seen in her blog as she makes comments about her CBT treatment being only minimally effective, and how it seems to be the only viable treatment available for anxiety and depression sufferers. She also makes at least one mention of how costly the therapy is, and that it sometimes feels like she is just throwing her money

Over identify, desire to protect, rescue fantasies, competiveness with parents, and befriending are just a few of the counter-transference response and behaviors therapists have reported experiencing when counseling children and adolescents. Therapists who also work with abused women have also reported instances of counter-transference responses such as reluctance to explore abuse- related issues, identification with the victim or the abuser, vicarious

When developing a treatment plan for any complex case, it is critical to consider any factors that contribute to the client’s situation. One must generate a plan of action that will support the client appropriately and yet not be overwhelming. It often takes a long time for a client to come to terms that they need help. For many, seeking mental health services can be both a daunting and intimidating laden with feelings of failure and disappointment.

Intake is an important first step in developing a helping relationship with clients. Hepworth et al. (2013) note that as social workers, we must conduct multidimensional assessments of the problem in order to “identify the systems that play a significant role in the difficulty,” and also be able to “identifying relevant resources that can be tapped or must be developed” in order for treatment to occur. Conversely, if these assessments lack important information, clinicians will be missing pieces of important information that are needed to begin a helping relationship. Assessments must be thorough and ask precise questions in order to procure effective treatment solutions.

‘Clients often are able to provide a theory or an idea of cause, blaming past experiences for behaviors of which they are ashamed. The therapist listens to their explanations however are concerned more with their willingness to accept responsibility for their future behavior and the achievement for their attainable goals’ (Milner & O Byrne, P162). Furthermore, by ‘Acknowledging the clients paradoxical strategies have the effect of empowering clients of their perfectly valid cautious, more fearful concerns about change and leaving them to operate out of their arguments as to why change should be attempted’ (Cade, B. p156).

I really enjoyed your post. Certainly, I can relate to your frustration about aiming to support a client who lacks commitment to the treatment. Based on my past experiences in working hard to gain what I desired, I have always been a person of commitment. However, I get frustrated by individuals who want to change, although, believe others should do it for them or provide them happiness. On the other hand, the textbook this class provides aided me in researching how to commit to assisting this type of individual.

The author states that the best way to set up an intervention plan for our clients is “to start with the client. Ask the client about what it is that he or she wants to work on” (Ward & Mama, 2006, 131). The author suggests that we may see the obvious things that the client wont and that we should see if it would be an interest for them to work on it as well. (Ward & Mama, 2006, 131) But that we should wait until the end of our meeting after the client has told us what they want to work on. After we have done out intervention plan the author explains that we need to take our plan to our supervisors and explain the client and the presenting issues and goals to them so that they have sense

If the client feels “safe” in the session, this can be very powerful for them. As sessions occur, the client will feel more comfortable in trusting the clinician with their feelings, attitudes and emotions. The client is able to present their needs and problems in ways that only they can express. Another factor that may resonate in the sessions may include transference and counter-transference. Transference is when the client’s attitudes, feelings and emotional conflicts from past events begin to be directed to the therapist, while Countertransference is exactly the opposite, when the therapist’s attitudes, feelings, and emotional conflicts from the past are directed towards the client (Transference and Countertransference, 2011). There are not too many positive factors with Countertransference, except being able to recognize it, when it exists, and be able to work out any conflict. A client’s experiences can affect their feelings, emotions, and behaviors towards their therapist. If the therapist remains their professionalism, and sets the proper limits and boundaries, a client can work through past experiences that are affecting their functioning. In a lecture, it is the role of the counselor to recognize the client’s experience; reflect and process the client’s emotional state, as well as process their own emotional reactions to clients and their issues. When clients can work through their problems from past