Subjective/Status:The Client, Her Father, And Her Older

944 WordsApr 14, 20174 Pages
SUBJECTIVE/STATUS: The client, her father, and her older brother presented for session. The client read aloud from her journal a poem of thanking her parents. The client’s father thanked her. The client’s father stated, “I am always happy when I see Theresa.” The therapist asked the client what she wants to share today with her father and her brother about positive communication skills. The client stated, “I have no communication problem with my brother, but I have communication issues with my parents especially my mother.” The client explained further that she needs the mother to learn the anger management skills to control her anger. The client stated, “I hope my mother can come next week with you because I want to tell her about my…show more content…
The client was calm and was listening to each one in the room in a good way. Speech was rapid and fluid. The client’s memory and judgment were good. ASSESSMENT / INTERVENTION: The therapist conducted the session and instructed the family member to take notes if they want. The therapist asked the family members to share with each other their experiences of the issues and what they wanted to say to each other especially about anger management and time management. The therapist inquired about each family member’s feelings and their thoughts about the therapy topics which are anger management and time management. The therapist redirected the client when she went off topic or neglected to listen to her father or brother. The therapist helped the client to label her feelings and tell her expectation using the role model and shaping techniques. PLAN/PROGRESS: 1.3 Therapist will engage the client in "behavioral activation" by scheduling activities that have a high likelihood for pleasure and mastery, such as taking a 15 minute walk with the client. Writer will use rehearsal, role play and role reversal to assist adoption of coping skills (thought stopping, taking a break, journaling, deep breathing, daily exercise, and drawing) in the client 's daily life from 1-2x per day to 3-4x per day or when triggering situations for Bipolar I Disorder symptoms arise. Parents will be educated about the coping skills client is using and how to encourage the client to use

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