The Patient's Counseling Session

D-The patient arrived on time for her appointment. Reports stable on her dose and denies the need for a dose increase when offered by this writer. This writer commends the patient complying with daily dosing; however, this writer addressed the patient UDS result patterns of positive and negative. The patient last two urines were positive for cocaine. According to the patient, a lot has been going on in her life. The patient's father has had a heart attack this past month. Also, the patient has an estranged relationship with her mother and her 17 year old daughter. During the course of the session, the patient discussed her drug history and her dysfunctional family. Alternatives and suggestions were discussed as well.

Introduction to counseling has taught me a lot about how we see each other. It taught me that a lot of what we do is subconscious. While completing the interview the most difficult thing to do was find an issue that was conflicting me. The person I chose was a good friend of mine, Ashley. We are close to each other, but never really opened up to each other about an issue that was bothering us. It was difficult at first to not laugh, and take it seriously. Eventually we were relaxed and ignored that it was being recorded, and had a true counseling session.

Alice has just come out of an intensive inpatient treatment program and due to her home life with her husband having a job that requires him to be away a lot, leaving her alone with their two young daughters, I would recommend that Alice be a part of an intensive outpatient treatment program (IOP) (Brooks & McHenry, 2015). One of the reasons that I recommend a IOP for Alice is due to the structure that an IOP will give her and potentially her daughters that are living with her as well. Within the IOP she will be receiving continuum care that was similar what she was receiving in her inpatient facility. The goal would be within three months to reevaluate where she is with her goals to see if she could go to a level of care that is not so intensive.

The goal of a counselor or my session is to help the client identify the problem that effecting her. Here is to offer techniques and strategies for dealing with her issues. Incorporate techniques and skill to the client. The goal to client is to get help for the student to learning how to cope with other I used a positive feedback. . I begin to focus on the behavior of student during the session. The counselor should make the session a two way communication process to find a solution to the problem.

The client met with his counselor for a 1x1 session to discuss what are his plans , and where he is at mentally. The client continues to discuss his ex-girlfriend and their break up. The client seems to be having a hard time with accepting that she is calling the quits. After talking to the client over the course of the three months he has been in the program. It is my observation the client has been involved in a toxic relationship and they both need to attend couples counseling if this relationships is to survive. The client will be going to live with his grandmother and she will be going live with her parents. It appears that it would be in the best interest of the client to focus on his recovery which , is having a better relationship

In my opinion, psychopharmacological intervention in counseling can be a plus or a minus depending on the situation of the clients as stated; I say this due medication can be addictive and drug seeker can use their mental health issue as an enabler (Preston, et., al., 2017). The counselor needs to understand their role as a counselor and not step out of boundaries when working with clients being a good listener and doing a client assessment will help give a big picture of a client’s mental and physical state. According to American Counselor Association code of Ethics (ACA, 2014), Section E.5.a. Diagnosis of Mental Disorder Counselors takes special care to provide proper diagnosis of mental disorders. Assessment techniques (including personal interviews) used to determine clients care (e.g., the locus of treatment, type of treatment, recommended

1-Based on Corey’s reading, some of the personal characteristics of effective counselors that appear adequate in this case would be that an effective therapist have a sincere interest in the welfare of the client. It is very important to respect the values of people and to really care about their situation in order to help them improve their lives. Another personal characteristic is being authentic and honest so we can gain the client’s trust.

D- The patient reports being stable on her dose. Denies cravings/withdrawals. The patient admits to using last week, heroin-4 bags by IV. The patient denies any trigger use for her relapse, but says, " Girl, I was bored." This writer addressed with the patient that boredom is a trigger and then proceeded to discuss alternatives. This writer then proceeded to discussed with the patient about the opiate postive list for the month of March as the patient is listed for ongoing use for at least 6 months. The patient agreed to participate in a self-help at this clinic. This writer completed a group referral to the Spanish Recovery Group. The patient then reports about her upcoming court date on 05/06/2016 at 9am to address the sentencing. The last

I attended the group session on March 26, 2017. The counseling group session was conducted in office and it last about 45 minutes. The setting was counseling therapeutic activity group. Therapeutic activity group is to assist a client who need assistant with developing insight, coping or social skills etc. The group is a closed group and it is a homogenous group.

The patient, Thomas, is a 44 year old Caucasian male. Thomas has been married to his current wife for 13.5 years and they have a 12 year old son. The patient also has an older son, age 20, from a previous marriage. Although Thomas is currently employed as a nurse, he has previous experience working in warehouses completing assignments like sorting, packing, and shipping.

It is crucial for school counselors to be able to measure growth in students who participate in the group counseling. Therefore, students were given a pre-evaluation (see Appendix O) to establish their thoughts, feelings, and views on how they perceive themselves, and how they related themselves in area of self-esteem. After completion of the sessions, the students were administered a post-evaluation (see Appendix P). This valuable information helped see potential growth in students after completing the group counseling sessions.

D-The patient arrived on time for her session. The patient shared her experience as she attended the cocaine group last week. Based on the patient body language and her demeanor, she enjoyed the group. The patient reports since attending the group, she hasn't used any cocaine for two days on Friday and Saturday. Addressing Sunday and Monday, the patient admits using crack cocaine, by smoking-2 bags because of her anxiety, at which this writer immediately addressed about alternatives. Furthermore, the patient discussed her fear going to detox facility and stated she does not want to go back. The patient believes she needs to attend more groups, at which this writer provided the patient with a list of self-help groups within her community. The

D-The patient arrived on time for his counseling session. Reported stable thus far and he recently accepted a dose increase. According to the patient, he tends to feel the withdrawals-difficulties sleeping and yawning. Denies any recent relapse, at which this writer provided a positive feedback. The patient is confident that his UDS result will be negative for this month and moving forward, if not, the patient will be referred to the clinic's self-help group, mainly the cocaine group.

Counselor inquired if client improve on baby talk and the words “ I don’t know”.

Cole pressed the snooze button on his alarm clock and debated calling in for work. His first therapy appointment was tomorrow, and he was feeling the Monday morning blues. It was so cold and gloomy outside. He had to pull himself together for the office. The last thing he needed was to appear unprofessional in front of his colleagues.