Therapist Perspective Paper

A therapeutic relationship is a key component in the nursing profession. Without therapeutic relationships, the best possible care can never be provided. The foundation in which trust is built upon is created from the nurse’s ability to truly listen and respond appropriately. Listening creates the base in developing a strong, trusting relationship. Sometimes it is simply hearing what a patient says that makes all the difference, empowering them to open up and become more comfortable with the nurse (Hawkins-Walsh, 2000).

Therefore, I need to acknowledge and understand the concept of compromise for a little medicine and a little neeb from both perspectives. After assessing the Lee family, such as building rapport, creating an eco map, a family chronology and a genogram, discovering the strengths the family posses and developing a hypothesis of what is the issue, my initial session with the Lees is to develop a contract for service. In order to carry out a contract with the family, workers must establish a relationship with the family members and must find out about the individuals in the family as well as about the family as an entity. (S.S.G., 2011) This contract does not overlook the possible involvement of family members, friends, or helpers who aren’t present. Also, it leaves room to negotiate a treatment that acknowledges the family’s goals and specifies the framework for structuring treatment. (Nichols and Schwartz, 2007)

Ricardo’s first words to me were: “I hate this place and I hate my father.” At that instance, I tried to comfort him by expressing that things were going to improve, but Ricardo ignored me and left the office. The next day, I tried to communicate with Ricardo via phone, but he was unresponsive. Two days later, I showed up at Ricardo’s foster home and I was finally able to have a conversation with him. During our conversation, I explained to Ricardo my role as his caseworker and I detailed the services he needed. I expressed to Ricardo that an essential component of his service plan was to refer him to Cognitive Behavior Therapy (CBT) to help him improve his behavior by focusing on his feelings and moods. Ricardo reacted by stating that he did not need to improve his behavior, nor he needed my help. As I noticed that Ricardo was getting aggravated, I decided to conclude our conversation by scheduling our next meeting at the office as I was required to see him twice a

An Occupational Therapist help people who may have mental, physical, or developmental disabilities learn and/or regain daily living or work skills. The disabilities that you Occupational Therapist work with can be caused by birth defects, injuries, aging or illness.

Intervention: MHS reintroduced herself to the client as him counselor. MHS facilitated a family session in the home. MHS explained her role, the purpose of the program, and allowed the client to speak freely about things he wants help with. MHS allowed the client discuss some of his behavioral issues. The client reports that he fights a lot with his siblings. The client shared why he fights with his sibling, the client said they take his things and they are not nice to him. The client and his sibling began to yell and blame each other for all the fighting in the home. MHS asked the mother to shared with the MHS some concerns she has with the client behavior.

Intervention: MHP and MHS debrief an incident of Taliana expressing not wanting to return to the biological family. MHP encourages MHS to set time out daily with Taliana to review Taliana’s daily functions. MHP listens to MHS concerns.

Intervention: MHP, MHS and Loshane review the Treatment Plan summary and request feedback. MHP, MHS and Loshane discuss Loshane’s positive relationship with peers and adults in the home and community.

What applied clinical problem would you most like to focus on in your PsyD studies and in the PsyD Clinical Psychology dissertation/doctoral project? Tell us something about your knowledge of the relevant theory and concepts, research, and the application of that scholarship to clinical practice.

The goal of each session is to manage anxiety and increase the client’s level of differentiation, incorporating “I-statements” (Goldenberg, Goldenberg, 2013, p. 227). The evaluation interview begins with a telephone call between a combination of family members (Goldenberg, Goldenberg, 2013, p. 223). A therapist is to remain neutral and avoid being triangled into family issues. Sessions focus on symptoms in relation to the presenting problem (Goldenberg, Goldenberg, 2013, p. 223). The counselor gages each member’s perspective of the issue, while remaining aware of patterns of emotional functioning (Goldenberg, Goldenberg, 2013, p. 223). Sessions conclude with intentions to understand third-generation family systems. This part of the technique

Mental Research Institute (MRI) theory assumes that problems rise for mishandling of normal difficulties in life and that attempting solutions to solve contribute to the problem. The processes of a MRI therapist will start with identify the problem and how it is a problem. When the client’s family was asked what is the problem? The problem was identified as “Mina does not want to go to college”. When the family was asked “how is this a problem?” their answer was It was Mina is diabetic and the parents wants him to get a job that provide him with stability and not hard physical work. The parents see the only way that Mina can achieving this goal is by going to college. On the other hand Mina does not want to go to college and refuse to talk about why or what are his future plans.

The client presented as well groomed. The client was in an anxious mood aeb sharing that her mood today is anxious because she is afraid to not tier up today. The client shared that her mind is racing with thoughts sometimes about leaving the facility to go home or to go to Mexico because she needs to feel that she is living a normal life as she reported. The client reported that she is sometimes catching herself having negative thoughts and racing thoughts and sometimes not, as she reported; it is more according to the mood. The client discussed with the therapist and the other client how she was able to describe why the situation was accruing and how she was judgmental with herself. The client shared that she could practice some of the positive ideas about her returning back home in her mind since she is sometimes able to control the situation but in this situation she is not controlling what her mother will choose.

The treatment focus in the above session transcript was to identify maladaptive behaviors and cognitions in the family members to then create a new adaptive belief system. Both, mother and daughter have engaged in maladaptive thoughts that lead them to distance from each other emotionally, and create conflict. The mother and the daughter expressed feeling misunderstood and unsupported by the other family members. By analyzing maladaptive cognitive cycles in the family system, this therapist was able to facilitate the incorporation of a more functional cycle in the family system.

The therapist and client relationship is important in effective therapy. The therapeutic relationship must be built upon before any technique and theory will be effective. Communicating real empathy and showing a genuine interest in the client will begin a solid therapeutic foundation. However, the therapist must “have the ability to stay outside the system while maintaining some emotional attachment to its members” (Patterson, Williams, Edwards, Chamow, & Grauf-Grounds, 2009, p. 107). This paper reviews and critiques an interview I recorded of a couple that pertains to clutter building up around the house. The goal of this activity was to seek out information using various questioning techniques and basic interviewing skills, and

growing-up. This raises the issue that therapy is sometimes viewed as a remedial process for

This essay is a reflection of what I have learned to date with reference to sociology. Through the eyes of a therapist I will explore and demonstrate inequalities and social issues, and how they contribute to mental illness and psychological distress within the travelling community. I will consider the consequences of social issues on my own therapeutic work of working with a person from the travelling community.