Therapist Reflection

ES was refusing to take most of her AM medications. She was refusing her medication because she believed that they were not prescribed by her doctors. She was very internally preoccupied and talking to self that she doesn’t believed her nurse. She also refused her meds the previous night. When she kept on refusing her meds, I thought to myself that I should use therapeutic communication to learn why she was refusing, so I told her, “It seems like you don’t like taking your meds.” From here, the patient became angry at me.

The therapist met with the client and the mother in person. The client was anxious aeb reporting that she is afraid to have a fight with her mother during the conjoint session as she stated, “Every time I meet my mother, I fight with her.” The client reported that she wants my mother to communicate with me as a 14 years old not as a young child. The mother stated, “I understand your feelings , but sometimes I do not understand what you mean because you are angry and you cannot control your emotion.” The mother shared that she will listen to the client attentively to be able to understand what she needs and try to understand her thoughts and affirm her emotion. The client listed the goals that she wants to work on with her mother are; positive

The client have a mother who she is forty three years old and very close with. Her and her mother talk almost every day and help each other out of many financial situation. When she was little she and her mother did not get along because of her mother being stressed out from work and the client’s constant bad behavior in school caused a friction in their relationship. Then she finished of high school, going to college, got herself a car and a stable job now they are very close. She believes that because of her mother working a very difficult job and barely making enough to pay the bills caused the friction in their relationship and it did not help that she was acting up in school either. But now that the client is able to take care of herself and help with the bills that she have an understanding of what her mother went through when she was younger and appreciate her mother of what she have done for her and her siblings.

I think this course was difficult for because I was not in good mental place this semester. As a result, I think my client suffered. I demonstrated a significant amount of weaknesses during my therapy sessions. One of my main weaknesses was my ability to address the immediacy in the room. During the third session, I laughed with my client when I asked him if his wife had apologized. At the time, I was unaware that we were both utilizing humor as a defense mechanism. This would have been an appropriate time to address the immediacy in the room. In addition, I also experienced difficulty using therapeutic techniques to facilitate exploration and insight. For example, I would often ask my client leading questions about his feelings. In doing,

When therapist asked client about the schedule of the time management that he made last week, client reported that he was using the new organizer for a week now and he is happy with the idea of the time management as he thinks that the best way is to organize his time by putting his appointments and the schedule for the projects and assignment to be able to follow up with all the requirements at home. When client started to play with his cell phone, therapist asked the client if this is an emergency or he just play with the phone during the session, client reported that he does not feel being in therapy today as he used to have therapy every week since he was a child. When therapist affirmed the client's feelings about the too much time therapy that he had since he was a child, client reported that he still need to be in therapy as he has lots of objectives to learn, but he wants to stop therapy a least for a while. Therapist suggested that client can discuss these issues with his social worker and the foster parents because they have to know about it and also it is because a court order to be in therapy and therapist will contact the client by next week to process with him his thoughts and feelings about it before the therapy

referenced to early childhood memories. She mentions that she was a slow developer when it came to her speech but her ability to read was high. This can explain some of her introvert characteristics that she displays. As the session continues to get deeper into finding the source of Taylor’s problem, she mentions that her moving around all her life has made her unable to connect to others and feel that she has nothing in common with those her age.

To understand what therapeutic alliance is we will need to take a close look to the American Psychological Association dictionary of Clinical psychology (2013) which define therapeutic alliance as the collaborate work between the client and the counselor (p. 584). Which in other words will be the set of rules/bounds/task or contract between the therapist and the client to guarantee a successful outcome. The first interview between the client and the counselor is the most important first sept of help. The client will communicate their needs to the therapist and the therapist will make sure that the client understands his commitment

Overall, I believe that I appeared professional. For instance, I clearly communicated my thoughts/ideas and answered the questions thoughtfully. However, in my opinion, I appeared a bit nervous. Thus, I would certainly continue to practice my interviewing skills to ease my anxiety and nervousness and subsequently exude a more confident demeanor during interviews.

Identify a patient who you have cared for in practice reflect discuss and appraise how yours and/or the care team’s communication skills values and beliefs affected patient care.

When the therapist met the client at home for individual therapy, the client greeted the therapist and he was feeling happy "good." Client reported that he feels happy this week as he won the soccer game at school and the baseball as well. Client reported that he saw his parents during the weekend and he was happy to see them and they were different this time as they did not fight together or with each other as well as my mother did not got drunk. Client reported that the lowest time of the week was at the end of the Mother's birthday Party when he had to say good bye to his parents as he processed with therapist stating, "I feel bad, sad, and not happy because I want to stay with my family". Client reported that he cried when left the biological

The therapist met with the client for the individual session. The therapist greeted the client and reviewed the main goal for the individual session for today. The client reported that his mood was good today aeb reporting that he feels better than yesterday as he started to understand the daily schedule and to know why he is here. The client shared that one of his triggers is to think about any future scenario such as thinking about how his parents will react to any misbehavior he could do, or when he asked them to buy for him something he needs, or when he did not pass any quiz how they will talk with him. The client shared that when he feels anxious because of one of these scenarios, he is usually starts to think about smoking Marijuana.

My internship was at Mindful Soul Center for Wellbeing. The setting I worked in was extremely inviting and the entire staff was wonderful. When I started at Mindful Soul I signed a confidentiality form and was introduced to some of the staff. I was given videos and literature that were important to the staff at Mindful Soul, and that embodied the attitude at the private practice. I watched Brené Brown’s TED talks on vulnerability, as well as talks about Infidelity and childhood trauma. When learning about childhood trauma I was also introduced to Adverse Childhood Experience (ACE) scores and saw how Mindful Soul personally uses them when assessing clients.

On the 20th January 2016, I have been given an opportunity to carry out tests on a paid patient during clinical session. This is to further practice some clinical techniques and develop more skills which are the essential aspects of my future career as an expert in Optometry.

Today was a very productive day for me because I was able to pass beyond the data assessment check and treatment plan, and finish my patient Omar. He was my first patient, and treating him was a good learning experience. On the first day of clinic I was lost. Even though, he was a held over patient, I only got as far as finishing my assessment data collection. Every time I had to do something new, I had to stop and look into my notes. However, this helped me to be mentally, organize all the steps in my head, so for the following patients I knew exactly what to do next. For my patient Omar, I did the power instrumentation with the cavitron, and handed scale all 4 quadrants. My biggest challenge was to do the hand instrumentation in teeth

During this last week of this clinical rotation in the main OR, I planned on learning crucial information that even though is not used in a other settings, it could be very beneficial to know. This information includes how surgeries are done, what are the instruments used and how are they different between specialties. Additionally, I was planning on the opportunity of handing instruments to the surgeons.