Therapist met with individual mother to discuss progression or regression of individual. Individual mom states that individual was in trouble for being disrespectful toward his teacher. Therapist informed individual mom that she will work with individual on positive communication skills to assist individual with positive response toward authority figures. Individual mom states she will continue to make sure individual uses the skills to help him do better with respecting authority figures. Individual shows regression toward respect toward authority figures due to individual talking back and not following the rules as reported by individual mom.
Therapist plans to meet with individual and mom on Thursday, August 25, 2016 between 9-11 AM to work on positive communication skills to assist individual with responding positive with authority figures through role-play.
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Therapist and individual mom discuss individual behaviors that individual displays regarding the diagnosis, and how individual behaviors have an effect on individual staying on task, complying with requests from teacher, and getting along with her peers in class. Therapist encouraged mother to use suggestion given from therapist to assist individual with making better decision to avoid getting into trouble.
Per individual mom reports, individual displays minimal progress in positive mood swing due to individual being able to sit down and complete her class work without bothering anyone.
Therapist plans to meet with individual and mom on Thursday, August 30, 2016 between 10-12 PM to work on incorporating decision-making to improve overall mood of depression through
I believe that the most important type of listening is empathetic listening. This style of listening is characterized by identifying with the storyteller, as they tell their story, identifying with the emotional responses of the storyteller, listening attentively to the story and then paraphrasing the
To help identify and interrupt harmful interaction patterns within a family, I would start with the assessment and diagnosis process, here the therapist will see tedious patterns of each member. As counselor, I will center on what is being stated by the family members, discussing the family’s history, physiognomies and nature of the interaction that have taken place within the family, and what they have attempted to do in order eliminating the issues.
The objective of therapeutic communication in family nursing is to provide the family with guidance and support. Effective communication between the nurse and family is vital because it will help the nurse to develop trust from the family, as this is one of the most important and influential factors (Wright, & Leahey, 2013). Therefore, nurses should be aware that the family and/or patient must feel respected and confident
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.
Counselor facilitated an individual session with the client to address hostile, defiant behavior, and temper tantrums.
Response: Taliana provide a simple report of events and behaviors display in the past two weeks. Taliana describe having minimal behaviors. Taliana explain the reason for the redirection was not completing chores in its entirety. MHS provided a different report. MHS report Taliana refused to comply with simple requests of not leaving the home an hour before school start, refusing to leave the school grounds, and getting verbally aggressive. Taliana expresses MHS details was not a big deal and did not understand how it was important. MHS challenged Taliana’s statement of not thinking the details were important. Taliana practice listening before refusing to engage for the remainder of the visit. Taliana was able to repeat the statements in her own words. MHS expresses
The family checked-in as being “okay” and week was “good.” The family presented in a euthymic mood and it was congruent with affect. During this session, the therapist and family focused on treatment goals accomplished and completion of the therapeutic process. The youth’s mother was asked to identify what was the most difficult challenge she experienced during the therapeutic process. The mother reported it was difficult to handle a teenager with anger management problems while leaning how to adjust to an alternative way of disciplining. She indicated Denae’s attitude is not perfect, but she and her husband has learned how to punish without having to use physical force. The youth reported her greatest challenge was controlling her behavior and anger.
Intervention: CSP, MHS and Deonte discussed the youth’s recent behavior in school. CSP and Deonte process the incident of hitting a peer in music class. CSP and Deonte reviewed how a good and bad day look for him to compare his behaviors on each day. CSP and Deonte practiced different ways the youth could respond to peers and teacher when redirected. CSP, Deonte and MHS reviewed IPOC goals and possible activities for the youth.
Therapist plans to meet with individual on Wednesday, December 16, 2015 between 8-10 AM to work on anger control and conflict-resolution skills through role-play.
When the clinical team arrived Astrid was in her room. Astrid walked out her room, pass the clinical team, two times without greeting the clinical team or engaging in eye contact. Mom called Astrid over to join the clinical team at the dining table. Astrid did not comply, it took two verbal prompts for Astrid to sit at the table. Astrid sat across the clinical team with her head looking down into her lap. The clinical team probed greetings and Astrid did not respond. The clinical team presented Astrid with some preferred activities, such as coloring and drawing. These were the only activities Astrid and the clinical team engaged in until the end of the assessment. Astrid's communication were probed. Compliance was probed first. Astrid did not complied with the one step instruction, look at me, nor did she talk unless reinforcer was removed. Even when the reinforcers where moved, Astrid talked in a low voice, similar to a wisper. It wasn't until the clinical team told a few sarcastic jokes and acted silly did she engage.
Therapist plans to meet with individual and mom on Wednesday, April 27, 2016 between 8-10 AM to work on self control and
Behavior (B): TC, the mother, and brother presented with appropriate affect and euthymic mood. The mother was receptive, engaged, and open regarding the information that was asked by the counselor. TC played with on his videogame during the session and the brother was on his iPad. Family was well groomed, focused, alert, oriented x4. There were no signs of delusions, hallucinations or suicidal ideations. The home was clean and appeared safe.
I enjoyed reading your informative and insightful ideas! On the topic of Aaron’s mother, you suggest that “She also needs to learn to play with Aaron. I would sit her down for a private talk about her importance in Aaron’s therapy”. Interestingly, Reality Therapy (Glasser, 1965 in Seligman & Reichenberg, 2014) as a tool for a counselor in per se, family therapy may propose that Aaron’s mother joins a therapy session. Nonetheless, RT recommends that a counselor should not infringe upon Aaron’s mother’s rights or those rights of others (Glasser, 1989) to accomplish Aaron’s wants. For that reason, a counselor’s encouragement to a family member may suggest that they may perhaps become less judgmental toward Aaron. As a result, his mother may
In these assignment I’ve learn to use my therapeutic communication skills and techniques a lot, if it works successfully with families, I hope so, and I believe I did my best that I can.
All health professional need to establish and maintain the appropriate therapeutical relationship with the patients and make ensure, safe, effective and ethical care. The establishment and maintenances of therapeutical relationship is fundamental to maintaining trust within the relationship allowing for the delivery of equality care and achievement of solid treatments outcomes. If every factor addressed between the nurse and patients’ relations will have positive outcomes eventually. After doing the case study of Vincent Romero regarding the use of therapeutical relationship can be success if the nurses express sincere warm-hearted caring, empathy understanding, show the compassions, being non-judgemental, unconditional acceptance of the clients authentic communications and experiential states which help the client to develop the trust, emotional security, and insightful self-understanding, which contributes to the healing of emotional pain and inner conflict, as well as enhancing psychological well-being and constructive functioning. To establish empathy with the Vincent nurse need to be able to create a mutual understanding and need to understand what respect look like in his perception. Additionally,