Pt. has been in the program for over 2 years and she has been able to earn level 7 take home privilege once again. Pt. recently lost her take home privileges due to counseling non-compliance. Pt. completed a take home request form and attended two groups this quarter in order to resolve tx issues. The pt. has had her take-home privileges reinstated. Pt. was provided with feedback regarding her engagement in her tx plans and she started to reach this writer and other individual with the same recovery issues to learn and improve relapse prevention skills.…
AMS Counselor met with Pt. for the first individual session. Pt. transferred to this counselor caseload on the above date. Counselor introduced himself with name, sharing his cultural background and counseling work experience in order to develop a heathy therapeutic alliance. Counselor requested that Pt. provide an honest description of his medication effectiveness and any medication issues.…
D: Therapist and Adriano met for an individual therapy session. Adriano wanted to talk about other peers behaviors at the start of the session assured Adriano that his concerns would be looked into. Therapist asked Adriano how his behaviors have been since the last time therapist and Adriano met, Adriano got quite and took a deep breath and leaned back in his chair. Therapist provided Adriano a little time to process what he was feeling and then attempted to restate the question. Adriano reveled that his week was good he just got upset a few times and punched a hole in his bedroom wall.…
Working Phase of Treatment Working Phase Therapeutic Tasks 1. Monitor progress toward goals a. Assessment intervention: use Outcome Rating Scale to measure progress of clients arguing b. Assessment intervention: use scaling questions to measure progress of not arguing 2. Monitor quality of therapeutic alliance as therapy proceeds a. Assessment intervention: use Session Rating Scale to measure alliance with all clients Working Phase Client Goals 1. Increase emotional intimacy and sexual connection between couple to reduce hopelessness and irritability a. Use videotalk with the couple to reduce blame and increase positive affect communication and effective communication of requests b. Intervention: Have the couple sit down together with no outside…
In this stage the therapist takes all the information shared throughout the stages and make a plan to go over with the family. An example of this stage includes if Brenda or Kay mentioned at the end of therapy that they would like a “100% supportive environment” we could work on the behaviors that support a supportive environment like communication styles, rules, roles,…
A: Client appears to be in the pre-contemplation stage of change at this time. P: Client is being discharged from treatment due to lack of engagement for treatment. / HA, CDP…
Also, he has a new job at Ashley, but, in addition he has a job interview on Friday with ULine where he could make up to 27.50/hour. His father will be taking him on Friday and when I suggested he use that time to see his son, since his father is required to be present during visits, he shut that idea down. The client’s relapse warning signs are that he has decided he can be abstinent without recovery, he is isolating physically and emotionally, he cannot relate to people in his recovery program, he resents the people closest to him, he is experiencing anger and resentments that he keeps to himself, he does not talk to his sponsor, and he is not working the steps, he acts happy, as if everything is great, but feels miserable, he does not think he can date or be romantic without getting buzzed, and he does not think he can rebuild his…
This counselor met with Desiree in the office today to review the reports provided by the 3 interviewers that did mock interviews with her on 9/20. Before reviewing the reports, Desiree wanted this counselor to know that she is still doing wonderful on her medications and stated " I feel like myself." She also wanted this counselor to know that she has been clean for awhile now and is confident she can pass a drug test. She said that she is more clear headed and plans to stay clean. This counselor was happy to hear that she is taking the initiative to improve herself.…
The counselor will continue to meet with the client four times a week to address the anger , drug addiction and talk about being referred out to anger and Domestic Violence class once he graduate the…
The client moves at their individual pace to disclose old patterns and develops new ones with the therapist’s assistance. The therapist will use a TF-CBT approach during sessions to challenge cognitive, emotions, feelings, and behaviors. In the consolidation phase, Ian’s father and girlfriend unite for psychoeducation and discuss the outcomes to treatment. This is a safe environment to communicate areas of concern and strength-building…
A-The patient arrived late to her appointment. Reported unstable on her dose and will continue to increase her dose by 5mgs every three days. This writer spoke with the patient about her phone call today as the requested for assistance with transferring her case to the Hartford Dispensary, when asked how come again, the patient appeared uncertain and confused as to whether or not she wants to go forward with it. This writer addressed with the patient as to what is going on and based on what the patient has shared, she's upset about her recent relapse and apologized for lying to this writer. This writer informed the patient that there are different stages in recovery and any individual can relapse, but it is always a risk.…
1. Develops a therapeutic relationship with clients Therapeutic relationship is the special connection between the nurse and client that is based on trust, empathy, respect, and professional intimacy. On the afternoon shift the certified nursing assistant (CNA) reported to me that a client did not have dinner.…
The therapist right from the beginning of the therapy session thanks the client for filling out the paper work and the confidentiality forms, which is affirmative building therapeutic alliance. The therapist also demonstrates a rapport refers to a positive, comfortable relationships between interviewer and client. The goal is to make the client feel connect and sympathized with, there is no substitute for genuinely connecting and sympathizing with the client (Pomerantz, 2014). The therapist defiantly displayed that action in the annotated interview. Basically, as a therapist, you want a treatment plan that is dedicated to developing trust and create an important relationship.…
Janet reports they have their first session later next week. I believe that Janet would perhaps have come to the concept of parent counselling herself. I let the friend side of myself take over momentarily. In the future I will be more than aware of the need not to suggest or goal set for the client, it is their healing journey and not…
Ideal Client The first and most important step in Steve to get found and hit his marks with his clients is to identify his ideal client. For Steve I believe that he should focus on: • Tech savvy Companies • Small business in need of advertising and marketing expertise • Companies that just started up • Ipo’s • Other marketing teams for companies In general Steve’s ideal client would be a recently formed business big enough to have a budget to outsource its needs of marketing to a third party. This would most likely be small business around the country Message…