It is easy to understand why the death of a loved one is widely identified as a formidable life stressor, in which the method of death may increase the risk of those left behind developing psychological and psychiatric conditions. When this method of death is suicide it is said to be one of life’s most catastrophic experiences (Walsh & McGoldrick, 2004). Jordan ( 2001) explains how the suicide of a loved one releases a poignant tidal wave of feelings and emotions in addition to the loss, loneliness, and sadness; heightened levels of anger, abandonment, family dysfunction, guilt, rejection, self-reproach, shame and social stigmatization make the mourning process after suicide a even more difficult process. In 2014 there was 4882 suicide registered
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Research suggests as much as %90 of individuals who attempt suicide have pre exsiting mental health issues, however not all these conditions will be diagnosed clinically, individuals with bipolar, severe depression and borderline personality disorder share the highest risk rates (Office for National statistics, …show more content…
Whilst they want us to work in a Person centred approach they instruct us that the bereavement should be dealt with within six sessions. Raising this with the manager, explaining the importance of the therapeutic relationship in assisting relief of client distress and how this may take six sessions in building that trust to allow the client to open up and working this way is more of a cognitive approach opposed to non directive person centred has become somewhat of an ongoing battle. Managing this situation initially was difficult until I discussed my concerns in supervision, whose words echoed out to me ‘do no harm to the client’. I then faced a dilemma of considering the key elements of the BACP ethical framework, working to agency guidelines and my own personal feelings. Supervision allowed me to explore all these bringing the stance of suicide is a complicated grief situation which may not work within the normal guidelines, it requires therapist patience allowing the client to tell their story over and over several times. The resolution was after six sessions speak with supervisor and they are able to authorise more sessions if required, however if I was working privately I would be able to make these decisions
Research suggests as much as %90 of individuals who attempt suicide have pre exsiting mental health issues, however not all these conditions will be diagnosed clinically, individuals with bipolar, severe depression and borderline personality disorder share the highest risk rates (Office for National statistics, …show more content…
Whilst they want us to work in a Person centred approach they instruct us that the bereavement should be dealt with within six sessions. Raising this with the manager, explaining the importance of the therapeutic relationship in assisting relief of client distress and how this may take six sessions in building that trust to allow the client to open up and working this way is more of a cognitive approach opposed to non directive person centred has become somewhat of an ongoing battle. Managing this situation initially was difficult until I discussed my concerns in supervision, whose words echoed out to me ‘do no harm to the client’. I then faced a dilemma of considering the key elements of the BACP ethical framework, working to agency guidelines and my own personal feelings. Supervision allowed me to explore all these bringing the stance of suicide is a complicated grief situation which may not work within the normal guidelines, it requires therapist patience allowing the client to tell their story over and over several times. The resolution was after six sessions speak with supervisor and they are able to authorise more sessions if required, however if I was working privately I would be able to make these decisions