That is their first and only objective.
The relationship between a counselor and their client must first and foremost be a beneficial and safe one. If at any point either party begins to feel as though the relationship is no longer helpful, or either party feels threatened in any way then the relationship must be terminated. Treatment should never be denied based on race, creed, religious belief, sexual orientation, or previous criminal history. The letter and spirit of the laws regarding confidentiality and the use of patient's records should also be adhered to. A client must be able to trust that the information disclosed in therapy sessions will not ever be leveraged against them unless they have specific knowledge of a criminal act which results in duly appointed authorities being awarded a subpoena for the records, or they express intent to harm themselves or others. These exceptions must be made clear at the onset of treatment, never expressed as a threat, rather as a part of a counselor's legal and ethical obligation to fully inform the client of their rights before any personal or private information is disclosed. A therapeutic relationship must be professional yet the nature of the profession indicates that the relationship will become highly intimate. It is very important in this context not to become personally involved with the client beyond the appropriate boundaries of a counselor client relationship. Romantic or even friendship with a client is extremely inappropriate as the power dynamic within the relationship is skewed heavily in favor of the counselor.
The counselor is the catalyst for change. It is a primary tenet of psychology more specifically psychotherapy, that a counselor will be unable to affect change unless the individual desires to change themselves. This is fundamentally true. However, it is apparent that Vera seeks change. She has sought therapy and assistance from her mother in the past and is now doing so again. If she is able to develop a relationship with a therapist whom she trusts and who is able to make her believe that she can cope effectively without the self-medication then she will succeed. If however, she does not find such a relationship, it is likely she will continue on the path she is currently on indefinitely. The relationship between counselor and client is infinitely important, it is this relationship which actually facilitates and directs the changes an individual needs in order to achieve their goals and discontinue maladaptive behaviors they are not able to cease on their own.
Personally I ascribe to a combination of psychodynamic psychotherapy and cognitive behavioral psychological approaches. While psychodynamics is essential in developing a healthy open and honest relationship with a client, it is the cognitive behavioral therapy which actively works towards identifying and eliminating maladaptive thought processes and behaviors. Neither of these approaches though are effective without a respect and understanding of the biological roots of these negative behaviors. A careful analysis of family and personal medical history as well as a full blood work up are crucial first steps in developing an effective therapeutic relationship.
One of the most effective aspects of psychodynamic therapy is that there is an open reciprocation of information. Where psychoanalysis requires counselors to remain relatively silent, a daunting proposition for an individual with self-esteem issues and depression, psychodynamics encourages active question and answer, interaction. Rather than a sense of being judged, the client feels like they're having a particularly uplifting conversation. The result is a feeling of empowerment and self-respect, reflected from the respect shown them by the counselor. While psychodynamics are important in empowering and understanding a client, this alone will not resolve maladaptive thought and behavior processes. For that a specific assessment of individual behaviors a deconstruction of those behaviors and replacement of them with positive strategies is necessary. Personally, I believe that these two techniques should never be used independently. Psychodynamic sessions are extremely effective in building rapport and cognitive behavioral therapy is extremely effective in affecting specific behavioral change.
Should Vera enter my office, my treatment approach would be multi-modal. Necessarily I would need to take over the management of her current
Hypothetical Case Study Dieting This report provides insight into a hypothetical case study regarding dieting. The case involves a patient from this point forward called; X. She tends to consider herself as an individual that has been a life long 'on again' then 'off again' dieter. She informs a counselor that she has shown minor success with dieting where she may have lost a few pounds however; she feels that dieting
treatment modalities for conduct disordered adolescent males has primarily been focused on comorbidity. Adolescent males with conduct disorder typically receive individual and family therapy, but when overt behaviors are extreme, pharmacotherapy may supplant insight-based therapy. Cognitive Behavioral Therapy and social skills training are complementary approaches to intervention. Using an experimental approach, this study examines the impact of combined intervention approaches on perceived and observed improvement in the expression of
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delineates a hypothetical disaster plan in response to a major earthquake and tsunami in New York City. The disaster plan includes pre-disaster / pre-event preparations, actions taken during the disaster, resources available during the disaster, and post-disaster / post-event strategies. The scope of the disaster plan includes establishment of a new residence and survival plan for disasters with long-term effects. Additionally, the disaster plan contains two separate components: One
Treatment of Criminal Offenders As a clinician, how can you apply the knowledge you gained from this course to more effectively serve your clients? A connection has been established by researchers between brutal and violent susceptibility to impair a particular area of the brain. Till date, several evidence, have assisted to bring into limelight the shady aspect of human attitude and might pave the way for important interference. For instance, several
Recovery Plan: Biological Attack in the U.S. Congress The havoc and deaths caused by the weaponized anthrax spores that were mailed to members of the U.S. Congress following the attacks of September 11, 2001 and the repeated attempted uses of botulinum toxin on U.S. Naval bases make it abundantly clear that governmental offices are vulnerable to biological pathogens. These agents have been and likely will be used by terrorists again
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