Intensity of the patient's illness, long-term prognosis, balance between medical and somatic symptoms, and realistic goal-setting will influence the patient's ability to function and his or her treatment (Groth-Marnat, 2009, p.604).
Duration of the treatment course is another factor to consider: Long vs. short-range treatment duration is determined by the intensity of the disorder; its specificity; the age and level of social support of the patient; and the patient's level of 'premorbid' functioning. A phobic anxiety disorder requiring short-term treatment vs. A chronic bipolar disorder provides a contrast in the two different approaches: one is ideal for symptom-focused cognitive behavioral therapy while the other requires more generalized physical and medical treatment. For some disorders, such as borderline personality disorder, no treatment at the time may be indicated, until the patient is willing to use the therapy correctly, and not merely as a way to further his or her disorder (Groth-Marnat, 2009, p.605). Situation-specific 'habits' as opposed to those stemming from deeper emotional or personality disorders thus affect treatment plans as well.
Finally, the therapist must consider the need...
A counselor like any other physician, or medical practitioner must help. 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
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