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Importance of counseling approaches
Importance of counseling approaches
Importance of counseling approaches
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Primary Counselor met with Pt. for an individual session. Counselor and Pt. discussed his recent previous drug screen result, account balance, recent recovery challenges, and personal goals and how he continues healing from his car injuries. Pt. reported that he has not experienced any suicidal ideation and no mental health issues. Pt. informed this writer that he has not used any drugs since his positive UDS result at his admission. Counselor praised him for maintaining his commitment to abstinence during this difficult times and dealing physical pain. Counselor told him that he needs to continue reflecting on what can be learned from his recent car accident. Counselor noticed that Pt.'s medical status has improved due to his accessing appropriate
Symptoms/Focus: Dr. Andrew Bourgeois at Simi Valley Emergency Room requested an evaluation of client by the Crisis Team for Suicidal Ideation and Grave Disability. Client placed a call to EMS on his own behalf on the evening of 05/14/2017. Client requested to be picked up from in front of a restaurant and taken to Simi Valley Emergency Room due to suicidal ideation with a plan to "cut head with a saw". Client stated to Dr. Bourgeois that his depression had increased over the last 3 days. Client denied drug or alcohol use, but was positive for amphetamine in the hospital toxicology screen. Client had been seen at Simi Valley ER and
I am a busy primary care physician, and several months ago had a challenging patient struggling with alcohol addiction and abuse. Such addictions manifested in the repeated use of the emergency room and hospital. I struggled with coordinating his care across primary care, addiction behavior health, emergency room and hospital services, and as such referred him to the Health Home team.
For my Brown Bag Assignment my participant, JR, was found within my family. I was aware JR took daily medications due to his recent heart bypass surgery in June 2015 and met with him. JR is 62 years old and takes seven medication daily. My participant, JR had heart bypass surgery, exactly 4 bypasses, on June 1, 2015, due to 90% of his coronary arteries being blocked. For about two weeks prior to the surgery, he could not walk, felt very dizzy, fatigue, and weak. His legs even gave out and he fainted. He then decided to go to the doctors, got lab work done and found out about his coronary arteries were blocked. If he did not have this surgery, he would have died. This eight-hour surgery was a huge reality check for him. After this surgery, he completely changed his lifestyle by not smoking, not drinking, eating healthy and going on walks. Prior to this surgery, JR had and still has type 2 diabetes, high blood pressure, and high cholesterol for about five years now. As I was talking to him, it was clear that he knew all his medication very adequately especially when to take it, why he takes it and how to take it. He is also fully aware of healthy lifestyle choices. As we were talking I gave some advice to help continue his healthy lifestyle.
The medical family therapist assigned to our family when my father became ill suddenly a few years ago was a gift from God. The therapist helped not only my father however, she helped our family understand the severity of my Dad’s condition. My father had a tumor pressing down on his spinal cord which slowly started affecting his balance then eventually his ability to walk. My father before this condition probably never missed a day of work unless he scheduled it off. Furthermore, my Dad was involved in many different activities, and on the board of directors for our church and his local union. When this illness occurred the doctor immediately suggested sitting down with a counselor to discuss my father’s limitation, and the next course of
Miguel resides with his mother, father and grandmother. He is a 16 year-old male Latina of Mexican ethnicity. His parents are legal immigrants from Mexico but met and eventually, got married after they arrived in the United States. His mother is pregnant, which means that Miguel will soon have a sister. Miguel has been struggling academically even though he loves literature and writing. At home Miguel’s family speak Spanish but Miguel is fluent in both English and Spanish. He has been having challenges with his identity, which is the reason he identifies himself as “Chicano-American and not Latina.
...diagnoses that cause physical pain, but also problems that can cause emotional, spiritual, and psychosocial trauma. After the implementation of the stated interventions, the patient made physical and emotional progress towards the aforementioned goals. The above goals were not only met, but exceeded expectations of the patient and the nurses who provided care.
Over the last 100 years, the underpinning concepts in the fields of psychology and counseling were wrought. Within this period, these concepts have transformed and evolved from somewhat crude conceptions of the psyche toward more holistic interventions and approaches. As the profession continues to move forward, adaptations of the original theorists regarding the nature of man and the development of personality continue to emerge. These adaptations, along with the integration of new concepts and ideas, continue to contribute to the field. The author describes his view of man and human nature, personality development, and explores potential implications for counseling.
The physician will question the patient about any stressors she may be contending with at home or work prior to her entering the hospital. The physician will order lab tests and speak with the patient to understand the psychological factors; a referral will be made for making a final diagnosis. After the physician reviews both lab tests and the psychological factors, a referral will be made for the patient to see a clinician. The referral will focus on obtaining support and stabilization. The clinical assessment will gather information using written forms as a first step, including releases to speak with family members. The second step would be to invite the family along with the client in an effort to obtain a better understanding of existing medical conditions along with any past mental disorders. Abuse as a child or abuse as an adult will be determined. The clinician will evaluate if the client is portraying any signs due to alcoholism or a drug addictions. An example of one question her clin...
CM contacted IIC agencies (Caring Counselors, Inc., Project 99, M&S Psychotherapy & Counseling and It Takes a family, LLC.) regarding available male IIC providers. CM was informed that the above agencies does not have any male IIC providers available.
It should be noted that due to the unknown consumption of medications or possible usage of narcotics, she would have caused harm to herself and to others. I believed that dale was in need of substance abuse services. At the time, dale was incapable of accepting the need for such services and of making a rational decision in regard to receiving services. As evidenced by her recent behavior, there was a substantial likelihood that without care or treatment dale would have caused serious bodily harm to herself in the near
Over a deviation of history, child abuse was perceived as a private rather than a societal concern (Afe, Emedoh, Ogunsemi, Adegbohun, 2016). Child abuse and neglect is what is
A family came in for therapy. There are five people in this family. There are two teenage girls, an 18-year-old male, and a mother and a father. Lately, one of the girls is no longer attending school, she is also withdrawing from friends. She has been disrespectful towards dad. She has been posting lewd pictures on social media, and there are people in the neighborhood telling the parents that they have seen one of their daughters drinking when with their friends.
The counseling session began with the introductions where I introduced myself as the counselor and later introduced my client. This stage is important in any counseling session since it is the time of exploration and focusing according to Gerard Egan as quoted by Wright (1998) in his essay on couselling skills. It is in this session that I was able to establish rapport and trust with my client in order to come up with a working and fruitful relationship with him. During this stage I made use of skills like questioning, where I would pose a question directly to my client, sometimes I would choose to just listen to what the client wanted to speak out while in some instances I would be forced to paraphrase the question if I felt the client did not understand the question I had asked previously. There were also other times when I would reflect through silence. During such a period, I got time to study the client and the information he had given. This being a difficult area, since some clients may not be able to volunteer information to you as the counselor, I decided to assure the client of confidentiality of any information he was willing to share with me with a few exceptions which I also told him about. Being open to him about the only times the information may not be confidential was part of my building rapport and establishing trust with him. I therefore, decided to ask the client what information he wanted to share with me and lucky enough he was ready to speak to me about different issues that he was going through.
There also the matter of an unreported motor vehicle accident that occurred prior to his admission. All of Patient 1’s issues combined required my preceptor and I to plan our day to make sure that he was well taken care of. He was on 9 drips and he had been given some paralytics. We had to continuously monitor his drips to ensure that he wouldn’t run out of his
This essay is about my prospective of two case studies, relating to the scenario’s as a ‘third person’, with enthuses on refection, I’ll reframe from that third person, it’s about placing myself in the shoes of the counsellor and walking in their shoes.