Stage. Early stage treatment - In the early stage of treatment, clients may be in the precontemplation, contemplation, preparation, or early action stage of change. Regardless of their stage in early recovery, clients tend to be ambivalent. Even those who sincerely intend to remain abstinent or change may have a tenuous commitment to recovery. Further, cognitive impairment from substances or trauma is at its most severe in these early stages of recovery, so clients tend to be rigid in their thinking and limited in their ability to solve problems.
Strategy. Early stage strategies:
Instilling hope—some clients exemplify progress toward recovery and support others in their efforts, thereby helping to retain clients in therapy.
Universality—enable clients to see that they are not alone, that others have similar problems.
Imparting information—leaders shed light on the nature of addiction or trauma via direct instruction.
Altruism - clients gain greater self‐esteem by helping each other.
Developing socializing techniques—clients learn to give feedback; others’ impressions reveal how a client’s ineffective social habits might undermine relationships.
Imitative behavior—clients begin to try out new behavior of others.
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As clients take their first steps toward a life centered on healthy sources of satisfaction, they need strong support, a high degree of structure, positive human connections, and active leadership. The leader pays particular attention to feelings in the early stage of treatment. Many people with addiction or trauma histories are not sure what they feel and have great difficulty communicating their feelings to others. Leaders begin to help clients move toward regulation by labeling and mirroring feelings as they arise in work. The leader’s instruction and empathy enables clients to begin to recognize and own their feelings. This essential step toward managing feelings also leads clients toward empathy with the feelings of
Smyth, N. (1994). Addictions counseling: a practical guide to counseling people with chemical and other addictions/The addiction process: effective social work approaches/Clinical work with substance-abusing clients (book). Social Work, 39(5), 616.
Then start to develop goals by finding out what they think is helping and what is not and are they willing to invest the time and effort by using the scaling exercise. The social worker with asks strengths-reinforcing coping questions how, what, and has. The Client is encouraged to define their goals from the start where the social worker may present and alternate perspective are to ask the miracle question. Answers to this question can provide indicators of change to be used. “All task are interventions are intended to encourage the client to think and behave differently with regard to the presenting problem than has been typical in the past (Walsh, 2013).” The formal first-session is the assignment of observing the good the client would like to continue in their life and maybe get the client thinking about exceptions. Second the surprise task surprising another person connected with the problem in a good way “shake up” in the clients’ routine and influence positive behavior. The ending is worked on from the start of intervention, where progress is monitored at each session that might be the last. Where the focus is on helping clients identify strategies to maintain and continue the momentum of enacting solutions.
When working with diverse populations it is vital as counselors to consider the whole person and be sensitive to cultural norms during the delivery of treatment services (“The role,” n.d.). This process can be confusing to clients and counselors provide structure to the nature and purpose of counseling. During the assessment phase of treatment, counselors distinguish the presenting problem, nature, severity, and duration of the consumer (Gladding and Newsome, 2013). As well as assess the level of readiness and motivation for change and be knowledgeable with tasks and interventions strategies on each level of development with age, gender, cultural background, psychosocial stressors, and level of functioning. For example, resistant consumers who are court ordered to attend treatment can either enhance or detract physically, psychologically, and emotionally by physical settings. Some methods used by counselors can anticipate, accept and strengthen relationship, use persuasion, or confront the situation with resistant clients depending on counselor training (Gladding and Newsome, 2013).
For the 9 years that I have worked as a mental health support worker I have come across cases involving drug addiction and mental health. My passion to work with and help those in need of services grew over the years as I came to realize that with the right services and support, one can eventually become clean of drugs and reintegrate into society and live a normal life. I have been privileged to work with genuinely enthusiastic and caring colleagues who have enhanced my professional identity which makes me so proud to be part of a wider health care industry. I’m fortunate to have tremendous amount of sincere affection for service users and staff and this had made me resilient in adversity, and have a passion to want to do the right
...The client must take the tools and techniques they learned in therapy and apply them in order to successfully abstain from substance use.
...ives from the implementation of an empathic, hopeful continuous treatment relationship, which provides integrated treatment and coordination of care through the course of multiple treatment episodes” (Watkins, 2015). Whether, confronted with a substance use disorder, gambling or sex addiction the way in which a counselor work with the client in an open helpful manner is the key to motivating the client to change their behaviors. “A man convinced against his will, Is of the same opinion still” (Carnegie, 1981). The most piece of the helping relationship is that the client is the lead in their care, as they are the ones that will be making the decisions for their care. A counselor is essentially a trained skillful teacher that guides an individual toward their best recovery options and it is up to the individual to make the needed changes in their life and behaviors.
To explain, the client should not be inferior to the counselor; the environment should be two people discussing an issue and ways to make a difference. A therapist should occasionally share similar experiences; therefore, sessions should make clients feel comfortable. To add, the client should feel safe due to the positive atmosphere the therapist brings to the session. The goal is to finally give the client a chance to be heard, regularly people are muted and feel like they are insignificant to society. Similarly, to Person-centered therapy where communication with the client is unconditionally positive. The therapist needs to genuinely care about the client needs for them to fully express themselves successfully. Furthermore, clients should be encouraging to make their own choices which model how to identify and use power responsibly. Hence, this will help the client feel more confident in everyday life when making a meaningful
Therefore, when I work with substance abusers I will show empathy, encourage and validate their successes and their feelings about any failures. In addiction, I will help the person learn from their failures and normalize the situation. Furthermore, I would attempt to ensure that the person had several coping strategies in place, to help when he or she finds themselves in a difficult situation. Moreover, I intend to ensure the client has all the tools he or she needs to succeed while getting to the root of their problem through counseling.
The patient may be able to sense if you have a negative opinion of them. Also, many patients with addiction may have ineffective coping, personal identity disturbance, and altered family coping along with many others. The patient will need support and access to resources. As nurses we must advocate for our patients, so in these situations we need to be actively doing this. The patient may need information about treatment and groups. During my observation at a rehabilitation facility, I saw firsthand that these patients need support. We need to provide the support and care that they need. (Observation, March 1,
...velop plans and goals that they can put into action. I further believe warmth and empathy should be used in building relationships between clients. The therapist should create a setting in which clients feel safe and can be vulnerable and spontaneous. As I stated before when discussing goals, it is the role of the therapist to cultivate optimism and hope. According to Gehart (2010), hope should be instilled early on in therapy to foster motivation and a sense of momentum (p. 337). I agree with this statement because more than likely the client is in therapy to make some kind of change, to make an improvement. If hope is instilled early in treatment, clients are able to feel empowered and strengthened by their therapist’s encouraging attitude. Overall, a therapist should be a facilitator, a resource person, an observer and a model for effective communication.
These points of view control the positive brain, science or comprehensive quality emotional wellness. Our therapy incorporates our clients to appreciate life and to accomplish mental strength. “In all things I have shown you that by working hard in this way we must help the weak and remember the words of the Lord Jesus, how he himself said, ‘It is more blessed to give than to receive’” (Acts 20:35, ESV). Our culture is to help people with mental issues to learn from their problems. Therefore, we have to have patience, compassion and believe whole-heartedly in honesty. We lead by example, whether it comes from our director, and she is telling us ways to engage with our patients or the face-to-face sessions while putting ourselves in the shoes our
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
Within the therapeutic alliance, the clinician-client relationship can be critical to the outcome of therapy. If a client does not feel that his or her feelings, expressions, and or thoughts matter to the therapist, there is no alliance much less a relationship. When a client feels invested in it can certainly change the outcome of therapy. For instance if a client has come to therapy with feelings of inadequacy, lack of visibility and indifference if the therapist treats him or her in the same manner it is highly unlikely the client will return to this clinician. A study (Friedlander, Bernardi, and Lee, 2010) shows that outcomes were more negative when clients felt clinician lack of engagement and involvement in session.
One thing I have learned is that no road to recovery is wrong, and because I found recovery in the rooms does not mean that is going to be everyone’s path. I encourage every one of my clients to find that path themselves, I am armed with resources to help them but I would never push my views onto them.
However, CBT relies heavily on therapeutic relationship for the success of the treatment. Many may decide that CBT feels cold and too mechanical due to the heavy focus on cognitions and the structure. In Beck’s earliest manuscripts, however, he stresses the importance of developing a strong therapeutic relationship with the client (Beck, 2011). Throughout the counseling process, the counselor works to build trust and rapport with the client through collaboration and encouraging optimism (Seligman & Reichenberg, 2014). The therapeutic relationship remains collaborative, empathetic, active, flexible, nonjudgmental, and goal-oriented (Seligman & Reichenberg, 2014). Due to the collaborative nature of the therapeutic relationship, the counselor encourages the client to provided feedback throughout the process. Anytime problems arise within the relationship, the counselor and client explore them together (Beck,