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Introduction for an essay on the therapeutic alliance
Introduction for an essay on the therapeutic alliance
The principle of therapeutic alliance
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Recognise and response to crisis situations
Q6: Explain how client’s barriers can impact upon the helping relationship?
Client’s barriers can impact on the helping relationship by;
• Clients not wanting help/or scared of what might happen if they ask for help.
• There might be communication difficulties which can impact on the helping relationship.
• If a client is a sole parent or caregiver this can also impact on the helping relationship as clients may think that asking for help could impact on them looking after children.
• There may also be some distrust from clients that have had a bad experience with another service; this can impact on the helping relationship.
These barriers can impact on the helping relationship as there needs to be trust, full support and a lot of communication when helping a client without these it can become quite difficult to help someone in a crisis.
Q7: Why is debriefing and supervision important when dealing with clients in crisis?
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Weather that is you are angry, sad or depressed about your crisis it is still good to talk about how you may be feeling because sometimes all you may need is the support from someone to get you through the crisis situation. It is also important to supervise your client as they may still be in shock, they might have anxiety, post-traumatic stress or even depression. So it’s very important to supervise your client so you can be there with them and be able to see those signs of depression or anxiety so you can to help them through this and support them by giving them extra help through other support
Secondly, it is natural that a variety of feelings a worker can experience, during a crisis situation, but from this course, I learned that how to respond and manage them in a positive manner. It was a useful outcome which provides me with the knowledge of how to maintain our thought, feelings and behaviors while acting or reacting that will keep me and as well as client safe and free from harm and abuse during the crisis.
As we all know, there is a solution to every problem - but having the resources and support to resolve one of these could be the hindrance to a satisfying outcome for you, the worker. Often, one feels they haven't done enough to meet the client's needs, especially when you keep hitting road blocks, therefore you go above and beyond - often putting yourself in an uncomfortable situation in the long run. I can see these two concerns listed as being a personal challenge for any human service professional.
5. What is the difference between a'smart' and a'smart'? What are the factors that make clients reluctant to seek help? There are many things that go into a client seeking help out of the human service system. For some, it is because they realize they have a problem that they need the help of a professional.
Giving bad news should be done carefully and humanely, and trust should be established as well as a relationship being built. Empathy is one of the most important things. Maybe if you relate a client's situation with a situation you were once in, and explain how you once grieved, it will help you two relate as a person. You should also never rush your client once bad news is delivered. Give them your full attention, answer their questions, make sure that your client is aware that you are empathetic and you care.
Elizabeth Vernet (as cited in Shallcross, 2011) stated “It is important for counsellors to understand that there are risk factors inherent in the work and that noticing signs of stress or distress is a sign of health, not impairment, none of us is immune to the work.” Empathy is an essential part of counselling and in order to be empathetic we need a connection to our own wellbeing.
Events happen, which people may find challenging daily. However, such situations are handled best with professional help; this is where my role as a counselor is crucial. As a mental health counselor, my job is to provide the essential tools for my clients to
...ing silence, paraphrasing and reflection of feelings, as well as non-verbal skills such as body-language and active listening are all used in order to allow the client to introspect and work with their problems in a safe environment, the role of the counselor within the relationship being to support the client and help them to reach their true potential by expressing emotions and thoughts that they can’t express outside of the helping relationship, whether it be for fear of rejection or some other reason.
Contrary to the similarities of both models, The ABC Model of Crisis Intervention is used as an assessment consisting of three components: A- achieving contact, B-boiling the problem down to basics and C-coping (Kanel, 2010). Kanel (2010) suggest that the ABC Model of Crisis Intervention is designed for a client whose functioning level has decreased following a psychosocial stressor. It’s most effectively applied within 4 to 6 weeks of the crisis. The Seven Task of Assessment consists of the following seven tasks: (1) Initiating Contact, (2) Defining the Crisis, (3) Providing Support, (4) Examining Alternatives, (5) Re-establishing Control, (6) Obtaining Commitment, and (7) the Follow Up (James, 2013). The Seven Task Assessment is a more detailed assessment focusing solely on the difficulties faced by the client due to a severe crisis. It allows for a closer encounter with the client to evaluate the crisis’ severity, their current emotional status, alternative methods, support systems and coping
In addition, I would let the client know, that there is help out tailored to their needs. Example: If a client is musing (thinking) about suicide or distress, I would submit to the client the number to the help hotline. The hotline is a crisis text and phone 24/7 hotline for confidential text messages and phone conversation to service those individuals who are/were engaged in a crisis. The (800) 273-8255 Hotline helps to prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention, and gives out crisis resources for the people and their friends and families.
Effective crisis intervention must follow ethical principles which ensure that client is not placed in further harm also that the decisions and opinions of the client are respected throughout the process and the intervention upholds a rights-based approach. This involves good listening communication skills, observing, understanding, genuineness, respect, acceptance, non-judgment and sensitivity demonstrating empathy, among other support provided by counselor. A number of specific strategies can be used to promote effective listening during crisis intervention. These include using open-ended questions - “what” or “how” questions. They are used to encourage sharing of information from a client about their feelings, thoughts and behaviors, and are particularly useful when exploring problems during a crisis.
In order to help client to felt at ease, I attempted to establish a safe atmosphere for client to disclose his issues and also to develop a sense of trust between us by conveying a non-judgmental and non-critical attitude. I use open questions, to invite client to elaborate on information. At the beginning of the session, I manage to use open question to explore more about client issue. Client presenting problem will be financial
The area of multiple (or dual) relationships in counseling highlights the need for ethical, professional boundaries, yet these are shifting. How might clients be harmed (or helped) by these relationships? Give examples. The client can be helped because he or she is seeing the counselor in a more comfortable setting.
There are few circumstances counselors have to oblige when dealing issues from clients. Counselors have to be trustworthy; this is a fundamental to understanding and solving issues. Counselors have to keep information gathered confidential and restrict any disclosure of information to anybody. Clients voluntarily seek help to counselors for therapy or any kind of help they need. Hence as a counselor it is important to respect their clients’ self-government and ensure precision in information given. Commitment of a counselor plays a big role in a therapy. It is not ethical for a counselor to neglect a client such that the client’s well being is not taken care of. It is also important for counselors to have a fair treatment with all their clients. No matter how each client will be, there must not be any form of judgment, which will cause any form of unfair
The most interesting fact garnered from the reading was psychological first aid being utilized as an alternative to “psychological debriefing” which has been found to be ineffective. In contrast, psychological first aid involves factors that seem to be most helpful to people’s long-term recovery (according to various studies and the consensus of many crisis helpers). These include (World Health Organization, 2011): feeling safe, connected to others, calm and hopeful, having access to social, physical and emotional support; and feeling able to help themselves, as individuals and
The start of the conversation can be seen as a strength because the skilled helper introduced who they were and then they told the client about the confidentiality statement. This could be seen as a strength because the client would know what the boundaries are in the session and what the skilled helper has to do when they are aware that the client may be in danger of harming themselves. Making the client aware about the confidentiality statement can increase the chance of the