Ted’s stages of change alternate throughout the sessions. When we first meet Ted, he is in precontemplation. During this stage, Ted does not want to change his drinking patterns. He states he does not have a problem, that the drinking is a way to cope with the extra stress that is occurring in his life. As a response to that stress, he has to drink more to relieve himself. According to Miller (2010), in the precontemplation stage, the client has no intention of changing behaviors. Also, the client does not believe there is a problem associated with their substance use. According to this text, Ted meets the criteria for precontemplation stage of change. During Ted’s second week of services, he is still in the precontemplation model.
To use cognitive restructuring and explain how his thoughts directly affect alcohol consumption.
a. Interventions: describe cognitive restructuring and explain its uses, gather background information from the client to discover how problem was handled in the past, identify and track patterns of thought outside of session.
b. Prognosis: Fair, client may struggle identifying how thoughts encourage his alcohol consumption, but he has fair amount of insight on thoughts.
2. To use the reframing technique to provide another side of client’s thoughts of losing control.
a. Interventions: describe the reframing technique and explain its uses, be present with the client and reflect content and feelings.
b. Prognosis: Good; client may take time to adjust, but client believes he does not have a problem
3. To address Automated Negative Thoughts (ANT) that were identified in a Simple Thought Record
a. Interventions: describe the thought record and explain its uses, gather information on how client sees thoughts and practice thought record in session.
b. Prognosis: Fair, client has insight on alcohol consumption and seems willing to try any technique.
4. To implement mindfulness techniques as an alternative method to alcohol consumption and stress
This method is grounded in the strengths perspective, a perspective in which the worker center’s their sessions around the clients’ abilities, gifts, and strengths (Shulman, 2016). Instead of focusing on what is wrong with the client, the worker highlights what is right with the client building on their strengths instead of emphasizing their deficits: the client already has what they need to get better or solve their problem (Corcoran, 2008). The role of the worker in this model is to help the client recognize their potential, recognize what resources they already have, and discuss what is going well for the client and what they have been able to accomplish already (Shulman, 2016). Techniques commonly used in this model, although they are not exclusive to this model, include an emphasis on pre- and between-session change, exception questions, the miracle question, scaling questions, and coping questions (Shulman, 2016). These questions are used for many reasons: for example, the miracle question is used because “sometimes asking clients to envision a brighter future may help them be clearer on what they want or to see a path to problem-solving.” (Corcoran, 2008, p. 434) while coping questions are used to allow the client to see what they are already accomplishing, rather than what they are transgressing (Corcoran, 2008). All
... By scheduling an activity that the client can participate in and complete, it can give them a sense of mastery in a specific task. This can be beneficial for the client to feel accomplished. Another technique that I feel can be beneficial in therapy is role-playing. Role-playing can be helpful for a client to learn how to dispute irrational beliefs by becoming aware of negative feelings towards theses beliefs (Tan, 2011). In addition, role-playing can help the client to overcome their emotions and practice coping skills that are more effective. The last technique I would incorporate into therapy would be relaxation training. I would suggest ways that can help the client relax including, deep breathing, meditation, yoga, a massage or exercising. By getting the client to have methods to relax, I think it can help with managing their thoughts, feelings and behaviors.
My theory will include both directive and non-directive approaches, focusing on building a supportive client-therapist relationship, a full lifestyle assessment and understanding of the client’s belief system, as well as engaging in a strength based, goal-oriented practice which focuses on changing thoughts and choices, through education to the client and building self-regulation within the
Feedback would be implemented by using active and reflective listening, open ended questioning (Miller & Rollnick, 2012). By using the basic motivational interviewing techniques a counselor could elicit information about Ted’s problem areas and concerns. When Ted’s ambivalence has resolved and he has made a commitment to change the Responsibility aspect of the FRAMES technique could be implemented. Responsibility allows a client to see that counseling is a collaborative process but the client is responsible for their own change (Miller & Rollnick, 2012). As a counselor, this is where I would implement treatment planning. Advice would be apart of suggesting AA meetings and strategies for stress management. An integral part of advice giving and treatment options is to make sure that Ted has a variety of options to choose from (menu of options). Empathy is on going process and is one of the most important aspects of the counselor/client
We started with Phase I. I Contact client and met to discuss what to expect with our sessions. We then went to phase II, the therapist was able to sit down and understand the clients world view and the things she was going through. Phase III is Education and Integration, the therapist educated the client about existential world view. Phase IV is awareness, client was understood existential philosophy. Phase V is self-acceptance, the client understands that from now on they can choose differently. Phase VI is responsibility, the client has taken responsibility to make different choices, accepts that one can be purposeful and bring own meaning. Phase VII is choice and freedom, the client made conscious choices that are freeing from their self-imposed neurotic constraints. Phase VIII is separation, the client realizes that she no longer needs
In the disease of alcoholism, there are many psychological effects on the person. It can cause depression, anxi...
During my time in the ward, I recently had a patient with alcohol dependency in my care. My patient, Mr Grey was a 51 year old male patient who was admitted with a fractured neck of femur and consistent hypertension. Mr Grey required a vast amount of medical treatment for his injuries. As well as Mr Grey’s physiological problems he also had poor mental health problems such as depression and anxiety. We later discovered my patient had some social issues and that he was homeless.
Today, one out of every thirteen adults abuse alcohol or are alcoholics. That means nearly thirteen million Americans have a drinking problem. (www.niaaa.nih.gov) This topic offers a broad range of ideas to be researched within the psychological field. For this particular project, the topic of alcoholism and the psychological effects on people best fit the criteria. Alcoholism is defined as a disorder characterized by the excessive consumption of and dependence on alcoholic beverages, leading to physical and psychological harm and impaired social and vocational functioning. (www.dictionary.com) Through this project, the most important information regarding personal experiences dealing with alcoholism will be revealed. Not only are statistics, like the facts mentioned before, important when dealing with an issue such as alcoholism, but personal accounts and information are often more powerful and influential evidence. Non-alcoholics should be allowed to attend Alcoholics Anonymous meetings for research purposes.
These different tools are useful in building and maintaining a therapeutic relationship. Paraphrasing includes repeating the content that has been expressed in a different way, this method can provide the client with a feeling of importance and recognition. Reflection of feelings/content involves identifying the feelings and/or content in what has been said (highlighting the key aspects of the story). Again, this method encourages the patients to be validated and heard. The relationship between the person seeking help and the nurse/counsellor should be appropriate for producing therapeutic change, to ensure that the patient maximizes the therapeutic relationship.
...p their own solutions to problems. Clients may need some guidance, education, or direction depending on their abilities and how the therapy is going. It is then that I want to be able to help them feel more empowered and recognize that they can make changes with effort on their part.
In B. L. Duncan, S. D. Miller, B.E. Wampold, & M.A. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 143-166). Washington, DC: American Psychological Association.
Severe mood swings, violent rages, memory loss—each of these problems were a part of my family life during the past two or three years. These problems are the result of alcoholism. Recently, a member of my family realized his abuse of alcohol was a major problem to not only himself, but also to those around him. He would lose control of his temper and often would not even remember doing it the next day. Alcohol became a part of his daily life including work, home, and any other activities. His problem was that of a "hidden" and "high-society" alcoholism. When he was threatened with the loss of his job and the possibility of losing his family, this man knew it was time to get help. After he reached his lowest point, he took the first step towards recovery—admitting his problem.
Motivational interviewing is based on a client centered approach to therapy that uses open-ended questions, affirmation, reflective listening and summaries to help the client recognize the pros and cons of change and their reasons for resisting change thereby eliminating their ambivalence about change. Once the client deals with their ambivalence the Miller and Rollick believe that the client will be able to make the necessary changes. In addition, motivational interviewing gets the client to argue for change not the counselor. Furthermore, the client not the counselor is responsible for their progress.
Wechsler, H., Nelson T., & Weitzman, E. (February 2000). From Knowledge to Action. Change [On-line], Available: www2.gasou.edu/library/ (Galileo)(EBSCOhost)(Search=Alcohol Abuse).
By utilizing the form, biophysical, emotional, and cognitive issues were assessed. The intervention used focused on the person-in environment perspective and concentrated on the environmental systems that influenced the functioning of the client. Through the interview process, the client’s definition of the problem was used to determine the goals for intervention. The goals of prominent importance were developed to meet the client’s most urgent needs. Along with the assessment, the treatment plan was utilized during the treatment process to articulate clear and measurable objectives. As part of the treatment plan, a review of the client’s strengths was incorporated into the intervention. Another strength of the interview was that the client was able to assess the resources provided and determine which ones that she wanted to utilize. After the client identified the resources that she wanted to pursue, a treatment plan was developed. Adequate resources were provided to meet the client’s most pressing needs. The resources proved incorporated known researched intervention