Therapist Reflective Analysis

A sixteen year old teenager refuses to leave home and the therapist must review the situation from a MRI therapeutic approach. First, the MRI approach would not focus on the problem or how it developed but rather what efforts have the parent made to reach a resolution. MRI stems from the premise that families use practical attempts at resolving their situation but the attempts are ill-advised. MRI’s main focus is aimed at dilemma driven solutions; there is no advantage in long term change or what capacity the problem serves within the family.

I found that I need to make improvements in many respects. First, I need to improve my opening statement to make it more clearly and smoothly and give my client an open question to encourage her to talk about her issue. Moreover, I need to make an improvement on identifying specific emotions that clients are feeling. In this session, I failed to use “feeling” vocabulary to reflect her feelings and create an empathic environment. In addition, I need to learn not to let my own experience and judgement influence the helping process. For example, when my client was talking about how smoking habit took away her studying time, I was thinking, “exactly, bad habits always influence many students’ academic performance in a negative way.” Although I did not say it, I wanted to say this to help her feel accepted and understood. This may not what she was thinking, but I was thinking it because I have experienced it before. To effectively help people explore themselves, I should make an improvement in these

For this assignment, I decided to use the Feedback-Informed Treatment (FIT) on my first client, hat was assigned to me. My client has been homeless since the end of September 2015, and suffers from depression and anxiety, with a history of passive suicidal thoughts. During our weekly sessions, my client likes to talk a lot, and has a habit of going off topic. My client does not indulge with any illegal substances, but only take his prescribed medication, Xanax. I chose to use the FIT with this particular client, because I believed this would give him and me the opportunity to explore more in-depth on my client’s depression and anxiety. For this intervention, I intern with homeless veterans who are diagnosed with a mental and/or substance

Client was referred to Dr. Gold and I for evaluation related to mental health issues. Client reported symptoms related to anxiety and having nightmares of past traumatic events. J.G. reported a past history of extensive domestic abuse from an ex-boyfriend.

The therapeutic alliance also known as a therapeutic relationship is about how I as a clinician/therapist connects, behave and engage with a client and also how a client relates to the therapist (Harely Therapy, 2016). This relationship is collaborative. I remember going into the first session nervous and incompetent. In our first meeting, Sarah asked me, you are just a student and how can you help her. I remember telling her, I am being trained at university and also, I am working under the supervision of J*. I let her know that I will be transparent about things I don't know, and I will come back with answers in the next session or sessions. As Sarah shared her fears of

The process of running a group therapy session is a unique time to tests a person’s skills abilities when it comes to facilitating that group. This paper will mainly look at ways when it comes to my learning's of this class that I took ways; I will also show examples and skills to run a good group therapy session. This whole paper is a reflection of the many things that I took was on being an active group counselor facilitator.

For my first integrated clinical placements within the Nazareth College Doctor of Physical Therapy program, I will be participating in aquatics at Highland, and at the Hickoff center for brain injury rehabilitation. I am excited to start these placements to take on more of a leadership role in a wellness setting, to learn more about the different areas Physical Therapy can be beneficial in, and to become more comfortable working with individuals of different populations.

My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.

The therapist and client relationship is important in effective therapy. The therapeutic relationship must be built upon before any technique and theory will be effective. Communicating real empathy and showing a genuine interest in the client will begin a solid therapeutic foundation. However, the therapist must “have the ability to stay outside the system while maintaining some emotional attachment to its members” (Patterson, Williams, Edwards, Chamow, & Grauf-Grounds, 2009, p. 107). This paper reviews and critiques an interview I recorded of a couple that pertains to clutter building up around the house. The goal of this activity was to seek out information using various questioning techniques and basic interviewing skills, and

My reflective clinical practice experience was based on my eight weeks placement in an acute mental health ward in a hospital. I was not sure of what to expect because I have never worked or placed in an acute ward and this was my second placement. Before starting my placement, I visited the ward and was inducted around the ward. This gave me a bit of confidence and reassurance about working in an acute ward.

I have seen the nursing process being used within my practice. The society that I go to for my clinical evaluations and regular charting for every resident in the house. They identity daily, short-term, and long-term goals. Every resident has a chart that the need to fill out, by doing this it allows the residents have some accountability on their part of the goals. In addition, the nurses also observe that the residents progress, these observations are done throughout the day and charted daily. Being in the practice setting for a few weeks now, I’ve had the opportunity to use nursing processes with a few residents. I worked with a resident to help them understand and communicate with the staff members about how this resident was feeling. I worked with this resident to prepare and brainstorm ways that they could approach and deal with the issue. Helping them understand that feeling

In my clinic this week I was taught how to assess the rooms for checked in patients and clients. I found out that before going into the room to talk to the client about the patient I should look at the patient's chart. When looking through the chart I will be able to find out why they are there and if they are due for anything. After assessing what I should ask for the history I go into the room and get as much information as possible. I was told when talking to the client I should ask open-ended questions due to the fact that this will allow the client to give me more detailed answers. While in the room I should also get some vitals unless the patient is aggressive. These vitals are temperature, heart rate, respiratory rate, mucus membrane,

This week I was rotating at MOSU, I was assigned to one patient. A few clinical practices and preventions utilized was standard precautions and medication administration. I preferred vital signs and head to toes focused assessment. Communication was very hard with my patient, he was unable to speak but was able to follow commands by nodding head. I showed professionalism and professional values by properly intruding myself to patient and other nurses and peers. Leadership was implemented by helping other nursing by helping answering light calls and assisting other patients as well.

This weeks structured journal also felt like reflective one because I feel like I had to take a step back and really analyze my session with my clients to explore if I have carried out any of the social work pitfalls that were mentioned in the work sheet. One of the pitfalls that I have learned in my undergrad to drawback from and also realize when I’m performing it is the advice-giving vs the information giving. Being a social work it comes easy to tell a client what to do based on our own perception. But when a client is seeking advice I have discovered that it is better to explore with the client solutions and possible outcomes that they come up with on their own through the help of a social worker. There was a moment when one of my

During the last clinical, I had to ask some tough and personal questions about my client. The questions were about their sexual health history and sexual needs. I personally didn’t feel too comfortable in asking these questions, but I knew they were important to ask. I went ahead and just asked the questions. The great thing about this situation is that my client didn’t really hesitate about answering the questions and didn’t mind being ask those type of questions. I believe that since I had been able to build a trust in our relationship, that she had enough trust in me to share her answers for the questions.