You want clients to leave counseling
with solutions for the dilemmas that initially brought them to counseling. You
also want them to learn resiliency skills that will help them master future
challenges. What are some skills or resources that you would like clients to
learn in the counseling process? Explain how you might provide education,
suggest, or even model these skills.
Assessment of
resilience is needed to help the client move forward and onward in their path
through life outside of counseling. Depending on what brought them in
counseling will determine the actions and skills needed to assure they have the
coping skills and resilience skills to stay on the path that led them to the
positive outcomes in which they are able to leave counseling. Resources that
will be offered are contingent with the issue they were first in counseling for
and revelations made during counseling;
For example, an
adult client who enjoys and shows competence in cooking, for instance, may
benefit from enhancing this skill in the context of a community-based course or
cooking group, as well as the additional structure, social contact, and
possible support linkages that would evolve from such involvements. Adults can
also be encouraged to volunteer in arenas that support their competencies, seek
out relevant support or interest groups, grow their involvement in their faith
communities or religious organizations, or take part in their neighborhood
organizations, (Tedeschi & Kilmer 2005 p. 231).
According to
Quattlebaum & Steppling, 2010, “Confident decision-making at dismissal also
requires an understanding of all the external factors that will have an impact on the termination of
therapy, and the most important factors are the patient’s support network and
information about the monitoring or follow-up options that might be available
to the patient following dismissal,” (p.315).
Again, depending on why the client was in therapy will provide the
unique skills needed to end therapy and having a follow session will do both
the therapist and the client well. This will show if the client has went back
into harmful behavior and an intervention can be made before the issue becomes
critical.
Reference:
Tedeschi, R.
G., & Kilmer, R. P. (2005). Assessing Strengths, Resilience, and Growth to
Guide Clinical Interventions. Professional Psychology: Research and Practice,
36(3), 230-237. doi:10.1037/0735-7028.36.3.230
Quattlebaum,
P., & Steppling, M. (2010). Preparation for ending therapeutic
relationships. International Journal Of Speech-Language Pathology, 12(4),
313-316. doi:10.3109/17549501003759239
DBT may be used
to treat suicidal and other self-destructive behaviors. It teaches patients
skills to cope with, and change, unhealthy behaviors. A unique aspect of DBT is
its focus on acceptance of a patient's experience as a way for therapists to
reassure them -- and balance the work needed to change negative behaviors
(Dialectical Behavioral Therapy, 2005-2018).
2. Two of the key elements of client-centered
therapy are that it: Is non-directive. Therapists allow clients to lead the
discussion and do not try to steer the client in a particular direction.
Emphasizes unconditional positive regard. Therapists show complete acceptance
and support for their clients without casting judgment. According to Carl
Rogers, a client-centered therapist needs three key qualities: Genuineness,
Unconditional Positive Regard, and empathetic understanding (Cherry, 2018).
3. Cognitive-behavioral therapy (CBT) is a
form of psychotherapy that treats problems and boosts happiness by modifying
dysfunctional emotions, behaviors, and thoughts. Unlike traditional Freudian
psychoanalysis , which probes childhood wounds to get at the root causes of
conflict, CBT focuses on solutions, encouraging patients to challenge distorted
cognitions and change destructive patterns of behavior. (Cognitive Behavioral Therapy, n.d.)
4. Motivational Interviewing is a clinical
approach that helps people with mental health and substance use disorders and
other chronic conditions such as diabetes, cardiovascular conditions, and
asthma make positive behavioral changes to support better health. The approach
upholds four principles— expressing empathy and avoiding arguing, developing
discrepancy, rolling with resistance, and supporting self-efficacy (client’s
belief s/he can successfully make a change) (Motivational Interviewing, n.d.).
Cherry, K.
(2018, April 26). Client Centered Therapy. Retrieved May 10, 2018, from Very
Well Mind: https://www.verywellmind.com/client-centered-therapy-2795999
Cognitive
Behavioral Therapy. (n.d.). Retrieved May 10, 2018, from Psychology Today:
https://www.psychologytoday.com/us/basics/cognitive-behavioral-therapy
Dialectical
Behavioral Therapy. (2005-2018). Retrieved from Web MD: https://www.webmd.com/mental-health/dialectical-behavioral-therapy#1
Motivational
Interviewing. (n.d.). Retrieved May 10, 2018, from Samhsa:
http://www.integration.samhsa.gov/clinical-practice/motivational-interviewing
