Working with my two practice clients and having their honest feedback as been vital for me improving my skills as a therapist; and there appears to be a common thread amongst all written and said from them – that I make them feel safe and they have pure and unadulterated 1:1 nurture time. They have feedback they feel they can trust…
Deborah “Deb” Barnes is a Licensed Alcohol and Drug Counselor employed at Valley Hope (VH), a private residential treatment facility located in Cushing, Oklahoma that specializes in the treatment of substance use and codependency disorders. When I walked through the door at the end of the Lecture Hall I paused, unsure of whether I was in an office or a playroom. Deb explained that her office is used as the unofficial storage room for behavioral therapy props because she enjoys having the stuffed animals and other toys around her. She invited me to take a seat next to a Teddy bear, and for the next hour I interviewed her about aspects of group therapy that is conducted in the facility. Deb taught me much about how her group members are assembled,…
What I find most intriguing in this article are the doubt that encircles the effectiveness of occupational therapy interventions and how evident it is among medical professionals. In Waite’s article (2014), even the doctor doubted the occupational therapist’s ability to understand the complexities of primary care intervention logistics. It’s discouraging and at the same time creates a little self-depreciation not only to occupational therapists, but also to the rest of healthcare professionals. An effective team requires mutual understanding that other healthcare professionals can bring significant contributions to the table. It is the only way to collaboratively deliver quality patient care.…
First, the therapist and the client must work together to outline the therapy goals, and the change goals must be valuable for the patient, he/she must be sure that the effort, time, and money, will be worth it. All this means that the patient must be motivated, that is the first step!…
7. The changes that clients make in therapy must be incorporated into their daily living…
| Behavioral Therapy builds on the basic processes of learning, such as reinforcement and extinction, and assumes that normal and abnormal behaviors are both learned (Feldman, 2010, p.433).…
A mandatory nationwide surveillance of patients with TB positivity that requires medication. The local health department must ensure medications are being provided to all TB positive patients undergoing treatment regardless of their payment status. Thus, programs such as DOT (Directly Observed Therapy) must be mandated -Through this program, each TB patient is assigned a DOT worker. The DOT worker meets with the patient to ensure that the patient is taking their medication to facilitate the process. DOT has become the standard of care for all TB patients in NY State.…
Ripley and Worthington (2014) state, “One of the most important things you can do for the couple entering your office is to tailor the treatment to their particular style, needs, and values” (Ripley, Worthington, 2014, p. 94). The writer agrees that personalizing therapy will support fulfilling sessions, as well as, effective treatment. The rational for this decision is based off of experience in a residential facility, which implements a program that all residents must follow. However, because each resident has individual triggers, psychiatric disabilities, needs, and coping skills, their programs are individualized to help them succeed. Ripley and Worthington (2014) provide supporting opinions, similar to the previous example, which approve of altering the typical course of therapy based on the demands of a couple.…
When determining the intervention that would be used, many questions needed to be answer. Is the approach appropriate for addressing the problem? Is the approach relevant and appropriate to Selena? Many interventions were reviewed and studied . The invention that I felt would work best with Selena would be solution-focused therapy. Solution-focused therapy emerged in the last 20 years as a strategy for working with adults, families, and minors and has been successful. Hepworth et al. (2013) stated “this approach emphasizes the identification of solution, rather than resolving problems” (p.421). Hepworth et al. (2013) also stated that “the goal of this approach is to release their unconscious resources; thereby shifting from a problem-oriented…
Solution-focused therapy (SFT) is an outcome-oriented, competence based approach which originally developed as a short-term psychotherapy technique. Solution focused therapy was created at the Brief Family Therapy Center in Milwaukee, Wisconsin in 1979 by Steve De Shazer, Insoo Kim Berg, and colleagues. Steve de Shazer worked at Palo Alto so solution focused therapy was strongly influenced by the MRI approach. Another primary founder of the solution focused approach, Insoo Kim Berg applied theory to a variety of problems such as alcoholism, marital therapy, and family-based services to the poor. Michele Weiner-Davis was trained by de Shazer. He applied the model to marital problems for couples who want to prevent divorce. He also wrote book…
This paper will illustrate the treatment outcome models of recidivism, relapse, and harm-reduction. Secondly, it will provide information on the similarities and differences of these three treatment outcome models, which will help define treatment success and failure in forensic setting for 28-year-old Sandra Lee. Thirdly, in this paper, challenges and advantages of these treatment outcomes will be explained. Fourthly, it focus on the article, “Guilt and shame as predictors of recidivism: A longitudinal study with young prisoners”, “A Study of Methadone Maintenance for Male Prisoners”, and “Adult Sex Offenders on Community Supervision”. Lastly, this paper will give an insight that this author gained concerning the comparison of these three treatment outcomes.…
Recipient Information Medicaid Number:12345678 Name: Jill Spratt DOB: 9-13-92 Other Agencies Involved: Jack Horner, M.D., Child Psychiatrist Spring Hill Middle School Provider Information Medicaid Number:987654321 Name: Tom Thumb, Ph.D. Treatment Plan Date: 10-9-06 Plan to Coordinate Services: Phone contact during the first month of treatment, then as needed, but at least 1 time every 3 months. Request teacher to complete Achenbach teacher Report Form (TRF) 1 time during the first month of treatment. Continued contact by phone as needed.…
As her patients are already in a vulnerable situation her understanding and caring attitude are what will aid in her client’s journey to recovery. People seeking treatment do not want a greedy, impatient, irritable person as their therapist they need someone who is going to be uplifting. Alex has experienced many opportunities in her life that have required to be compassionate. Her role as a captain on the cheerleading team required her to be understanding when working with teammates as being a college athlete can be stressful at times, her capacity to response in a positive manner is a great assist to…
In order for the therapy to be effective, the therapist must use a balanced combination of acceptance strategies and change strategies, and irreverent and warmly responsive styles of communication. This frequent alternation between change and acceptance strategies is necessary because, in order to change for the better, the client must first come to terms with and accept the fact that change is necessary. This alternation is also required to sustain progress with a client who frequently switches between various behaviors and attitudes. In order for the therapy to be successful, the therapist must also be able to balance between a nurturing style of teaching, coaching, and assisting the client, and a benevolently demanding style which involves dragging new behaviors out of the client and recognizing their existing capabilities and ability to change. If the therapist is not nurturing, the client will most likely not feel accepted, which means that they probably will not respond well to the demanding style that is also used (Dimeff et al.,…
In this essay I will discuss and evaluate “The relationship is the theory” Judgements are based on personal knowledge & experience as well as written material composed by others. The basic principle being “the therapy is the relationship”, does this imply engaging a therapist equates to therapy or does it propose more?…