Reflective Essay On Clinical Skills

This reflective essay is based on my experience of having undertaken the Treatment Objective Structured Clinical Examination (OSCE) where I was assessed on clinical skills testing my competence and knowledge on delivering low intensity cognitive behavioural interventions using the guided self-help approach (GSH). My aim is to explore and reflective the use of cognitive behavioural interventions and interpersonal skills in clinical practice. To assists me in the process of this reflection I will be using Gibbs (1988) reflective model to reflect on the essential skills necessary to deliver a fully competent therapy session as assessed by the low intensity cognitive behavioural competency scale (Kellett et al., 2005).

Introduction (89)
The client Pat; presented symptoms of anxiety and panic - a tight feeling in her chest, followed by tingly sensations in fingers and feeling dizzy, avoids situations where she
Evidence, however, suggests that the potency of the clinical techniques depends upon whether they are applied at the appropriate stage in therapy; upon reflection I feel like this section felt a bit repetitive, I could have saved some time on clarifying the new skills rather than spending so long on checking understanding of the learnt skills (RESOURCE). Demonstrating such feature goes beyond mere adherence (i.e. the preciseness with which a technique is applied), in the future I would like to focus on being more articulate, comprehensible, sensitive and systematic when discussing and implementing the technique. One specific missed opportunity to demonstrate such skills was when explaining the Exercise Rating Sheet (TIME). It is no surprise that behavioural tasks play a key role with respect to the reinforcement of new learning, and are also useful mythologies to employ prior to asking the patient to use the activity in a homework task