I need a response to these two discussions and I will pay you $ 5.00 each—-$10.00 total okay1st oneEstablishing the Relationship with a ClientKevin Stuckey 5/11/2017 2:45:47 PM The therapeutic relationship is the framework for the interaction between a counselor and client. It is the foundation that supports that use of a specific theory or technique to obtain a positive outcome. Without the therapeutic relationship, a specific technique will be ineffective.In order to build a successful therapeutic relationship, several factors must be in place. These include a counselor having a presence that communicates that they are listening intently to what the client is saying What is heard or observed allows a counselor to then, validate the client’s world and what they may be experiencing or feeling. This can not be done without listening effectively. Finally, a counselor must have positive regard for his client and the ability to be self aware. This leads to empathy which is vital for the therapeutic relationship. Empathy communicates that the counselor is able to enter the client’s world and understand the client’s feelings and emotions (McCarthy & Archer, 2013).Sensory acuity is also an important factor in establishing the therapeutic relationship. Most people are not comfortable expressing everything that comes to their mind or may not feel comfortable that they will be accepted if they express how they really feel. It is important for the counselor to pick up on what the client is saying through nonverbal cues so that there can be a more authentic picture of the feelings being expressed. Most people can trick others and themselves through the words we use but people through the words we use but it is harder to explain away behaviors (McCarthy & Archer, 2013).One important distinction for the therapeutic relationship is how it differs from other intimate or social relationships. The sole purpose of the therapeutic relationship is to the focus on the client. The counselor uses “communication skills, understanding of human behaviors, and personal strengths to enhance the client’s growth” (Varcorolis, 2002, p. 156). ReferencesMcCarthy, C. J. & Archer, J., Jr. (2013). Theories of counseling and psychotherapy. San Diego: Bridgepoint Education, Inc.Varcarolis, E. M. (2002). Developing therapeutic relationships. Foundations of psychiatric mental health nursing: A clinical approach, 4th edn., EM Varcarolis. WB Saunders, Philadelphia, 220-239. 2nd one Discussion 1Jamesenna Anderson 5/11/2017 9:17:27 PM A therapeutic relationship is a relationship with the therapist and the client provided by the therapist and is accepted by the client. It is important that the counselor have understanding about the therapy administered. Listening is important because for the therapist to help the client, they will have to listen to the client. Upon listening to the client, the therapist then will be able to help obstacles related to their past and help in overcoming their feeling related to their defense mechanisms like repression, fear, or anger. Empathy is being able to understand the internal feelings about the client. As a therapist, you must understand the client’s point of view. I saw a movie called “Gothic a” where the client told the therapist “how can you help me if you think I’m crazy”. If we as therapist don’t understand internally what the client is thinking and feeling, it is hard to explain to them why they are not accurate in their decisions. Validating the clients’ world is important in therapy because helping the client understand the truth or as I call it the root of the problem is a start to understand what the problem really is. A client can believe this is happening but don’t understand why that is happening. This is reasons you seek help in the first place but you just don’t know it! Sensory acuity is described as the ability to observe, examine, and interpret the overt and covert cues coming from the client. The feedback and information that lets you know how off or on target the therapist is at achieving their outcome.Andrew M. Colman (2017). A dictionary of psychology. latest edition.4McCarthy, C. & Archer, J (2013). Theories of counseling and psychotherapy. San Diego: Bridgepoint Education, Inc 3rd & 4th ones After completing this week’s readings, develop your own intake form to use as an outline when conducting your intake interview for the Week 5 assignment. Chapter 1 in our McCarthy & Archer textbook contains helpful information you might consider including in your outline. Post your intake form in the body of your discussion post for feedback. Considering that you will have 10-12 minutes with your mock client, what do you believe will be most important to address with your client in that time? In what ways could the first 10-12 minutes in an actual intake session influence the rest of the intake session and later sessions? Post should be at least 300 words. Respond to at least two of your classmates’ postings by Day 7.Point Value of this Discussion Question: 2This Discussion Question aligns with the following weekly outcomes: 4This Discussion Question aligns with the following course outcomes: 3Respond This section lists options that can be used to view responses.Collapse All Print View Show Options ResponsesResponses are listed below in the following order: response, author and the date and time the response is posted. Sort byResponse Sort byAuthorSort byDate/Time* Week 2 Discussion 2Erica Vaughn 5/9/2017 1:38:19 PM Date:Patient’s name? What name do you prefer?Age:What is your phone number? What is your email address?Is it safe to contact you at either of them? Discuss confidentiality and exceptions. Have you attended counseling before? Where? When? For what? Did you feel relief? What brought you to seek treatment? Did you come because you wanted to, or did someone or something mandate it? When did your symptoms appear? What are you hoping to achieve with therapy? How do you feel at this moment? Do you always feel this way? Does it get better or worse? Any particular time of day? Do you have any medical ailments currently? What? Who is your physician? Physician’s phone number? What are your living arrangements? Parents, spouse, friends/roommates, alone? Do you drink alcohol? Frequency? How much? Do you take any form of controlled drug (legal or illegal)? Do you have a social life? Friends, clubs that you belong to, leisure activities that you do?Are you employed? Are you satisfied with what you are doing? Your pay? Have you ever experienced or witnessed a trauma? When? What happened? Were you hurt? Are you religious? What makes you happy? What do you believe is important for me to know about you? Strengths, weaknesses, hopes, fears. Is there anything that you wish to say or add?ReferencesVriend, J. V. & Kottler, J. A. (1980) Initial Interview Checklist Increases Counselor Effectiveness. Canadian Journal of Counseling and Psychotherapy, 14 (3). Retrieved from http://cjc-rcc.ucalgary.ca/cjc/index.php/rcc/article/viewFile/2027/1874 RespondRE: Week 2 Discussion 2Raquel Silva 5/10/2017 7:54:07 PM Hi Erica, Great intake form! I like how you initially asked what they prefer to be called? Why do you think that is an important question to ask? I think it is a good question as clients often like to be called by names they feel comfortable with. Asking if it is safe to contact hem is also a good question because some of our clients are in serious dangerous situations. This question also shows that your concern and possible risk they are taking with seeking therapy. Asking this question shows you understand a crisis situation and may increase the timeframe for recovery (McCarthy & Archer, 2013). When you were thinking of your intake form did you think about questions that could be relevant to all or do you think you may have multiple intake forms to use? Questions about if they are under medication or not is helpful as you want to see if this is their true normal behavior or an influence of assistance.Reference McCarthy, C. J. & Archer, J., Jr. (2013). Theories of counseling and psychotherapy. San Diego: Bridgepoint Education, Inc. Respond(an instructor response)RE: Week 2 Discussion 2Instructor Shoemaker 5/14/2017 6:51:02 AM Good questions, Erica! Thanks for starting off this discussion, as well!Dr. Shoemaker RespondIntake FormRyan Goffredi 5/9/2017 3:23:02 PM Having an effective new-client intake process is a key step towards establishing the therapeutic relationship as well as gaining a first glimpse of who the client is, relevant history, pressing concerns, and what they are hoping to get out of therapy. I believe that the most important data to be gathered here are such items as general information (age, gender, ethnicity, etc.), current symptoms and concerns, current medications, previous counseling experience, previous medical and psychological history, current relationship status, family situation, etc. In addition, giving the client an idea of how the therapeutic process will go, what they can expect from the therapist and the therapy sessions, and a clear statement of confidentiality are important to being building rapport and trust. The first 10-12 minutes of an intake session provide a first impression of the client to you and of you to the client. As Vriend and Kottler mention, many therapists believe that using a checklist or intake form will make the client believe that you are inadequate and must use such aids as a crutch (1980, pg. 153). Others worry that using lists and other notes seems impersonal and the client may feel dehumanized. Thankfully, this is generally not the case, and using a checklist effectively can actually give the client the perception that you are professional and efficient (Vriend & Kottler, 1980, pg. 154). These first few minutes are key to explaining to the client what they can expect out of your sessions and to get necessary information that will allow you to help them in the most targeted and effective ways possible. First impressions are important whether we’d like to admit it or not, and this initial step can either begin to build a close therapeutic relationship or, on the other hand, may instill doubts about getting the help they need in the client’s mind. Reference:Vriend, J. V. & Kottler, J. A. (1980) Initial Interview Checklist Increases Counselor Effectiveness. Canadian Journal of Counseling and Psychotherapy, 14 (3). Retrieved from http://cjc-rcc.ucalgary.ca/cjc/index.php/rcc/article/viewFile/2027/1874NEW CLIENT INTAKE FORMGENERAL INFORMATION Full Name_____________________________________________________Date of Birth___________________________Age________________Gender________________Ethnicity______________________PSYCHOTHERAPY HISTORY Have you had previous psychotherapy?YES or NOIf Yes, list the approximate dates you began and ended your previous psychotherapy______________________________________________________________What are you current mental health symptoms and concerns?____________________________________________________________________________________________________________________________________Are you currently taking prescribed psychiatric medication (antidepressants, anti-anxiety medications, others) to address these concerns? YES or NOIf YES, please list: ______________________________________________________Have you had suicidal thoughts in the past two weeks?YES or NOIf YES, how often?____________________________ CLINICAL HISTORYPlease list any persistent physical symptoms or health concerns (e.g. headaches, chronic pain, stomach cramps, fatigue, etc.: ______________________________________________________________Are you currently on medication to manage a physical health concern? If yes, please list: _____________________________________________________________________________________________________________________________________Are you having any problems sleeping? YES or NOHow many hours of sleep do you think you get, on average, each day?___________How many times per week do you exercise? ______________Are you having any difficulty with appetite or eating habits? YES or NOIf YES, please explain _______________________________________________________________________________________________________________________________________________________________________________________________________________How many alcoholic drinks do you have in a typical week?____________________________________________________________________How often do you engage in recreational drug use? NEVER, RARELY, SOMETIMES, OFTENWhat is your current relationship status?_________________________________On a scale of 1-10 (10 being the highest quality), how would you rate your current relationship? _____________________________Who do you currently live with?_________________________________On a scale of 1-10 (10 being the highest quality), how would you rate your current living situation? ______________________________In the last year, have you experienced any significant life changes or stressors? If yes, please explain: ________________________________________________________ EMPLOYMENT INFORMATION Are you currently employed? YES or NOIf YES, name of current employer___________________________Title or position________________________________Are you happy with your current position? __________________________Please list any work-related stressors, if any __________________________________ SPIRITUAL INFORMATIONDo you consider yourself to be religious? YES or NOIf YES, what is your religion? ____________________________If NO, do you consider yourself to be spiritual? YES or NO FAMILY MENTAL HEALTH HISTORYHas anyone in your family ever had symptoms of, or been treated for, a mental health disorder such as depression, bipolar disorder, anxiety, substance abuse, etc? YES or NOIf YES, please explain ________________________________________________________________________________________________________________________________________________________________________________________________________________________ EXPECTATIONSWhat do you hope to get out of therapy?_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Do you have anything else you’d like to add?________________________________________________________________________________________________________________________________________________ RespondRE: Intake FormRaquel Silva 5/10/2017 7:53:09 PM Hi Ryan,Good post! The intake part can be a crucial part of the therapy process. Choosing the appropriate questions can be tricky do you agree? I found it hard to think about what I wanted to ask and what would relevant to most situation. I like your questions especially when you will ask them to discuss their expectations. Very unique and a great way for them to let you know what they expect from you. My question to you is how do you respond when you may get a negative response or a reluctant client? I agree that a therapist should also let the client know what truly should expect from them. First impression mean a lot in therapy. The client need to be willing to give you a chance to help and you have to be willing to put the time in to help. Intake forms can also be used as a reference and guide to the counseling. Depending on the client it can also be used to hold the client accountable to what they say they want later in during their sessions.
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