Crisis Intervention Practice Session When Essay

Download this Essay in word format (.doc)

Note: Sample below may appear distorted but all corresponding word document files contain proper formatting

Excerpt from Essay:

Let's just talk here at the beginning about doing things differently. How about this -- are you right-handed?

Gina: No, I'm left-handed, why?

Therapist: What if I asked you to start brushing your teeth with your right hand. Tonight, after your dinner, use your right hand.

Gina: Okay but that will seem weird and I might not be very good.

Therapist: Once you do it for a while, how would that seem to you? For example, your next appointment is in a week, that will give you 7 days to practice. How would that work for you?

Gina: I believe it would begin to seem fairly routine if I did it long enough.

Therapist: And seeing how this change could be possible could lead to other changes in your life. Are you ready here today to open the door to changes?

Gina: And what is your part in this? How do you work with me, a heavy drinker who admits to her problem but can't give up my drinks?

Therapist: Remember Gina, there are two experts in this room. I am trained and I have expertise in terms of helping people with their problems. And you are an expert on your life and you have expertise on exactly why you drink too much and why you came to me for help in cutting back. Right?

Gina: Right.

Therapist: Think of us in this room as collaborators on an important project. I'm an architect and I want to build a beautiful house by a river, but I don't know anything about geology and I don't know how to properly site buildings. You are the surveyor, and you can help make the house safe from floods and from poor soil by helping us situate that house in exactly the right place.

Improvement in Skills and Coping Strategies

Clearly in the interview with Gina one could detect that she was depressed, as the session wore on she rationalized away her suspension and admitted she felt "hopeless" and "helpless" and that a good stiff drink took all her worries away. Meanwhile, Albert Roberts explains that a person like Gina is in fact feeling helpless and hopeless because of "…cognitive distortions or misperceptions. These distortions provide an inaccurate basis for beliefs and accompanying behaviors… [and] distortions highlighting negative self-worth, inadequacy, and doom provide powerful fodder for depression, inactivity, learned helplessness, and disempowerment" (Roberts, 1995, 202).

Professor of Counseling Richard James warns that there is no "panaceas or quick fixes" for someone in crisis, and clearly Gina is in crisis situation albeit she did her best to seem normal and alert during the session. "Many problems of clients in severe crisis stem from the fact that the clients sought quick fixes in the first place," James writes (James, 2008, 4). The quick fix that James mentions is a "pill" but in Gina's case the quick fix was the bottle. Hence, the crisis for Gina has deepened. But the fact that she has a self-awareness of her flaws and her problem opens the door for some self-reflection.


A competent, creative therapist should be able to bring Gina to a point where she understands that doing things differently can work for her. There is no point in lecturing Gina about her drinking problem. And the 12-step program offered by Alcoholics Anonymous is an option that is out there as well. The approach to an individual like Gina is to empathize -- showing true empathic understanding, not sympathy -- and become a very skilled listener. If she sense that instead of listening to her the therapist is thinking about the next thing he will say, this therapy will not work. But sincerity, professionalism, and research into her deeper issues (by making her the surveyor and keeping the collaboration on equal footing) can help her make the changes she needs to make to get her job back and continue the productive aspects of her life.


Beckham, Nancy. 2001. Natural Therapies for Menopause. McGraw-Hill Professional: New York.

Bracewell Catherine, Gray Rosaire, Rai, Gurcharan S. Essential Facts in Geriatric Medicine. Milton Keynes: MK7.

James, Richard K. 2008. Crisis Intervention Strategies. Cengage Learning: Independence, KY.

Roberts, Albert R. 1995. Crisis Intervention and Time-Limited Cognitive Treatment. SAGE: Irvine, CA.

Rygh, Jayne L., and Sanderson, William C. 2004. Treating Generalized Anxiety Disorder: Evidence-Based Strategies, Tools, and Techniques. New York: Guilford Press.

Stotland, Nada L. 2005. 'The Contexts of Midlife in Women,' in Menopause: A Mental Health Practitioner's Guide. Arlington, VA: American Psychiatric Publication.

Mansell, Warren, Stott, Richard, Salkovskis, Paul,…[continue]

Cite This Essay:

"Crisis Intervention Practice Session When" (2012, August 17) Retrieved December 4, 2016, from

"Crisis Intervention Practice Session When" 17 August 2012. Web.4 December. 2016. <>

"Crisis Intervention Practice Session When", 17 August 2012, Accessed.4 December. 2016,

Other Documents Pertaining To This Topic

  • Theory and Practice

    As the sessions proceeded, the therapist debriefed the client with the aim of de-escalating her psychologically. This enabled the client to explore and express a feeling of guilt and perception that she had failed to give her best to maintain her job. During the debriefing process, it was evident that the client believed that she was responsible for her job loss. She had been experiencing notable difficulties maintaining concentration and

  • Clinical Practice With Individuals Critique

    I just tend to go down on myself more. I've been very stressed out lately even though stress is not something I generally have a problem with. I don't know what's wrong. W: Well, fear can make one uneasy and act differently from what one is used to. Do you think that there was something around you, a situation a symbol a person that made you feel even more fearful? I

  • Financial Crisis Threat or Opportunity

    " (2009) Yam states that over the past year the need existed to involve the government more deeply in the banking industry and especially in the area of deposit guarantees and in the supervision of the risk management of banks. Yam states that it is "…gratifying that so many of the tools that we have been able to rely on, including the apparatus and contingency arrangements for ensuring liquidity, have

  • Psychosocial Academic Interventions for Children With ADHD

    Academic Outcomes of Children With ADHD ADHD Literature Review Improving the Academic Outcomes of Children with Attention Deficit Hyperactivity Disorder Improving the Academic Outcomes of Children with Attention Deficit Hyperactivity Disorder According to the U.S. Centers for Disease Control and Prevention (CDC) (2014) Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental condition recognizable by attention deficits, hyperactivity, and impulsivity that manifest across multiple settings. The most recent version of the Diagnostic and Statistical Manual

  • Holistic Practice Imagery

    Imagery and of the Management of Patient Stress, Anxiety and Depression The use of imagery visualization and imagery therapy as an important part of the professional nurse repertoire has recently begun receiving attention in the Nursing profession as well as in other healing-related professions. As a caregiver the nurse makes use of various professional methods and therapies to promote the well-being of the patient. New approaches and "alternative modalities" of nursing

  • Family Intervention

    Paul -- You can see why this was reworked. I did not do it in the regular format because of our relationship, and I didn't worry about double spacing, and all that jazz. You know there is more here than you need. So, based on an interview and reading several texts, this is a combination of theory and practice, with an emphasis on questioning and other theoretical constructs. Right now, we

  • Group Work Introduction to Social Work Practice the

    Group Work-Introduction to Social Work Practice The purpose of this paper is to create a make up 'group' that would appropriately support the DSS agency, whose goals include support, prevention and treatment of abused and neglected children and their families. There are many people this group might pertain to, including abused children, friends and family members of abused children, family members that abuse and even adult children from abusive familial relationships.

Read Full Essay
Copyright 2016 . All Rights Reserved