Let's just talk here at the beginning about doing things differently. How about this -- are you right-handed? "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.
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?
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 ...
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,…
"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.
The following multimodal evaluation procedure is recommended for Carlos: Semi-Structured Clinical Interview The foremost component of an informal evaluation of traumatized individuals entails semi-structured interviewing, in which the following details of the patient ought to be garnered: • Demographic facts • Employment history • Medical history • Educational history • Social history and • Several specific facts. Such an interview must be closely founded on minor and major trauma disorder facets (James, 2008). Particular questions to be posed
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
Mindful Practice This is a case Black male 21 years of age, conceived with HIV and offered up to child care since he was five years old. He was constantly moved from one care center to another, and vulnerable to mishandling. He is experiencing issues of uneasiness/wretchedness around a considerable number of issues. These issues particularly manifest when searching for vocation. He is discouraged and would not like to connect
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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
" (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