Over the past couple of weeks, I have been sitting in on the individual sessions a teenage female client. She has struggled with anything from the use of substance abuse, divorced parents to now finding out she is in an abusive relationship. The most difficult thing that I was exposed to was listening to her talk about toxic relationship. I can relate to this client because I was a part of an abusive relationship for over four years. It was difficult for me to be attuned to this client. I noticed my mind to start to wander away from what the client was saying, my heart was racing and body becoming tense. I was experiencing subjective countertransference. Subjective countertransference takes place when unresolved issues of the …show more content…
The four resources are located in Comprehensive Resource Model (CRM): Body Resourcing, Sensory Sacred Place Attunement, Internal Attunement and Nurturing, and Magical Question (Schwarz & Schwenker, 2014). The first stage in CRM is body resourcing. This is where I am supposed to notice where in my body I feel grounded, centered, and/or calm. I need to bring my attention to this area of my body. Next, move my eyes to the left side of the room and notice how strong the body resource feels. Then move my eyes to the right side and notice where the body resource feels the strongest. I think this may be helpful the next time I am faced with subjective countertransference. However, I think I would need to practice this outside of being in session because it may make it even more difficult for me to focus on a place in my body where I feel calm when I am supposed to be focusing on the client and their own feelings. By focusing on myself, I am afraid I will trigger an issue to the client relating to some type of attachment disruption (Schuengel, Oosterman, & Sterkenburg, 2009). The second part of CRM is sensory scared place attunement. With this part, I am supposed to imagine that I am in nature where I feel really good, a place that I love to be at (Schwarz & Schwenker, 2014). While imagining this place, I am
It was my senior year in high school when my mom told me that my cousin, Mayra, had given birth to a baby girl. However, child protective services decided that Mayra wasn’t adequate to take care of the child; due to her drug abuse. Child protective services from Mexico were trying to place the baby with close relatives. Sadly, there was only three choices, her grandma, my aunt Gloria, and myself. The choices were few and the family small.
3. Reorient client as necessary, do not go along with client’s delusions or hallucinations, help client establish what is real and unreal, and monitor for altered thought process.
According to the Diagnostic Statistic Manual 5 (DSM-5) substance use disorder is when the individual has a dependency on alcohol or drug, followed by penetrating craving and antisocial behavior to acquire the substance. The terms substance abuse and substance dependence refer to substance use disorder, which has been separated into three classifications as follows
During the session a strength that was pointed out what that I was able to reflect throughout the session and this is a strength because it showed that I am being assertive and being able to reflect back to the client everything they said and also expressing the same emotion that they told me back to them to show them what they are doing and so this shows them what emotion they are putting in with their words so that they know how they are feeling about a certain topic. I think this is a strength because they are able to show that I am not only listening but also taking in the
Visible symptoms of borderline sociopath include; physical aggression, the inability to sustain relationships and shows a lack of regret in his or her actions. Sometimes I truly hate myself for what I have done to my children and family and it is a constant struggle to stay focused on my recovery.
The Center for Disease Control reports about 3.4 million children being abused or neglected in the United States in 2012 and 1 in 4 children will experience some form on abuse, maltreatment or household dysfunction while growing up. (Campbell, 2015).Past research has shown a relationship between Adverse Childhood Experiences and substance abuse as an adult. Risk factors in the form abuse and neglect as child may cause a higher likelihood of substance abuse as an adult. Font and Jack (2015) also says that poor socioeconomic circumstances are associated with poor health conditions. Someone who scores with multiple adverse childhood experiences may report social and economic problems as an adult, such as financial hardship, homelessness and not making it through high school or an undergrad program (Font and Jack, 2015).
Substance abuse, the abuse of drugs or alcohol, is known to have a lasting impact on members of the abuser’s family (Crosson-Tower, 2013). Ultimately there are two ways in which a family can experience the detrimental effects of substance abuse within the family system itself, and those ways are through either substance abuse on the parent’s behalf or substance abuse by the adolescents or children in the family unit (Crosson-Tower, 2013). Substance abuse can have many negative impacts on a family unit; the negative impacts are known to be emotionally, physically, and mentally damaging (Gruber & Taylor, 2006).
The Struggle is work with the client in challenging the negative thoughts on the basis of evidence from the client 's experience by re-interpret it in a more realistic light. Change the irrational beliefs into
It is important to understand the complex role that families can play in substance abuse treatment. They can be a source of help to the treatment process, but they also must manage the consequences of the IP’s addictive behavior. Individual family members are concerned about the IP’s substance abuse, but they also have their own goals and issues. Providing services to the whole family can improve treatment effectiveness. Meeting the challenge of working together will call for mutual understanding, flexibility, and adjustments among the substance abuse treatment provider, family therapist, and family. This shift will require a stronger focus on the systemic interactions of families. Many divergent practices must be reconciled if family therapy
The alcohol abuse definition is similar to alcoholism in that in both cases alcohol is causing harm to the drinker 's life and those around them. The difference is that those who abuse alcohol, but are not yet alcoholics, typically can put some limitations on their drinking and they have not yet become physically addicted to alcohol. The key to the alcohol abuse definition is not in the amount of alcohol consumed but on how it affects an individual. Alcohol abuse is a psychiatric diagnosis in which there is recurring harmful use of ethanol despite its negative consequence. In 2013 it was reclassified as alcohol use disorder along with alcohol dependence. There are two types of alcohol abuse, those who have anti-social and pleasure
Intrapersonally, I consider the functionality, effectiveness, and adaptiveness of my client’s thoughts, behaviors, and emotions. I seek to understand the interplay between these intrapersonal dimensions and how they support or hinder the client’s healthy interaction with their
In reading chapters four and five of the textbook “Substance Abuse and the Family” I found a couple of things that caught my interest. In chapter four, the middle phrase of an alcoholic family is discussed on page 58, regulatory behaviors of the family enabling whatever use of alcohol is occurring hiding and maintaining for others not to see the alcoholism. The children are usually pressured not to talk about the situation at school, work, etc. I have seen parents threaten their children if they were to tell, saying things like “ if you tell they will take us away from you forever and it will be your fault” or “ if you tell punishment will be sure to follow”. Therefore, the family must endure the negative impacts of an alcoholic parent falling
During both sessions I was able to collect data, but was more effect during the second session. Included in this is asking open and closed questions. In comparison to the first video, I felt more comfortable asking open and closed questions. I started it by first find the issue that was causing effecting Ashely. I found out the basics in both video, but did so more efficiently in the second video. In the order to find out the issue you must ask who it involves. In the second video it was about the issues he has been her and her roommates. I then asked why it was bothering her, and was able to get an understanding that it was because of the cleanliness of the apartment. Then asked what have you tried to help fix this issue. The first video I was able to ask these questions but was not very successful to come to a clear understanding. Both video I noticed that I tend to talk with my hands, but Ashley and I made the connect when she started to mirror my body language. I also felt much more comfortable making meaning full eye contact, in the second video. I was able to have better eye contact because I felt so much more relaxed. We broke eye contact because it was not a staring contest, but looked when we were thinking. This is a sign of a proper session that eye contact is made when there is a mutual connection. During the client in both videos was correct because when I watched them again I did notice vocal changes when we were recalling events which also made us hesitate. The second video I was much more successful in paraphrasing what Ashley. In doing this it made me recall what Ashley said, and ask the phrase of did I get this right? I also accepted the value of silence better in the second video. The first video I didn’t like having the silence, because it made it feel awkward. While reviewing the second video I was able to realize that silence is important for both sides in order to
In addition to this, I will be attaining feedback from my client after discussing each stage of the therapeutic process in detail to help me understand what worked well for the client and gain more insight into what I need to improve in order for my future sessions to be more successful. Before the beginning of the session, I made sure I place the chairs in an appropriate position to promote equality and decrease the power dynamic between myself and the
Comfort and slice are vital because it allows the client during that time to gather their thoughts and ideas. I need to work on being more effective in the comfort and slice because that will strengthen my counseling skills in letting the client think and evaluate themselves before they communicate again. The second weakness was summarizing during and at the end of the session. I did not do those things and I thought that was not the right way to ending the session, summarizing at the end of the session gives to counselor and client the information into what was being said and discussed. I need to do that in the next session because that will assist me in helping the client understand in a sense to what was all discussed during the session. That will support the client into what the plan is forward. The third weakness was the empathy aspect, I felt and observed that there were some instances in the session to where the client was expressing something that they were going through and I didn’t respond. One example from the session, the client was expression how he feels bad about himself and wants to lose weight, in that instance I should have used empathy and told him that what he’s going through sounds tough. Empathy is important during a session because it is experiencing understanding another person's condition from their