COUNSELLING (WORK RELATED LEARNING CASE STUDY)
Counselling
Section 1
Part One: Case Study of Sarah
I decided to choose the case study of Sarah. Sarah is a 20-year woman. She is currently studying History at university and has just completed her 2nd year. She now lives at home with her mother and younger sister. Her mother and father were divorced when she was five years old. However, her father lives nearby and continues to be involved. Her home life can be difficult at times which made her have levels of anxiety and depression for several months. The has continued to escalate to where Sarah has reported that she hears voices, auditory hallucination.
Rationale of the Case Study and a Brief Description of Psychosis
The case study of Sarah enables us to understand more about psychosis. The case study of Sarah provides learners with the logic of understanding the definition of Psychosis which is a situation that upsets the way the intelligence procedures data. It reasons one to lose tad with realism. The case study enables learners to be aware of new cautioning marks of neurosis so that one can identify when somebody is evolving neurosis. It is likewise vital not to overlook or discharge such cautioning marks, even if they seem steady and are uncertain. Learners can also learn from Sarah’s case that once psychotic symptoms appear, delaying treatment can have very negative impacts and encouraging people to seek help for early psychosis is important.
Related Issues/Challenges within the Chosen Case Study
Family Issues
Sarah has family issues. Her mother and father were divorced when she was five years old. However, her father lives nearby and continues to be involved. Sarah reports that her mother can be immature and can sometimes be challenging to get on with. Her mother can also argue over what Sarah says and become angry over minor incidents. Her mother can be petty and critical of her if she doesn’t fulfil her duties. She also reports that her father, although she is involved in their lives, can be somewhat dismissive and frequently critical of her.
Personal Issues
Sarah reports that she often prefers to spend time on her own. Sarah enjoys her own company and enjoys creating the worlds she is reading about in her mind. She also reports that she would often prefer to sit on the edge of the group and just watch.
School Issues
Sarah’s home life can be difficult at times. She is often expected to run the household as well as completing her studies, making dinners and washing clothes which affected her studies.
Health Issues
Sarah has been experiencing high levels of anxiety and depression for some months. This has continued to escalate to where she has reported she hears voices (auditory hallucinations). The views have become more intense and have begun to tell her to kill herself which made her access therapy through a charity
Person-Centered Analysis
The Person-centered analysis employs a non-imposing method that permits customers to take more of a principal in deliberations so that, in the procedure, the customers can learn their explanations. The analyst deeds as a concerned organizer, attending without ruling and recognizing the customer’s experience deprived of moving the chat in an additional way. The analyst is there to inspire and care the customer and to direct the healing procedure minus interjecting or meddling with the customer’s system of self-detection.
When It’s Applied
Anybody who would be healthier off acquiring extra self-confidence, a sturdier logic of individuality, and the aptitude to shape strong social relations and to hope his or her own choices could profit from the person-aligned analysis. This method can be supportive for those who agonize from unhappiness, worry, neurosis just like Sarah. Person-centered analysts toil with both persons and sets. For example, Sarah is affected by her social environment and personal relationships. By offering a safe, comforting environment, Sarah can understand the past experiences that have impacted the way she feels about herself or her abilities, and take the steps to positive change.
How It Works
The achievement of person-centered analysis trusts on three circumstances: Unqualified positive respect, which means counsellors must be assumed and indulgent to convey their feelings of acceptance. Trust, and self-assurance that inspire their customers to mark their own choices and selections. Vicarious sympathetic, which means shrinks comprehend and accept their customers’ opinions and approaches.Similarity, which means analysts carry no air of specialist or specialized lead but, instead, current a factual and nearby self that customers can see is truthful and translucent.
The Strength of Person Centered Therapy
Offers a very harmless, accommodating atmosphere, which is particularly dynamic for consumers who have proficient a shock. A sturdy emphasis on the here and currently, which aids customers to stop lodging on the previous or disturbing around the prospect. Unreserved constructive favor has a prevailing impression on customers, permitting them to feel acknowledged and appreciated for who they are rather than adjudicated for their apparent inadequacies. The opinion that the customer is skilled inspires customers to hunt for explanations in themselves and become extra independent and self-leading.
The Weakness of Person-Centered Analysis
Though Person-Centered Analysis is extremely observed through numerous, it’s not without its limits and flaw. It is extra helpful for customers who are cultivated. The method beliefs on a disproportionately confident opinion of individuals. Analysts, in their struggles to be non-directive, flop to gather adequate data from the customer to truly benefit them reach their objectives. Along these similar outlines, there is too ample stress and dependence on the confidence that the customer is the skilled and has the responses inside.
Numerous counsellors discovery it difficult to be as non-directive as this process requirements; there’s a normal propensity that stalks from the want to aid individuals that creates analysts susceptible to manipulating the course and choices of their customers. Too much understanding on the portion of the psychoanalyst can delay with the therapist’s aptitude or readiness to test the customer when suitable or essential. Numerous individuals pursue healing for the incorrect motives, such as justification for immoral selections in effort to improve fault or disgrace. Person-centered analysis doesn’t actually permit analysts to test unsuitable, self-destructive, or wicked conduct.
Mental Behavioral Analysis
Mental behavioral analysis is a talking analysis that can aid one manage the difficulties through varying the way one reasons and performs. It is most normally used to give nervousness and unhappiness, but can be valuable for other cognitive and physical health difficulties.
How Mental Behavioral Analysis Works
Mental behavioral analysis is based on the idea that the thoughts, approaches, physical sensations and movements are unified, and that negative opinions and moods can trap one in a vicious series. Mental behavioral analysis aims to aid one deal with devastating difficulties in a more confident way by contravention them down into lesser parts. Sarah can be exposed how to change the bad patterns to increase the way she feels. However, mental behavioral analysis deals with the present difficulties, rather than concentrating on matters from the past.
Uses for Mental Behavioral Analysis
Mental behavioral analysis has been demonstrated to be an actual way of discussing a number of dissimilar cognitive health situations. Additionally to despair or nervousness disorders, Mental behavioral analysis can likewise aid individuals with psychosis and schizophrenia.
Mental Behavioral Analysis Sessions
If mental behavioral analysis is recommended for Sarah, she will need to have a conference with a analyst once a week or once every 2 weeks. The sequence of action usually lasts for between 5 and 20 conferences, with every session enduring 30 to 60 minutes. Throughout the conferences, Sarah need to work with the analyst to break down her difficulties into distinct parts, such as the opinions, physical spirits and activities. The eventual aim of therapy is to teach Sarah to use the abilities she has cultured during action to her daily life.
Strength of Mental behavioral analysis
Mental behavioral analysis can be as real as drug in handling certain cognitive health difficulties, but it cannot be positive or appropriate for everybody. Certain Strength of Mental behavioral analysis comprise: it can be cooperative in circumstances where drug alone has not operated it can be finished in a comparatively short period of time associated with other chatting treatments the highly organized nature of Mental behavioral analysis means it can be delivered in diverse layouts, comprising in groups, support books and apps it imparts one convenient and applied approaches that can be used in ordinary life, even after the cure has ended.
Weakness Cognitive Behavioral Examination
Certain flaw of Cognitive interactive analysis to consider include: one need to commit to the process to get the most from it. A therapist can help and advice a client but the therapist need a client’s co-operation attending regular Cognitive behavioral analysis periods and booming out any additional work between meetings can take up a lot of interval it may not be appropriate for individuals with extra difficult cognitive health requirements or knowledge problems, as it requires organized conferences.
As a counsellor I would prefer to use the Person Centered Therapy to deal with Sarah because in Person Centered Therapy Customers are accountable for determining their own explanations and creating variations, this allows them, inspires personal accountability, and supports remove the victim attitude.
Ethical Issues Possible Risks Associated With the Case Study
Psychiatric study has numerous key ethical matters which are dissimilar from other medicinal castigations. These matters are related to learn agreement, privacy, conflict of attention, beneficial fallacy, placebo connected, susceptibility, misuse, operative trials, among others. For instance the conflict between truth telling and doing well may be faced by any psychiatrist who considers withholding information from a patient regarding his or her likely psychodynamics or utmost underlying emotional needs.
Professionals That Can Be Involved within the Case Study
Cognitive Health Therapist – A therapist with a master’s degree and numerous years of overseen medical work knowledge. Skilled to identify and offer separate and collection analysis.
Nurse Analyst – recorded nurture who is skilled in the recurrence of psychiatric and cognitive health treatment. Skilled to identify and deliver separate and set analysis.
Conjugal and Household Counsellor – therapist with a master’s degree, with special teaching and teaching in wedded and household treatment. Skilled to analyze and deliver separate and collection therapy.
Therapist – A medicinal medic with distinct teaching in the analysis and action of mental and expressive infections. A therapist can recommend medicine, then they frequently do not advice patients.
The Organizations Are Associated With the Case Study
The following organizations can be involved the case study of Sarah.
Insistent Communal Treatment Association encourages, grows, and funds high quality services that recover the lives of persons identified with serious and tenacious rational illness.
Global Center for Clubhouse Growth are established on the understanding that retrieval from severe cognitive infection and include the whole individual in an energetic and socially complex communal.
National Association on mental Infection is the state’s major proletarian group for individuals with rational infection and their relations.
Mental Health America. Mental Health America is the country’s leading nonprofit dedicated to helping all people live mentally healthier lives
Summaries the Effectiveness of Your Proposed Plan
The plan is to help Sarah manage her psychosis and depression issues before it escalates and for it to cause more harm.
Step 1. Asking Sarah to eat greasy fish at least double a week, kernels on most days and adding omega 3 fish fats for a mood boosting effect.
Step 2.Asking Sarah to check the homocysteine glassy and get adequate vitamins B by using a home test kit. The homocysteine equal is a gauge of the B vitamin Sarah requirements
Step 3.Asking Sarah to avoid or decrease caffeine, sugar, distinguished carbohydrates and liquor to stabilize the blood sugar
Step 4.Asking Sarah to eat lots of fresh fruit and vegetables to increase antioxidants
Step 5 .Asking Sarah to have a vitamin D test to help Sarah regulate the amount of calcium and phosphate in the body.
Step 6. Asking Sarah to investigate food intolerances to see which foods are contributing to the symptoms.
Step 7.Asking Sarah to find help from a trained therapist.
Section 2
Self-Reflection in Counselling
Self-reflection in therapy applies to an act that is created on models, policies and molds. However, all three of these mechanisms are motorists toward the accepting of a therapist to his customers, in controlling them when selecting the most suitable interference for their customers. The procedure of self-reflection is likewise realized as a continuance of the growth of guiding performs. Highlighted that reflectivity is important in the course of self-supervision. Besides, self-nursing, self-valuation, self- evaluation, self-recording and self-organization are among the components of replication.
Reflection can progress self-realization or self-consciousness, and the aptitude to relate a scientific method in work from numerous viewpoints, as well as reducing counter changes matters. Self-reflection is complete through interrogating the expectations made and the prospects held, principles, and standards that led to the basics of open-mindedness, pensiveness, and intelligent accountability. Irrespective of how therapists choose to do self-reflection, the values set out beyond are needed to care the self-calculation procedure.
Lastly, reflection can be complete logically and impulsively. Though, for certain therapists, the attendance of a manager who acts as counsellors can help them in refining the exercise of reflection. Overall, self-reflection is a difficult responsibility that comprises (a) contemplation, (b) self-consciousness, and (c) self-valuation.
Benefits of Self-Reflection in Counselling
Reflective exercise permits the counsellor to do their work to the utmost values. It guarantees that they don’t surplus time on approaches that don’t function and that they recap approaches that do. .This self-evaluation is an indispensable section of the role, and aids them become a healthier therapist. Additional profit is that the therapist is able to self-assess their functioning approaches and relate developments where essential. This self-appraisal is a vital section of the work, and aids them become a better analyst (Huet, 2017). Without replication, the therapist could become still and loose incentive. So, likeness is a constructive feature of the part of a therapist, and one which they should continually try and apply to enlarge their abilities.
` Reflective exercise inspires the progress and improvement of the therapist. It supports them with knowledge from and refining their analysis abilities, so they do their work in the greatest conceivable way. To be capable as a therapist it’s essential to reproduce and recognize where function approaches can be altered for the healthier.
Challenges of Self-Reflection in Counselling
Nevertheless, for trainee counselors, they are in an uncomfortable and unsafe position. There are many who may feel anxiety, are lacking in confidence and are no prepared to deal with clients. For these groups of trainees, the presence of a supervisor is very much needed. However, it is impossible for supervisors to continuously be there with their trainees. In this situation counselor trainees need to find strategies to overcome these difficulties. In this case, the self-supervision method through reflective practices will be very helpful.
Review the Project and Identify Areas of Future Development
The project or the plan was to help Sarah came out of the problem. The project can be helpful if Sarah can follow the procedures accordingly. The plan can help Sarah reduce the effects from escalating to where she has reported she hears voices (auditory hallucinations).
Gibbs reflective cycle (1988)
Decent for: Decent old Gibbs. Simple, decent starting point, six characteristic phases. Creates one aware of all the phases that one goes through when facing a happening.
Reproaches are: insincere reflection- no transfer to critical thinking/examination/molds or inspecting it from a dissimilar perspective. Does not have the number or gravity of searching enquiries as other replicas.
References
Huet, V., 2017. Case study of an art therapy-based group for work-related stress with hospice staff. International Journal of Art Therapy, 22(1), pp.22-34.
Maree, J.G.K., 2017. Opinion Piece: Using Career Counselling to Address Work-Related Challenges by Promoting Career Resilience, Career Adaptability, and Employability. South African Journal of Education, 37(4).
van Rijn, B., Chryssafidou, E., Falconer, C.J. and Stiles, W.B., 2019. Digital images as meaning bridges: Case study of assimilation using avatar software in counselling with a 14‐year‐old boy. Counselling and Psychotherapy Research, 19(3), pp.252-263.