Reflective Report
Student’s Name
University’s Name
Date
Section 1
Questions
- Who is the main character? What is the setting of the case? Where does the incident take place
- What is the subject matter to the situation? What is the case all about? Explain
- Who is involved with the character at the time in the case? How are they related to the character in the case involved?
- What is the main problem with the character in the case study? Explain?
- What do you think is the problem from your own perspective?
- What are the possible solutions to the main character’s problem?
The question in the first bullet tries to contextualize us with the client. Knowing who the main character is the first step in all cases. One cannot really work well without knowing who the client or main character is. Knowing where the case is based will be a bonus to understanding it in depth. The questions will bring one step closer to understanding the situation. From this, possible answers can be formulated. Understanding the problem is also a significant aspect in the case because it is from this, that the client will be helped. If that happens then, the situation is rendered a success.
Section 2
In this case, the possible modality or therapy would be the ten seconds breathing in and out with the eyes closed. With the high anxiety levels, this might be the right one.
Treatment plan
In the case, it is evident that the patient Ayesha is suffering from anxiety. With anxiety being the natural response of the body to the stress it is subjected to. With this situation being explained, the most standard treatment plan would be therapy. These will be a combination of psychological therapy and pharmacotherapy. From here, she will be medicated with the right drugs, which include anti-depressants and appropriate sedatives. This will balance the brain chemistry and in most cases, prevent or reduce anxiety levels in the body. With this treatment plan, an improvement in Ayesha’s behaviour is expected to improve immensely. The end of the treatment plan will go most of the severe symptoms.
As stated earlier, the treatment plan will be therapy. Psychological therapy will commence on the first. This is where psychological talks will occur to try and understand Ayesha and what she is going through. Anxiety is most cases is caused in different situations, so getting her side of the story will be the starting point. Here, professional counselling will also go through to ease her up and make her less stiff. Pharmacotherapy is the second step in her treatment plan where anti-depressants are used, as stated earlier in the text. Anti-depressants help a person suffering from anxiety to calm down. Although these are not highly recommended, it is worth the try in this case where the patient had recurring anxiety episodes. Ayesha’s case is possible to treat. With the two types of therapy, improvement is highly inevitable; hence the reason for the treatment. These treatments will occur every day for around two hours. The more time the Ayesha is involved with a psychotherapist, the more she is expected to get better
Section 3
The client in the case is highly fragile; hence a lot of care is needed when engaging the client. First of all, I would introduce myself and tell her a little bit about myself. From this move, the client would start getting comfortable and will loosen up. The conversation will then begin whereby short, simple questions are asked so that the program will be interactive. Being empathetic at all times will make the client feel that you understand him/her (Black et al.,2005).In the case of Ayesha, when explaining her reasons for fear, I will try and tell her that I understand her and that it is okay to get scared at times. Also, I will use zero judgements engagement skills. When a person suffering from anxiety is judged, it will be impossible for her to continue engaging because the constant fear of getting judged will drown her emotionally and psychologically. Ensuring that communication clear while listening actively is also a critical engagement skill. It is from these that understanding Ayesha’s problem occurs
For a client undergoing psychotherapy, engagement skills play a massive role in the success and quality of the therapy session. If the skills work, then most definitely the therapy will work. Like I explained earlier, judging a client will have a negative impact on him/her, whereby she will not open up her situation to you (Calahall et al.,2009). Active listening will enable the psychotherapist from not losing any detail while the client is listening and hence help in understanding her case. Through active listening, one can ask more and more questions, and a lot will end up getting discussed on that particular therapy session. Being empathetic helps the client to feel that she is okay to have all these sessions. Being an understanding therapist, the client will want to open up more and more since she feels like there is one person in the world who understands me.
Section 4
Modelling fear to anxiety patients can have both a negative and a negative impact. The negative consequences outweigh the positive. Modelling fear will, in most times increase the anxiety levels of more patients. By being anxious, the client will start experiencing episodes which will not only waste time trying to calm her but also take the both of you back to the first step, which will make her treatment longer. If the client is not financially stable, then the procedures will be too expensive; hence some of them might drop in the middle of the session. Little or no help will be offered accordingly the case not successful at the end.
Through self-practice and self-reflection, one will be able to understand him/herself. Through this, one will understand their fears, and from these, he/she will heal. The two are therapeutic. Practising self-practice, though not as client therapy, one will know himself or herself deeply(Taylor et al.,2015). From this step, one can understand themselves better, and this will avoid relaying their fears towards other people, especially their clients who as stated earlier, are fragile and at the mercy of their therapist.
As a social worker in training, I would try and introduce music as a part of therapy. This is a common interest that most people have. Having good slow music might help to ease the client; hence the treatment would go on well. Building a good relationship with the client will build trust, which is an essential factor in a good therapy session.
REFERENCES
- Taylor, Rietzschel, Danquah, and Berry, (2015): The role of attachment style, attachment to therapist, and working alliance in response to psychological therapy.
- Bernecker, Levy, and Ellison, (2014): A meta-analysis of the relation between patient adult attachment and the working alliance.
- Deane, F. P., and Bragdon, R. A. (2003): Client and therapist reasons for termination: A conceptualization and preliminary validation.
- K., Callahan, and Levine, (2009): Using clinically significant change to identify premature termination.
- Black, Hardy, Turpin, and Parry (2005): Self-reported attachment styles and therapeutic orientation of therapists and their relationship with reported overall alliance quality and problems in therapy.