Therapeutic intervention approach
Motivational Enhancement Therapy (MET):
William R. Miller: In the field of substance abuse problem, a man named Miller who was a professor of Psychology and Psychiatry and affiliated with the centre on alcoholism, substance abuse and addictions (CASAA) at the University of New Mexico found a way to see the addicts mind set. He believed that due to confrontation the denial nature of addicts persist and due to which there seems to be no solution to their addiction habit. Further, with Stephen Rollnick he founded the motivation interviewing or Motivational Enhancement Therapy.
Miller has changed the way addiction has been tried to seen by clinicians. Earlier, clinicians believed that they need to counsel an addict
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Rationale of MET:
Objective: The objective of the Motivational Enhancement Therapy is to modify the harmful use of drugs.
Goal: Each client needs to set their own goal rather than getting imposed by an absolute goal through MET.
Mechanism of MET: MET is based on cognitive and social psychology principles. The therapist needs to develop an inconsistency in the client’s perceptions between their at present status and their planned goals. Here, the commitment and desire to get change should come from client within self. The assumption made here is that a basic motivation is important and many a times it is enough to instigate change. The drug problems are seen here as behaviors under at least partial voluntary control of the client which are normal principles of behavior change and whereas drugs of abuse are supposed to be an inherent motivating property to an addict. Hence, MET is there to bring out strength for competing motivations.
In Motivational Enhancement Therapy, the client acts as the agent of change who receives assistance from the
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Education level of professional may not be as critical determination of effectiveness in using MET. But the specific training in MET is necessary. A skilled MET practitioner can make the therapy more natural but it requires considerable pratice. A MET practitioner is also given 2 to 3 days training to learn the rationale of MET and its very skills. Counselors who are new to this approach may face difficulty initially (M.R.William, 2000).
Ideal behavior and characteristics of MET counselor:
Behavior:
Counselor needs to ask open-ended questions.
They must avoid close-ended questions or three questions in a row.
They should be skilled enough to do reflective listening, reframing and supporting.
They needs to keep difference by eliciting the client’s verbal expression of concerns, their reasons to change and should encourage their optimism regarding change.
Counselors need to be polite and positive in knowing things rather than confronting it directly.
The counselor needs to emphasis on supporting the client’s self – efficacy.
They must give positive feedback to encourage client’s motivation to change.
Counselor should not do any direct confrontation to their clients or else it will lead to denial tendency of the client.
They should also avoid any kind of
Therapist discussed further using coping skills with client. Therapists introduced new coping skills with client. Therapist encouraged the client to verbalize his emotions in regards to his daily mood and how it changes from time to time and using it as coping
After all the time spent suffering from an addiction, it becomes increasing important for addiction victims to select a rehab center that makes sense when they are ready for help. Most rehab centers will put forth claims of how good its treatment programs are compared to other places. Without much else to compare to, reputation becomes a key factor for consideration. With that in mind, it 's worth us noting that many a West Texas Rehab has a solid reputation for excellent treatment and care. (-- removed HTML --) Is a West Texas Rehab Really a Viable Treatment Solution?
My client has come a long way from her first counseling session. I think she is motivated to make changes because she believes she can. Also, staying active has helped her to live a healthy and happier life, which also helps to keep her mentally aligned. There are two changes I would like to make in the last two counseling sessions. These changes include helping my client manage expectations and to create/develop more realistic
Using data collected from 23 randomized control trials that compared CM to various nonspecific or specific therapy groups the results concluded that participants who had received CM were 1.22 times more likely to be abstinent. It also highlights the importance of providing the appropriate duration and reinforcer magnitude to ensure maximum effectiveness of the treatment. This study provides great information on a highly effective form of treatment in regards to substance abuse disorder. This form of intervention could have been an effective option that A-Train’s girlfriend or Brother could have used in conjunction with the help of a professional to treat A-trains substance abuse disorder.
In the previous video I practised particular counselling skills, which when combined, increased the support given to the client. As I provided the client with attention, by having an open body language, nodding and using hand gestures, they continued to speak about the situation and how it is affecting them. I was then able to paraphrase and ask open questions which the client answered, going into further depth as I had, and was, showing that I was paying attention. By challenging the client through questioning, we were able to discuss and identify the main problem for the individual and create an action plan in order for the client to reach their goals, feeling a sense of progression.
Research studies on current addiction treatment show that programs are typically are divided into several general types. Addiction is viewed in the context of an individual’s social and psychological deficits, and treatment focuses on developing personal accountability and responsibility as well as socially productive lives (Drug). While the methods for treatment and individual programs continue to evolve and diversify, there should be more rules and regulations when it comes to treatment. As of right now, long-term residential treatment provides care 24 hours a day, generally in non-hospital settings. Treatment is designed to help residents examine damaging beliefs, self concepts, and destructive patterns of behavior and adopt new, more harmonious and constructive ways to interact with others (Drug).
A Snapshot of Drug and Alcohol Rehab Services at (client name) While undergoing treatment at (client name), addicts are assigned a tailored treatment plan that fits their specific needs and circumstances. Among the menu of treatment options are holistic therapy, peer-group therapy (with and without family), motivational enhancement therapy, cognitive behavioral therapy and art/music therapy as well as other proven methods. In a group setting, patients are encouraged to work together to form support groups and relapse prevention techniques to be used when away from the facility. If you live in Deerfield Beach and suffer from the disease of addiction to substances, you can take comfort in knowing a quality drug and alcohol rehab center is but a short drive away. The key to recovery lies in your desire to admit you have a disease and you further desire to live a normal life.
Putting the client as the expert, understanding her story instead of attempting to judge it, in the therapist’s point of view. The therapist must in any point display with utmost care, interest, respectful curiosity, openness, empathy, and fascination. Once this collaborative relationship has been established, the counsellor and the client can move forward and work on how to improve the outcomes of the
Like other professions in the mental health field and helping professions, counseling typically attracts those who are imbued with a need to help others, to make a difference in others’ lives, the community around them and sometimes even the world. There are many facets to a counselor and to counseling, some of which take on personal attributes such as personality, the values and beliefs held by counselors, and what they perceive their role in the counseling profession to be. Other facets involve ethical considerations in therapy, the importance of the profession, the value and process of change, important counseling practices and the value of necessary self-care a counselor ought to engage in. The role of a counselor is to act as a conduit to change and wellbeing in a client.
But, the job of counselors is not to impose their values, but help clients explore how their current issues are affected by their own value system. A counselor who is struggling with a client can find that the issue may have to do with value conflicts. In that instance, it is vital that the counselor seek supervision. Supervision allows counselors the ability to address their concerns and be taught ways to overcome bias and get closer to therapeutic neutrality. I know as a counselor that there will be times that I will need supervision when dealing with difficult clients, and I must be open to the idea that it may not be the client that is the
Additionally, as a counselor, it is important to be genuine with whatever feedbacks one presents to the patient and what one believes regarding the situation of the client. Mrs. Perez believes the more authentic and genuine he is with her patients, the more help he will be able to offer the clients. As a counselor, it is important to have a fine and professional interaction with one 's client but boundaries must be maintained. Through this, a counselor is able to demonstrate their focus on helping the patients by showing the client that they understand their problems. It also through such engagements that counselor is able to use the non-judgmental attention that does not require words for illustration in helping the patient.
Firstly, I need to identify the causes and formation of the difficulty situation of my client. I should not involve my own personal emotions when analysing the situation. Next, clarification of the situation is essential. The clients should figure out themselves on how to face the situation. An effective counsellor listen more than talks, and what they do say gives the client a sense of being heard and understood.
Mitchell and Krumboltz (2012) also suggests that to shape the behaviour of clients, positive role models and positive reinforcement can be used by
Over the past one and half month, the class of PDE 502 (Counselling and Career Education) has taught me some major lessons for life in dealing with the clients in response to their emotional needs. The role of a counsellor is not unlike that of a friend where by it is nurtured by being in each other’s company, talking over everyday issues and sharing feelings. However, what sets a counsellor apart is their experience and the ability to apply counselling theories and techniques to assist people in gaining awareness, insight and explore ways of solving their own issues.
Counselling skills are initiated in order to help the person to talk, making sense of their situation, developing these ideas about what the counsellor can do, and out these ideas into action. Individuals think, feel and react in different ways. By integrating different ways of helping people bring change in their lives, a counsellor can work with each client to produce a unique therapy adapted to suit what that client wants, and