shawnette_reid_u08a01_Personal Theoretical Orientation

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Personal Theoretical Orientation Shawnette Reid Capella University COUN6321: Mental Htlh Coun Clin Inshp 1 Professor Crystal Neal September 3, 2023

Personal Theoretical Orientation This paper focuses on personal theoretical orientation. Counseling fronts consider two main participants including the client and the counselor. At any given point, the engagement between the two parties is professional and has goals to achieve in the long run. Motivational interview works best for new therapeutic sessions where the counselor undertakes to understand the client's needs in the wake to start an effective therapeutic intervention based on the problems presented. According to Hodges (2021), better relationships with patients lead to better outcomes. In this case, I played the role of a counselor (CO). The motivational interview explored the problem presented by one of my clients. In her deliberations, the client is impacted by depressive symptoms. The client, Corona, shared her experience with depression and her dedication to continue therapy to maintain her mental health. She expressed concern over her inability to engage in her coping mechanisms. In the motivational interview, I asked her about her expectations from therapy, and Corona replied that her sessions typically focused on improving her coping skills, particularly related to her spirituality. The mentioned analogy formed her main therapeutic goals. I also discussed with Corona about her daily routine and energy levels, suggesting that She could try incorporating physical activity into her routine. She agreed to this and planned to approach her coworkers about joining a walking group. The client also shared her concerns about her mental health and her period of depression. I further noted her self-accountability and encouraged her to explore her desire to return to her energetic and charismatic self in her therapeutic sessions. The interview concluded with a plan to work towards Corona's treatment goals and self- improvement.

Corona seeks help to deal with the apparent distress caused by her recurrent depressive symptoms. She reported a previous treatment plan that averted her condition and years to proceed with the same therapy because it was effective. The following is a transcript between Corona (CL) and the counselor (CO). The session captured her target goals such as regaining her psychological autonomy and identifying major coping skills. The counselor’s primary theoretical orientation is Person-Centered Therapy (PCT). According to Taylor et al. (2018), PCT operates on the humanistic belief that the client is inherently driven toward and has the capacity for growth and self-actualization; it relies on this force for therapeutic change. Skills incorporated in the interview include but are not limited to active listening, paraphrasing, mindfulness, reflecting, and supportive listening. Transcription and Analysis Transcription – Counselor and Client Responses Verbatim Clinical Competencies Analysis of Clinical Thinking Evaluation of Response Alternative Response CO: Hi! Welcome to therapy. Tell me your name again. Rapport Building I welcomed the client to start the conversation. Greetings and warm gratitude build a good working rapport. How are you? What is your name? CL: My name is Corona. This with the C right it is Corona. CO: Okay, Corona, I just like to ask how to spell it so I could pronounce it right for others. What brings you to therapy? Affirmation I assured the client of her acceptance the client to make her feel easy Assurance rebuilds confidence I needed to understand how to pronounce it better. CL: Well, I've been in therapy before. I was in therapy when I was in Virginia, and I've had. I've had episodes where I've become so

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Transcription – Counselor and Client Responses Verbatim Clinical Competencies Analysis of Clinical Thinking Evaluation of Response Alternative Response depressed in my life that I just couldn't function. And I'm starting to feel like, maybe some of these things are coming back. And I really, my life is very important to me, and I just I I can't go. I can't have that happen again. I can't feel like that again. So, I was in therapy before when I was in Virginia, and I took my antidepressants every day. But I feel like the counseling piece is really important to help me stay healthy. CO: Well, I think that's brave of you to continue counseling. You know what you need. So you stated that you were in counseling before. How did you like it? Restating/ Paraphrasing I revisited her problem to have a greater look at the depressive symptoms and the treatment interventions she was exposed to. Paraphrasing ignites a better evaluation Would you mind sharing about your previous counseling experiences? CL: It was wonderful. I had been with the same counselor for about 6 years, and it was. It was tough. It wasn't only a tough decision to move and leave everybody. My family lives down there, but it was hard for me to move and leave my counselor as well because we had a very good relationship. He gave me a bunch of we did some research ahead of time, and that's how I found this agency. CO: Yeah, okay, so tell me, what are you looking forward to in counseling? I heard you stayed with your previous counselor. Open-ended questions I reflected on the client’s previous counseling Analyzing and understanding a client's counseling I would like to know more about your

Transcription – Counselor and Client Responses Verbatim Clinical Competencies Analysis of Clinical Thinking Evaluation of Response Alternative Response You enjoyed it, the counseling, the counselor in the area. It just worked for you, Now that you found this agency, what I would do, what would you like to see doing our sessions? experiences versus her current therapeutic goals history is imperative to help shape the current goals. therapeutic goals and your previous counseling experiences CL: That's a good question. That's a hard one. I tend to worry a lot about my depressive episodes. And so, what we've always worked on are my coping skills, and a lot of those coping skills had to do with my spirituality and I'm finding myself right now to the point where I am not even feeling the energy to explore my coping skills. So that's what's concerning me right now. And I don't know what to do to get back to that place. CO: I heard you say you don't have the energy to carry out your COVID skills you currently have, or used to have, or have adopted. What do you have energy for? Reflection I explored her version of her energy to create a simpler evaluation interface Focusing on the client’s concerns is imperative to map out the future outcomes You stated clearly about the lack of energy, What could you use the energy for? CL: What do I have? What? What do you have energy for? Oh. While I go to work. That's it. I shower. I talk on the phone to my parents. I don't know. I know I make my food at night, but I find myself just kind of sitting, and I'll fall asleep. If I sit too long, I'll just. I'll lay on the couch. I'll fall asleep. I get up, I go to bed. wake up in the morning, and I just kind of trudge CO: You share. You go to work; you shower talk on the phone when you go to work, do you walk? Do you Summarizing I highlighted the main points of the client's Providing a summary of the process motivates us What are your daily main activities?

Transcription – Counselor and Client Responses Verbatim Clinical Competencies Analysis of Clinical Thinking Evaluation of Response Alternative Response exercise, do you? deliberations. to unveil secrets about them. CL: My steps? No, I drive to work. I live a little bit too far away to walk. I suppose I could probably walk during lunch or something. I it's you know. I just guess I need that motivational push somehow to get myself going. I think if I got myself going, and this is how it was before I could get myself going. I would go. It's just… You know, kind of getting out of this fog and just getting moving again. CO: So, you stated that? Don't you drive to work, that you go to work every day? You do have the energy to go to work. Unconditional positive regard I explored the client’s new attributes about how she handles her daily duties Being supportive of the client’s ideas is imperative How do you manage your movements? CL: Yeah, yeah. And that's probably you know the point during the day where I am the most awake I have to be, but I don't seem to maintain that once I get home. CO: So, at work. I know we stopped. We talked about getting our steps in or doing any site you said. I guess I can on lunch, maybe go for a walk or something. Would that be possible to start a coping skill work? Supportive listening, Problem-solving I advocated for support for every participant. I encouraged the client to have hope and suggested a coping skill Creating a support network bolsters the recovery process I keep a close tab with various people in my social network when needed to overcome various social issues. Absolutely? Well, I mean yes. Short answer. Yes, it would be because there is a group at work that you

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Transcription – Counselor and Client Responses Verbatim Clinical Competencies Analysis of Clinical Thinking Evaluation of Response Alternative Response know. You can see them going around the block and stuff in the morning, and then, you know, during their break, and at lunchtime you can see him walking around the block. And it's people I work with. I'm not super close with them, but it's not like they would say you can't walk with us. So, I suppose I could show up in a pair of sneakers. CO: So, tell me, what does it look like with you preparing for that? Is that something that may interest you? Open-ended questions I evoked the client’s emotions and reflected on a possible outcome Questioning improves the evaluation process What would it look like to form a network of friends? CL: You know, I guess I could take my walking shoes to work or something, or maybe if I started approaching that group, you know my coworkers, and saying, Hey, maybe I'll join you. You know. They might pester me into joining. I wouldn't feel obligated, but I would feel more motivated, and maybe that would help. That's a thought. CO: Would you say you were introverted or an expert? Self-disclosure I expounded the evaluation by trying to understand the client’s character Knowing the perspective of association helps understand a client better Are you an introvert or an extrovert? CL: Who. I would probably say I'm an introvert. I would. I like people. So that's you know, it's hard. It's a hard. I like people and I'm friendly. And I do okay in crowds. But I'm not. I'm not loud. I'm not a partier. I'm not out there, you know, leading

Transcription – Counselor and Client Responses Verbatim Clinical Competencies Analysis of Clinical Thinking Evaluation of Response Alternative Response the crusade. But I do enjoy my downtime. CO: I asked because you stated maybe I can approach the group that does the little walks and stuff. What does it look like for you? Summarizing I emphasized my point to focus on the coping skill This response was important because group walks assist in minimizing the magnitude of depressive symptoms How would you feel when you find and join a group walk? CL: Well, I mean several of them. I mean, we all work in the same building, so probably I could. you know, approach one of them. It wouldn't be normal for me to talk with them. So, we all work in the same business. CO: Yeah. This sounds like a plan. Would you like to write out a plan or deadline to start this new focus field? Mindfulness I explored the client’s options from her perspective This response initiated a thought of a better problem- solving process Your plan is good. Is it possible to prepare a schedule for it? CL: Well, I'm an accountant. So, I like writing things down tracking things, and planning things. So that might not be a bad idea. CO: Okay. And we can, if you are up to it, share it with me in our next session, or whatever you're comfortable sharing it. I can do that. I can do that, you know. You want to get a hold of things. Tell me more about those things. Affirmation I agreed with the client’s agenda and assured more cooperation in the subsequent sessions My response imperatively removed the essence of labeling things as bad or good to reduce prejudice that would hinder the counseling process It will be a good consideration to share more about the things you highlighted. CL: I just… would like to get back to doing what I used to do. I like hiking whether it's

Transcription – Counselor and Client Responses Verbatim Clinical Competencies Analysis of Clinical Thinking Evaluation of Response Alternative Response with a couple of other people or not. There were a couple of people that I used to hike with when I lived back in Virginia. I like biking the bicycle kind. I like doing things like that, I like, you know, getting out and doing my own thing. Sitting on the couch at home is dangerous for me, I think. CO: Just heard some more coping skills. Support of self- efficacy I provided a positive encourager This response ensured the client was able to think of more coping skills Have you heard about other coping skills? CL: Yeah CO: Tell me more about biking. I know you said that you moved on, and what's stopping you from picking it back up? Minimal encourager Self-acceptance allows a person to gain more confidence. This response was necessary to bring the client back to an old leisure activity Would you mind starting biking over again? CL: Well, my bike is still in the garage. I haven't done anything with it. I did bring it. I had planned on being on a local ride. I just. I don't know any people around here that do that. And I guess that was just. It was easier for me to stay in the garage than it was for me to go out and make any contacts. CO: It takes a lot of preparation and a lot of… Minimal encourager Responded to bolster the client’s confidence to pursue what she opted for This response initiated a new focus on recovery It takes a lot of preparation and a lot of dedication. CL: Just training to do a ride that long. And I, just while I was thinking through it. It just made me exhausted, and I was like, forget it.

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Transcription – Counselor and Client Responses Verbatim Clinical Competencies Analysis of Clinical Thinking Evaluation of Response Alternative Response CO: I heard you state that something that used to bring pleasure to you makes you exhausted, now. Reflecting I reflected on the client’s version of what makes her happy This response focused on empathy to make the client feel accepted. Is it possible that whatever things that were making you happy are now inhibiting it? Self-Reflection and Summary Throughout my clinical exposure during practicum, I learned new insights that make my role as a professional counselor more effective. In most instances involving clients, I felt unsure of myself. However, with consistency, I developed confidence that bolstered most of the counseling tasks I tackled. I discovered a great improvement in interpersonal communication. Additionally, I realized that my professionalism has also improved since I implemented counseling platforms that observe the various ethical and multicultural constructs. My clinical knowledge about various disorders and the respective therapies incorporated to create effective recovery improved. Lastly, I gained more system-based practice insights that are relevant to working with multi-core systems. From the aforementioned discoveries, my major areas of strength include good communication skills that create professional and interpersonal relationships needed to support a client’s system in the long run. Secondly, I boast of the proper self-awareness needed to enhance self- care. In most cases, when a counselor fails to recognize self-care, they fail to hold appropriate personal welfare at the expense of helping the clients. Additionally, I improved my leadership skills. This is an area I was averagely competent before this practicum. I

have gained a professionally commanding voice that allows me to handle tasks more effectively. Lastly, my listening skills have improved. I boast of good active listening skills and resilience. The clinical skills I have to improve on include critical thinking. As a professional counselor, handling clients may go beyond a simple integration of the chosen therapy. At times, handling crises requires a counselor to incorporate critical thinking to bolster the problem-solving scenario when handling sensitive problems. I would also wish to uphold significant perseverance. Some counseling tasks are tiring and may mean working for extended periods and odd hours. When necessary, perseverance is imperative in counseling as it creates perfect outcomes (Sommers-Flanagan & Sommers-Flanagan, 2017). Various counseling models are used to inform a clinical intervention. Person-centered therapy has been effective on various platforms. For example, in the case of Farrell who presented symptoms of Generalized Anxiety Disorder, PCT was effective in helping her to restore her normal self from her point of view. Throughout the motivational interview, the counselor allowed the client to center the decision-making process. According to Zarbo and Compare (2016), it is important to observe interactive sessions that help in restoring client confidence. PCT bolsters a client’s self-esteem and helps them face their problems boldly.

References Hodges, S. (2021). The counseling practicum and internship manual: A resource for graduate counseling students (3rd ed.). Springer. ISBN: 9780826143020. Morgan, S., & Yoder, L. H. (2012). A concept analysis of person-centered care. Journal of holistic nursing, 30(1), 6-15. Sommers-Flanagan, J., & Sommers-Flanagan, R. (2017). Clinical interviewing (6th ed.).

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Hoboken, NJ: John Wiley & Sons Taylor, C., Lynn, P., & Bartlett, J. (2018). Fundamentals of nursing: The art and science of person-centered care. Lippincott Williams & Wilkins. Zarbo, & Compare, A. (2016). Integrative psychotherapy works. Frontiers in Psychology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707273/

shawnette_reid_u08a01_Personal Theoretical Orientation

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