COU 540 Final Project Two Transcript Completed

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Apr 3, 2024

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COU 540 Final Project Two Sample Transcription Name: Amanda (Mandi) Thurston Review the video demonstration in its entirety. You will then use this transcription form to provide verbatim content from the session, identify the microskills used in the session, and provide an analysis of the counselor’s responses. You will also describe visual and verbal cues that may indicate the presence of a traumatic experience. Continue until all the microskills and at least one visual and verbal cue are identified:  Nonverbal skills, active listening, attending  Encouragers  Open-ended questions  Paraphrasing  Reflecting feeling  Summarizing  Silence  Visual cue  Verbal cue Table Note: The table includes examples in italics.

Indicate Who Is Speaking Transcribed Text of Session Microskill, Verbal Cue, or Visual Cue Timestamp Student Analysis (Microskills) or Description (Visual or Verbal Cue) CO: Counselor CL: Client CL: Things have just got a lot harder lately, just building. Um, so we talked alot about my job before, and I lost it I had to move back home, just with finances, I couldnt make it by myself *Silence, emotion on face, deep breaths, tears.* CL: Just um, you know. *deep breath* Co: *Held a moment of silence to allow her to express her emotions and take a moment. While nodding* CO: I noticed that you kind of talked about a lot of different things that have been building, you used that word building. With finances not being right because of the loss of your job and having to move back in at home, and not being able to make it, and I noticed you kind of took a deep breath after that. and I am wondering whats going on right now with you, and sitting with that and what that feels like. CL: Heavy, I just feel like theres this huge weight and I mean I guess I know we talked about this before, I am just trying to do my best, I have always been a really high acheiver, a lot of things were just really easy for me. Always I had a job through high school, I had a job through college, I graduated college, and then got, I shouldnt be living with my mom CO: Mhmm *Nodding* The client is giving verbal and visual cues that she is upset; she feels disappointed and let down by herself that she could not make it on her own— frustrated and upset that she lost her job. The tone of her voice, facial expressions, and how she breathes all indicate that she is experiencing heightened emotions. Her eyes fill with tears; there are moments when her voice cracks. The counselor uses nonverbal skills such as nodding while she is talking and then allows a moment of silence after she finishes speaking before paraphrasing back to the client what she said, and states that with sitting with that, what does that feel like, which is an open-ended question. 3:40- Non-verbal skill, Nodding, eye contact 3:57- Paraphrase 4:23 Open- ended question. 5:22 Non- Verbal: nodding, The counselor holding space for the client at that moment was significant after she finished her first statement and took a deep breath. This allowed both the counselor and the client to sit with those feelings before really addressing them, which was particularly important in that moment for the client. The counselor used a lot of nodding and mhms while the client spoke, showing she was engaged in listening. The counselor paraphrased what the client shared and pointed out that the word building was used. This is an excellent word to encompass the overwhelmed feeling, the building of stress, and how it impacted the client. As a counselor, I would have phrased my open- ended question differently. That large breath the client took at the end seemed like a pressure release. Like saying it out loud brought all of that up to the top, and it needed to be expelled as a momentum release. I noticed you took a deep breath after that, and I am wondering if that gave you some sort of release to get some of that disappointment you were carrying out into the open.

Indicate Who Is Speaking Transcribed Text of Session Microskill, Verbal Cue, or Visual Cue Timestamp Student Analysis (Microskills) or Description (Visual or Verbal Cue) CO: Counselor CL: Client CL : isnt that what all adults are supposed to do, like whats the point of school, you have to, like how else can you even do anything, like your not even a real adult, Like I might as well be a kid. CO: mhm *Nodding* CO : Is that how you feel, do you feel like a child right now? CL : Pretty much I am living in my bedroom from when I was growing up CO : Mhm CL : you know my mom like sometimes I cook but pretty much its back into those same patterns, like I have to tell her if I am going anywhere cus I have to ask for gas money, like everything has crumbled and its so hard to even want to get up in the morn, like my friends are all like with their jobs and their families, and I just dont have anything. * tears, pursing lips voice crack deep breathing* CO : Sounds like its hard to get up in the morning, some feelings of hopelessness, like everything has crumbled and like you dont have direction. Verbal cue- The client feels like she isn’t accomplishing what she should be as a functioning adult. Non-verbal and encourager combination, nodding the head and saying mhm. Verbal cue- The client feels alone, disappointed, frustrated that she has to depend on others, frustrated that others are accomplishing her goals, and stuck and like she has nothing. Visual cues of emotional distress. 8:38- Non Verbal- Nodding and encourager- Mhm 8:48: Close- ended question combined with reflection of feeling. 9:00 Non- Verbal and encourager- Mhm 10:04 The client in this section is giving us a lot of verbal and visual cues. She states What the point of all these things that I have accomplished if I am still just like a kid and having to live with my mom, losing everything? Everyone has things, but I feel alone. Her visual cues are in the way she's breathing, her facial expressions of pain, sadness, frustration, tears in her eyes, the way she purses her lips, the tone of her voice, and the way her voice cracks as her emotions grow stronger, overwhelming her. The reflection of feeling was very well articulated, using the word hopeless, which the client had not used herself gives weight to that word. Using her own language, “Like everything has crumbled” stating she feels like she has no direction which the client stated she feels like she can’t accomplish anything without support from her mother or others due to her financial situation and lack of a job. I honestly cannot think of much I would do differently here, outside of perhaps allow for a longer silence after the “I just don’t have anything” I feel like that moment would be a good moment to sit give those feelings space.

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Indicate Who Is Speaking Transcribed Text of Session Microskill, Verbal Cue, or Visual Cue Timestamp Student Analysis (Microskills) or Description (Visual or Verbal Cue) CO: Counselor CL: Client CL : It's not fair to them to have to keep taking care of me in all of these ways. CO: So I am gonna flip it again for you, if this was happening to one of them, these friends and family you are talking about would you want them to think that they were a burden in their time of need CL : No but I don't want to be the one that needs help * Eyes welling with tears, change in tone of voice.* CO: Sure, I am gonna affirm that, of course, you are a strong, independent woman. You have been going down your own road and doing your own thing for a long time. I can imagine that this road block this stop for you is very challenging for you. At the same time, look at all of the things that you have accomplished. This is one little pitstop, one- stop that you have to make; it doesn't mean that you can't keep going; you just have to recharge and reboot. What allows you to do that, what allows that recharge and reboot besides spending time with your friends and family? Verbal cue- of feeling guilt for having to be taken care of. Open-ended question, with the reflection of feeling, in that she's asking if the client would feel the way she's feeling now if roles were reversed. Verbal Cue and physical cues- Loss of independence, and need for help creating feelings of lack of control. Physical cues show that this loss is causing emotional distress. Summary, affirmation, and open-ended questions. She summarizes all the things the client has shared in the struggles but also the accomplishments and affirms that it is difficult but that it is one stop in the process. Then she asks the client what she does to recharge, IE Self- Care. 18:55- Verbal Cue 19:00- Open ended question, with reflection of feeling. 19:10- Visual and Verbal Cues 19:17- Summary combined with affirmation. This section here, was important because the client was expressing a feeling of guilt because she had lost her independence. It was a good redirect by the counselor to say, would you feel like this if it was your family member in this situation in their time of need. It let the client reflect on her feelings and understand that her family did not consider her a burden. This was a good summary of what the client had stated she had accomplished, but also a reflection and reframing of the way the client was thinking. Just because you have hit this pit stop, does not mean you cannot continue to move forward and succeed. She then moved this into an open ended question to ask probing questions to find out about what the client did to bring herself happiness, joy and recharge. Self- care is an important aspect of this conversation and knowing what if anything the client was doing was a good way to

Explain why you made the connection between the cues and a traumatic experience. Use the visual and verbal cues described above to support your conclusion. This client gave a very visual range of emotions. It was easy to see when she was feeling upset; her breathing would change, the tone of her voice would change, and her eyes would well with tears. She would purse her lips or cover her face when her emotions were overwhelming. These are indicators that she is struggling with a traumatic experience or overwhelming emotions caused by her current situation. The client indicates that she feels the weight that she is carrying, that the stress of what is going on is heavy, that everything has crumbled, the rug has been pulled out from under her. These all indicate that she feels like everything she has accomplished has been made moot because she has lost her job and is living with her parents. She indicates that she feels like everyone around her has things like family and their jobs, and she has nothing. These are all strong verbal indications that she is struggling; she uses the words hopeless, that she feels like a child because she is back living with her parent. Her reactions to phrases and validation are mixed with relief and being overwhelmed by her own emotions and the weight of the stress, depression, and sadness she is carrying. Describe resources or referrals that are available in situations like this. Some resources that we could provide since she likes to write would be the Freelance Artist Resource List. We could connect her with local career resources and CareerOneStop. While she did state that she had feelings that she did not want to be around anymore, she did state that she would promise to be safe. However, I think the Crisis Text Line and Crisis Now Line would be a good place to direct her in case it is after hours, as well as the after hours line. Another would be Mental Health Warm Line to connect with peers. If the suicidal ideations become stronger, the Suicide prevention lifeline would be another resource. Fact Sheets and Therapy Worksheets could be provided to help gauge other areas where the client is struggling that may not have been covered in counseling, and apps that provide reminders to take important mental health medications if the client is on any, such as Fig. We could do referrals with her consent to career counseling, to help fine-tune her resume and find resources that could support her with getting a job, including local governmental agencies that may be able to support with things like gas money. It could also be a good idea to refer to a psychiatrist to discuss possible mood-stabilizing medication and anti-

depressants. Discuss the option for unemployment if it is something that she would qualify for. Another option could be things like Career support groups, or Career Development groups. If during the call check-in the next day, she was still at such a low, I would recommend getting her in sooner to ensure that her safety is of the highest priority.

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COU 540 Final Project Two Transcript Completed

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