Role-Play—Do a role-play with one person playing the client and another person playing the practitioner. Role-play evaluating the goals, evaluating progress, and ending the work together. Use the Apply and Demonstrate Practice Exercise Evaluation Form 15 to evaluate this final meeting.
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CASE, PART 6: HIDEKO, EVALUATION, AND ENDING |
Explanation
1. Initial Disclosure - Relationship Building
This step focuses on building a professional relationship with clients and engaging them to explore issues that affect them. The first interview is a crucial part because here is when the client starts to perceive verbal and nonverbal messages, and to generate assumptions about the counselor and the counseling situation.
2. In-depth Exploration - Problem Assessment
As the counselor and the client are in the process of establishing a strong professional relationship, problem assessment also takes place. This step involves the collection and classification of information about the client's condition and reasons for seeking counseling.
As asked earlier, counselors can motivate their clients to give feedback through expressing empathy through reflective listening, developing discrepancies between the client's goals or values and their current behavior, avoiding argument and direct confrontation, adjusting to client resistance rather than opposing it directly, and support self-efficacy and optimism.
3. Commitment to Action - Goal Setting
Guiding clients to set goals is an important aspect of counseling. It involves encouraging the client to commit to a set of conditions, to a course of action, or an outcome.
4. Counseling Intervention
This is the 'heart' of the counseling process. There are different points of view concerning what a good counselor should do with clients depending on the theoretical positions that the counselor subscribes to.
5. Evaluation, Termination, or Referral
Terminating the counseling process will have to be conducted with sensitivity with the client knowing that it will have to end. These are the guidelines that can aid the therapy termination discussion regardless of the reason for the termination:
"Remember that the purpose of therapy is to support the client, not the therapist. Therapists should not get defensive about the reason for termination, especially if the client is unhappy. Do not argue with the client or use the discussion to ease your own hurt feelings."
"Be clear, direct, and compassionate no matter why the client is leaving. Never blame the client, even if you must terminate therapy because the client is difficult or you are not a good fit."
"Be willing to answer questions about therapy termination, such as where a client can seek additional help if necessary."
"Do not abandon a client without warning. Your state licensing board may prohibit terminating therapy with no notice, without a final session, or without referring the client to another therapist. A clear understanding of your ethical duties and your state board's rules can help you better serve your client and avoid disciplinary procedures."
"If at all possible, refer a client to a highly qualified therapist who specializes in their issues. This is particularly important if you terminate the relationship because of fit issues or because you are unqualified to treat the client."
Reference
[1] https://www.goodtherapy.org/for-professionals/business-management/private-practices/article/how-to-navigate-the-termination-of-therapy-with-a-client
[2] https://ct.counseling.org/2015/05/incorporating-feedback-informed-treatment-into-counseling-practice/
[3] http://www.dspmuranchi.ac.in/pdf/Blog/stages%20of%20counselling.pdf
Answer
To guide you in the counseling process, on how to encourage feedback from clients, and end the session itself, here are the five main steps to be done during a counseling session.
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