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Role-Play

Role-Play. Counselor:

vinny
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Role-Play

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  1. Role-Play Counselor: You are given the filled-in assessment info from your new client who has just arrived. You have a few minutes to look over the info and jot down any notes/questions you might need to ask. You’ll spend the “session” getting to know the client’s problem and worldview, and building a relationship using the basic skills we’ve practiced. Be sure to get any needed information in the 1st session. Each round will be 15 minutes. Remember to get feedback from the client and discuss how it went. Please don’t discuss the info with “client” until you begin in session- like in real life. You CAN use the assessment form in session- be careful not to alienate client or get too focused on writing things down.

  2. Chapter Fourteen: Curative Factors Part 1

  3. “REPLAN” • R Relationship • E Enhance efficacy & self-esteem • P Practice new behaviors • L Lower/raise emotional arousal • A Activate hope & motivation • N New learning experiences • Many tx planning methods • Based on dx and/or theoretical orientation

  4. Steps for REPLAN • ONE Create mutually agreed upon goals • TWO Make list of possible tx strategies • THREE Review tx strategies every 6 weeks or so • Ask yourself “what curative factors will help THIS client?” • Use your judgment/discuss with client • Be willing to discuss with client throughout tx

  5. Enhancing Efficacy & Self-Esteem Sources of low self-esteem • Irrational Beliefs • We must be loved/approved of by every person in our lives • Things don’t go our way = catastrophy • Unhappiness is externally caused • Easier to avoid difficulties than to face them • One’s hx determines how future is/ nothing changes Body Image Personal toxic relationships/families

  6. Countering • Combats negative self-talk -reduces power inner voice has • Identify the neg self-statements & replace with positive ones • ONE: Do brief assessment- how often are neg. thoughts there? Can have client keep notecard/tally etc. • TWO: Identify neg. though patterns/core beliefs (“I am stupid”) • THREE: Identify effective counters (can be simple like “nonsense” “not true!” or “no evidence for this”. You and helper come up with these together- client selects several • FOUR: Test & modify. Takes time- neg. thoughts are automatic. Can use the SUDS to monitor • FIVE: Practice & report. Follow-up, modify if necessary. • Some counters are more effective than others. Some should be discarded. Any personal words that are powerful to them? Counters should be realistic & make sense. Shorter is better than longer.

  7. Thought Stopping • Combats unwanted thoughts/images • 1) State the thought (I have to get an A) • 2) Startling interruption (yell stop/think stop/imagine stop sign) • 3) Insert new thought (I’ll do the best I can) • Distract self with other things • Rubber band on wrist • Music

  8. New Behaviors: Role-Playing • Warm-up: discuss, set the stage, agree what you’re discussing • Action • Analysis: Discuss, feedback from client/therapist • Can use role-reversal when appropriate • Potential issues: • Stage fright • Strength of emotion can be overwhelming (be careful)

  9. Homework • Gives client work to do without you • They know you’ll be checking in- more likely to do the work • Can have client do anything- • Reading assignments • Journaling • Keeping records of behaviors/neg self-talk • Keeping records of positive interactions • SUDS level • Choose HW assignments with high probability of success • Individually tailored for each client • Be realistic (10 min a day vs. 30 min 3x week) • Should be simple & fit in with client’s life • Make HW harder as time goes on

  10. Video Example: Countering Segment 17

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