It should be individual and specific to the client and their needs while remaining flexible for adaptation in response to new information or changing circumstances.Ī typical therapeutic plan contains placeholders for each of the following elements (Gehart, 2016 Nelson-Jones, 2014): 1. Planning is vital to moving clients (and their counselors) from where they are to where they want to be (Nelson-Jones, 2014).Ī therapeutic plan offers a potential route from initial engagement to termination-both of which are vital to the overall therapeutic outcome (Joyce et al., 2007). Where problems are complex, several sessions may be needed to fully understand where help is most needed (Sommers-Flanagan & Sommers-Flanagan, 2015). Can you think of any friends or family members who may be able to offer you some support?” “From what I’m hearing, you are facing your problems all on your own. Can you think of any positive aspects as well?” “You have spoken a lot about the negative aspects of your life. Variations of the following comments can be helpful (modified from Nelson-Jones, 2014): The therapist can remind them by asking selective questions. The client may be unaware or have forgotten that they have the tools to cope. Understands the client’s strengths and coping skills.The therapist should be ready for a crisis, maintain a sense of calm, listen closely and observe well, and assess the severity and risk of damage to the client and others. The therapist must be able to define the crisis and know what is causing excessive stress 139).ĭuring crisis sessions, the following is vital (Nelson-Jones, 2014): They must make “immediate choices to help clients get through their sense of being overwhelmed” (Nelson-Jones, 2014, p. Therapists will sometimes face a client in crisis. Would you care to explain what is bothering you?” “ Please tell me what has brought you here today.” Meeting and greeting counseling skills are fundamental early on and may include the following types of opening statements and scripts (modified from Nelson-Jones, 2014, p.
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