Dealing with Challenges in Psychotherapy and Counseling
This text provides a framework for handling tough clinical situations as they arise. It includes both the complexities of assessment issues that arise in special circumstances with a variety of clients as well as a number of general interventions that are relevant to all clients. The book provides a theory-free conceptual super-structure that can guide and ground readers in difficult situations regardless of theoretical beliefs.The author’s underlying philosophy reflects the importance of taking a contextual approach with clients, viewing clients as collaborators in the therapeutic process, and recognizing that the client needs strategies other than the provider-client relationship that he/she can implement independently.
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The Challenge of Meeting a New Client
Sexual History SocialEconomic History
The Challenge of Substance Use
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ability abuse or neglect aggression alcohol American Psychiatric Association antidepressants antisocial personality disorder anxiety anxiolytics appropriate behavior bipolar disorder Brems child abuse child protection cian client clini clinical clinician clinician needs cocaine cognitive conduct disorder counselor crisis danger depression diagnosis disease Dose drug DSM-IV emotional evaluation event examiner functioning Gilliland & James health care provider homicide ical identified impairment insomnia intake interactions interpersonal intervention involved issues lethality medical provider medical referral ment mental health Meyer & Deitsch parents pattern perpetrator person physical possible potential victim problems professional progress note psychiatric psychological symptoms psychological testing psychosis psychotherapy psychotropic medication referral question relationship reporting laws risk factors scores session sexual abuse side effects situation skills Slaikeu social specific standard scores strategies suicidal ideation supervision TABLE therapeutic therapist therapy threat tion traits treatment planning triggers violence withdrawal symptoms