Skip to main content

Psychotherapy session is ending abruptly





pllz give your ideas

Read the following case scenario carefully

Khalid came to Mr. Jamil, a counselor working in a local hospital, with the presenting complaints of having anger, difficulty in maintaining relationships, feeling of being alone and lack of interest in daily activities. Khalid also reported himself to be restricting in his social activities since the death of his wife. Counselor developed a management plan for Kahlid for six sessions in which he used different behavioral and cognitive techniques. On the sixth session (the last session) with Khalid the counselor told him that today he will terminate the counseling however he can come for the follow up sessions. But Khalid told the counselor that still he does not find himself able enough to quit counseling sessions. However counselor was of the view that six sessions were more than enough to get out of his problem and now he should practice what he had learned during the course of counseling. Now answer the following questions about the above mentioned case scenario.
1. What flaws or lack of counseling skills you can identify in the current scenario and its
consequences?
2. What suggestions you can give to the counselor for dealing with the client










Comments




Waleed Ahmed The patient should be informed at the start about the number of sessions and should also be educated that he may possibly find it difficult to quit but this will be a requirement . Suddenly informing a patient at the last session, he will be unprepared






Asma Irum: termination at least 3 session k darmyan honi chahe ,,,aur phly se informed ho











Farheen Asif: Average sessions r btw 6 to 12. During sessions new problems start coming to surface in most of the cases. Keeping the intensity of those problems u decide how many sessions will this particular patient need. Also , u need to keep a check on prognosis .If u feel it's a slow prognosis, u will have to increase the no of sessions. Sticking to the no u stated in first session is .... Absurd, specially when even the pt does not feel he is ready for termination. However, if u think pt is asking for more sessions cause u have inculcated dependency in him , then u may consider termination.
















 The biggest flaw : 'counsellor thought 6 sessions r sufficient for this problem.' Take 10 ppl with same problem. All 10 of em will respond to the therapy differently in terms of pace of the prognosis. U don't fix session no keeping in view the problem ... Rather session no is determined keeping in mind the risk n resilient factors of the pt.... Cause these 2 factors play pivotal role in determining prognosis which in turn determines how many sessions will be needed.










 Iqra Munawar: its may posible that patient dont want to move away from that situation and therapist...due to fact of emotionly attachment.thats why he make refuses to leave sessions.....so therapist should creat such environment in which he can judge client's origional behaviour ,,intrst






Comments

Popular posts from this blog

ICD-11 Criteria for Depression (Recurrent Depressive Disorder) 6A71

ICD-11 Criteria for Depression (Recurrent Depressive Disorder) 6A71 Recurrent depressive disorder is characterised by a history or at least two depressive episodes separated by at least several months without significant mood disturbance. A depressive episode is characterised by a period of depressed mood or diminished interest in activities occurring most of the day, nearly every day during a period lasting at least two weeks accompanied by other symptoms such as difficulty concentrating, feelings of worthlessness or excessive or inappropriate guilt, hopelessness, recurrent thoughts of death or suicide, changes in appetite or sleep, psychomotor agitation or retardation, and reduced energy or fatigue. There have never been any prior manic, hypomanic, or mixed episodes, which would indicate the presence of a Bipolar disorder. Inclusions:                Seasonal depressive disorder Exclusions:    ...

ICD-11 Criteria for Single Episode Depressive Disorder (Depressive Episode) (6A70)

ICD-11 Criteria for Single Episode Depressive Disorder (Depressive Episode) (6A70) Single episode depressive disorder is characterised by the presence or history of one depressive episode when there is no history of prior depressive episodes. A depressive episode is characterised by a period of depressed mood or diminished interest in activities occurring most of the day, nearly every day during a period lasting at least two weeks accompanied by other symptoms such as difficulty concentrating, feelings of worthlessness or excessive or inappropriate guilt, hopelessness, recurrent thoughts of death or suicide, changes in appetite or sleep, psychomotor agitation or retardation, and reduced energy or fatigue. There have never been any prior manic, hypomanic, or mixed episodes, which would indicate the presence of a bipolar disorder. Exclusions:              Recurrent depressive disorder (6A71) Adjustment disorder (6B43) Bipolar...

ICD-11 Criteria for Bipolar Type-1 Disorder

ICD-11 Criteria for Bipolar Type-1 Disorder    6A60     Bipolar type I disorder is an episodic mood disorder defined by the occurrence of one or more manic or mixed episodes. A manic episode is an extreme mood state lasting at least one week unless shortened by a treatment intervention characterised by euphoria, irritability, or expansiveness, and by increased activity or a subjective experience of increased energy, accompanied by other characteristic symptoms such as rapid or pressured speech, flight of ideas, increased self-esteem or grandiosity, decreased need for sleep, distractibility, impulsive or reckless behaviour, and rapid changes among different mood states (i.e., mood lability). A mixed episode is characterised by the presence of several prominent manic and several prominent depressive symptoms consistent with those observed in manic episodes and depressive episodes, which either occur simultaneously or alternate very rapidly (from day to day or with...