Therapeutic Decisions

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1. You have a new client coming in today for her first session with you. Sit down and consider all the characteristics she brings with her.

2. Determine the advantages and disadvantages that each of the seven schools of therapy might offer.

3. After considering them, select one that might be most helpful for the symptoms she has.

4. Use the worksheet below.

Therapeutic Decisions Worksheet

Earlier you had sitting before you a new client, Evette. Read through your notes from the initial session and determine the advantages and disadvantages of the seven schools of thought you espouse as an eclectic therapist. After weighing all options, as is your custom, determine which one would benefit Evette the most.

Notes:

Evette looked terrible. She said she had spent three relatively sleepless nights and had eaten little, and it showed. She said she couldn’t sleep because she felt tormented by feelings of shame, guilt, and loss. She thought it had nothing to do with her family. She had been “happily married” for 15 years. All her family members were healthy. Her family was financially stable and appeared to have a strong network of support in the community. Nothing was really wrong with them. Ah yes, her kids and her husband were not home much. He worked overtime a lot. The children were always running to soccer practices or games and other commitments with school and jobs. That is the way it is supposed to be. Evette thought that her “blues” had more to do with her brother. She had not been able to release very strong feelings of self-recrimination since her brother died. They had had a serious fight the night before his fatal car accident., and she had never had a opportunity to apologize. The last few months have been a nightmare because of the impact her unrelenting agonizing was having on herself and her family.

Psychoanalysis therapy

What would you expect the therapist to focus on or do?

What would be the advantages of this approach?

What would be the disadvantages of using this approach?

Client-centered/person-centered therapy

What would you expect the therapist to focus on or do?

What would be the advantages of this approach?

What would be the disadvantages of using this approach?

Aversive Conditioning

What would you expect the therapist to focus on or do?

What would be the advantages of this approach?

What would be the disadvantages of using this approach?

Cognitive Behavior Therapy

What would you expect the therapist to focus on or do?

What would be the advantages of this approach?

What would be the disadvantages of using this approach?

Drug Therapy

What would you expect the therapist to focus on or do?

What would be the advantages of this approach?

What would be the disadvantages of using this approach?

Family/ Group Therapy

What would you expect the therapist to focus on or do?

What would be the advantages of this approach?

What would be the disadvantages of using this approach?

Electroconvulsive Therapy

What would you expect the therapist to focus on or do?

What would be the advantages of this approach?

What would be the disadvantages of using this approach?

Final Decision: Which framework would you select for Evette? Justify your answer.

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