Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Professional Orientation to Mental Health Counseling > Chapter 4: The Counseling Process > Flashcards

Chapter 4: The Counseling Process Flashcards

1
Q

What are 3 variables that create a healing environment?

A
  • Saftey
  • Personalization
  • Softness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe the focus of the initial sessions

A

The counselor focuses on building a therapeutic relationship with the client and helping them explore issues directly affecting them.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In the initial sessions, what 5 things does the counselor do?

A
  • Assess the seriousness of the presenting problem(s)
  • Provide structure to the counseling process
  • Help client take initiative
  • Develop initial case conceptualizations
  • Create treatment plans
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

During the initial counseling session, the counselor should provide a professional disclosure statement… why?

A

A professional disclosure statement provides the client with info about the counselor and the counseling process, ensuring informed consent.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Define a reluctant client:

A
  • someone who would rather not be there.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe the 3 types of resistant clients. What are examples of behaviours each type might show?

A
  • Noncompliant (not showing up)
  • Avoidant (outbursts, debates with counselor, tries to derail conversation)
  • Ambivalent (has mixed feelings about proposed changes)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

describe the concept of motivational interviewing

A

Motivational interviewing encourages the counselor to roll with client resistance instead of confront it.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does the trans theoretical model of change describe?

A

It describes the 5 levels of readiness for change that a client may exhibit.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List the 5 levels of the trans theoretical model of change.

A
  1. Precontemplation
  2. Contemplation
  3. Preparation
  4. Action
  5. Maintenance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are 4 ways counselors can help clients initiate change?

A
  • Anticipating client resistance from the get-go
  • Showing acceptance & empathy
  • Using therapeutic confrontation (pointing out inconsistencies in client’s beliefs, actions, etc.)
  • Using language (metaphors)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

It is important to make clients feel _______, _________, __________, and ______.

A

It is important to make clients feel, comfortable, respected, supported, and heard.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

List the 4 helping skills that can build rapport with the client.

A
  • selecting feelings
  • summarizing
  • clarifying
  • encouraging
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Data gathered in initial sessions is used to create a ____ _____________, which is used to develop a ___________ _______.

A

Data gathered during initial sessions is used to create a case conceptualization, which is used to develop a treatment plan.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the core of a case conceptualization?

A

a clinical hypothesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How is the case conceptualization related to the treatment plan?

A

The Case conceptualization links the client’s presenting problems to the treatment plan.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Client records fall into 6 categories. What are they?

A
  • Intake info
  • Assessment & diagnostic info
  • Treatment plan
  • Case notes
  • Termination summary
  • Other data
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

If counselor needs to submit client records to a 3rd party, what should they do first?

A

Must first get WRITTEN CONSENT from client.

18
Q

What is a subpoena?

A
  • a court order that cannot be ignored?
19
Q

When given a subpoena, what should you do BEFORE turning over records or appearing in court?

A

Consult supervisors, a lawyer, and your personal liability insurance company.

20
Q

Briefly describe what occurs during the working phase of counseling.

A
  • specific objectives are defined

- interventions are implemented

21
Q

What is included in the treatment plan documentation?

A
  • Problem statement
  • Goal statement & date of expected achievement.
  • Treatment modality to be used
  • Clinical impression/diagnosis
  • Names & credentials of everyone involved in the treatment plan
22
Q

What are the 3 common curative factors of effective counseling?

A
  • Support factors
  • Learning factors
  • Action factors
23
Q

What are the 4 Support Factors?

A
  • the therapeutic alliance
  • trust
  • empathy
  • catharsis
24
Q

What are the 3 Learning Factors?

A
  • cognitive factors
  • affective experiencing
  • feedback
25
Q

What are the 3 Action Factors?

A
  • reality testing
  • rehearsal
  • mastery efforts
26
Q

What are cognitive distortions?

A

Negative, inaccurate biases that can lead to unhealthy misconceptions of events.

27
Q

Name 5 cognitive distortions

A
  • exaggerating the negative
  • minimizing the positive
  • overgeneralizing
  • catastrophizing
  • personalizing
28
Q

Describe how you can help a client reframe a thought

A

Offer the client another probable and positive viewpoint of what a situation is or why an event might have happened.

29
Q

Describe affective experiencing, and how it is performed.

A

Helping clients recognize and acknowledge the emotions they experience
+ the counselor does this by reflecting the clients feelings

30
Q

Interventions focused on emotions are NOT recommended when clients are highly ______ or _______

A

highly distressed or psychotic

31
Q

What is catharsis? Should it be the final goal? If now, what SHOULD be?

A

Catharsis > releasing emotions verbally.
It should not be the final goal – counselor should help the client examine the beliefs and thoughts that underlie those emotions.

32
Q

To be effective, homework assigned to clients should be:

A

Homework should be:

  • relevant to the client’s situation
  • specifically tied to a measurable behavior
33
Q

What are the 2 types of rehearsal?

A
  • Overt rehearsal (verbalized or acted out)

- Covert rehearsal (imagined)

34
Q

Why are case notes important??

A

Case notes:

  • are required for reimbursement
  • useful for protection during litigation
35
Q

Case notes usually include:

A
  • Description of services rendered
  • Data and length of session
  • An original, legible signature
36
Q

High risk cases are clients who are potentially:

A
  • violent
  • suicidal
  • homicidal
  • engaged in criminal behavior
  • have experienced or committed abuse
37
Q

If a counselor determines that a client is potentially dangerous, what must they do?

A
  • Document how their conclusion was reached
  • Take action
  • Document the action
38
Q

Counselor has the DUTY TO WARN if the client:

A

threatens to kill or harm someone

39
Q

If counselor suspects abuse, neglect, or current criminal behavior, what should they do?

A
  • discuss the case with a lawyer

- contact the authorities, if needed

40
Q

What 4 questions can help determine if it is time to close the counseling relationship?

A
  • Has the client achieved their behavioral, cognitive, or affective goals?
  • Has the client developed better coping skills?
  • Is the counseling relationship no longer helpful?
  • Has the context of the initial counseling arrangement change?
41
Q

When you have decided to terminate the counseling relationship, how much time should be spend preparing for the end?

A

1/6 of the time of the total time spend so far counseling

42
Q

Closing documentation should include what 5 things?

A
  • synopsis of the initial assessment, treatment plan, interventions, and outcomes
  • evaluation of client’s current level of functioning
  • reasons for closing
  • summary of progress toward goals
  • follow-up plan

Professional Orientation to Mental Health Counseling (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions