What did the practitioner do well?
In the video, the practitioner conducted himself professionally while informing the client of his rights. He then explained the client’s privacy rights in detail and ensured the client understood the limitations. According to Sadock, Sadock, and Ruiz (2014), being upfront and honest about privacy, confidentiality, and limitations, will foster a therapeutic relationship and promotes trust. The practitioner did well attempting to set and maintain a relaxed atmosphere by starting with a normal conversation. This was needed due to the client’s initial demeanor. Following the conversation, the practitioner asked open-ended questions, which elicited the required information. He found that the client has trouble communicating with his mother but was able to talk to his girlfriend and coach. It was apparent that the clinician was attentive, listened well, and kept the client engaged. As the client answered the questions, there was clear empathy shown by the practitioner.
Areas of Improvement
An introduction is vital for clients and the therapeutic process. Letting the client know who you are and the purpose of what you are doing is essential to the client’s progress and what you are trying to accomplish. During the video, I did not see where the practitioner introduced himself or the meeting’s purpose. Being that the client was guarded, at times, not communicating what he was writing down could pose a problem with obtaining information.
There was tension noted initially and when the mother was discussed. Safety could be a concern given that the client states he loses his temper around his mom, which means she should be interviewed separately. The mother’s interview is valuable as it can provide details about the degree of the client’s behavior and why she felt mental health care was needed. Talking also to the girlfriend and coach could explain why the young man has anger issues. Javed and Herrman (2017) state that when allowing families, caregivers, and friends to be a part of the mental health process, it increases the client’s participation, more insight will be gained on the client, and the clients tend to feel more supported. I also feel the practitioner should have questioned the client on his psychosocial behaviors and the usage of any legal or illicit drugs or substances. A more thorough assessment should have been completed addressing all areas.
Next Question and Why
The conversation ended with the client mentioning wanting to be supported. I would follow up with how the client wants to be supported, why he feels he needs the support, and what he needs support with? After gathering this information, the practitioner can then build a plan of care and discuss his goals for treatment. In a study completed by Maya et al. (2018), it was found that adolescents’ problematic behaviors also put them at risk for maladjustment. When the family is there for support, it can help them learn and adopt new coping strategies (Maya et al.). I would also explore any issues related to being abused. Adolescents are at high risk of experiencing different kinds of abuse and tend to take their anger out on close family members (Hebert et al., 2016). This may be the reason for his anger at home and with his mother.
Hubert, M., Cenat, J., Blais, M., Lavoie, F., and Guerrier, M. (2016). Child sexual abuse,
bullying, cyberbullying, and mental health problems among high school students: A
moderated mediated model. Depression and Anxiety. Vol 33(7): 623-629.
Javed, A. and Herrman, H. (2017). Involving patients, carers, and families: an international
Perspective on emerging priorities. BJPsych International. Vol 14(1): 1-4.
Maya, J., Lorence, B., Hidalgo, V., and Jimenez, L. (2018). The role of psychosocial stress on a
family-based treatment for adolescents with problematic behaviors. Int J Environ Res
Public Health. Vol 15(9): 1867.
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry:
Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.