Discuss the personal reactions or feelings you had when working with this client. Discuss methods you used to address any countertransference.

Discuss the personal reactions or feelings you had when working with this client. Discuss methods you used to address any countertransference.

To be honest, it was a bit overwhelming working with this client, but the intern and counselor supervisor tried to stay in coalescence with the client in order to ensure that we helped the client to our fullest potential while he was there and not cause further distress to the client.

Group Supervision

This week, we discussed some of our current or past sessions and encounters with clients, different interventions and techniques used, and whether they were deemed as effective in working with those particular clients. It was interesting to hear alternative suggestions for interventions that others felt would be effective in working with those clients. It was also expressed how psychoeducation can also play an important role in providing information to clients in order to help them better understand what they are going through, that they are not alone, and how they can better use this information to cope with their illness.

Kimberly

Koehn, C. & Cutcliffe, J. R. (2012). The inspiration of hope in substance abuse counseling. Journal of Humanistic Counseling, 51(1), 78-98

Wachholtz, A., Ziedonis, G., & Gonzalez, G. (2011). Comorbid pain and opioid addiction: psychosocial and pharmacological treatments. Substance Use & Misuse, 46(3), 1536-1552. doi: 10.3109/10826084.2011.559606

Peer two’s posting

Charlene, 49, experiences chronic, mild depression, with a sudden increase in symptoms. She identifies her live-in boyfriend as the source of her recent emotional downturn, reporting that he is emotionally abusive and drinks until he is intoxicated every day. Charlene says that she knows they “love each other,” and upon investigation, reports that “the whole thing is my fault.” The therapist recognizes codependency and refers Charlene to Al-Anon, which she tells Charlene will help with “dealing with an alcoholic partner.” Charlene’s therapist provides Charlene with plenty of opportunity to express her feelings and needs and encourages Charlene to do so, validating Charlene’s experience and allowing her freedom to cry, laugh, and verbalize her thoughts.The therapist helps Charlene check her beliefs about herself, her boyfriend, and relationships generally, pointing out that Charlene cannot possibly rescue her boyfriend, and that people are responsible for their own behavior.

I have never had a case that dealt with codependency but during supervision we often talk about the different issues that come with codependency including taking on the addict’s responsibilities for them, their overdue bills, cleaning their house, filling their car with gas, or buying them groceries, telling lies for the addict, such as ‘calling in sick’ for them when they are actually too hung over to work, Bailing the addict out of jail or financial difficulty. Other examples include Finishing a project that the addict failed to complete on his or her own, threatening to leave or kick the addict out of your home if he or she uses again, but failing to follow through on your threats and Cleaning up after the addict. Perhaps they throw a tantrum, throwing things around and breaking them, and you clean it up.

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