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The purpose of this video is to describe a client that is being counseling during my practicum that is not adequately progressing according to expected clinical outcomes and to explain the best approach to use for patients who are not progressing. The patient has been seeking psychotherapy at this practice for about two years now and has not mademajor progress towards her treatment goals within the last year. It is important to remember that measuring progress in treatment is not always based on symptoms is can be based on personal goals which is what the GAS or Goal Attainment Scaling focuses on. The therapeutic approach used for this patient this point is supportive therapy because this patient is obviously not ready to make the life changes to reach her goals. My preceptor and I are basically just being a support system for the patient and an emotional outlet by applying supportive therapy. The approach is indirect and the patient is only confronted about her behaviors when we believe that her behavior is detrimental. This is the type of therapy chosen for this patient because more expressive types of therapies aiming to restructure defenses and change personality organization are not working at this point in therapy for this patient because she is not ready to make changes and accept guidance.