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 made
major 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.
