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Old Apr 15, 2010, 09:31 PM
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amandalouise amandalouise is offline
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Member Since: Mar 2009
Location: 8CS / NYS / USA
Posts: 9,171
Quote:
Originally Posted by mobius View Post
Amandalouise -


How do you decide what qualifies as "effort" or having accomplished goals? Are these client-directed or therapist-directed goals? Just curious.
When we get a call from someone or someone walking in to the crisis center asking for help we have them fill out papers. Name address that kind of thing and why they want to see us, what they expect to get out of coming to us.

then we schedule an intake appointment where they sit down with one of our therapists and fill out more paper work asking for more details about their problems. then their file is given to a supervising therapist.

The supervising therapist reads their intake forms and looks to see who has time available and what that therapist, intern, psychiatrist works best with. then they assign the person a therapist.

The first appointment with our clients we have more paper work for insurance and goal sheets. we talk with the client about their problem and the client and therapist make up goals together.

then for the next two months we work on accomplishing those goals. if after two months no goals have been accomplished and no effert has been put into trying to do the work ie the client keeps derailing the conversation off of the problems, the client doesnt try any of the suggestions, the client comes in complaining we3ek after week about this problem but when you ask them have you tried this that you agreed to try the last week or weeks ago answer no didnt want to didnt have time didnt think about it, dont think it will work anyway so why bother. excuses upon excuses instead of trying to work on the problems.

I cant help someone who doesnt want to help their self. We cant be in their homes making them do the work. we cant solve their problems for them.

its one thing to have a problem and decide to go to therapy because you think thats what is expected or someone tells you thats what you should do or thats what you think you should do,

and its another to actually want to get better, actually want to get rid of the problem. Actually want to make changes to your life.

therapists can be there and help show you how to fix the problems by helping you to set up goals and suggestions on how to accomplish those goals but the clients are the ones that actually have to do the work and want to get better.