SECTION 2: REFLECTIONS
Expectation section: I was feeling nervous due to overthinking and worrying about whether or not I’d be able to do them effectively, and I always worry about being a bother with my questions. I already had knowledge based on knowing how to conduct a biopsychosocial assessment. I expected the sessions to be challenging because I was unaware of the clients’ language, culture, and belief systems that might hinder effective communication. I understand that culture can affect how a client thinks and feels about opening her thoughts to a counselor in three ways. The first is cognitive constraints, where the client and the therapist do not share similar ideas on the subject matter. The second is behavioral constraints, where the eyes of the authority figure can make a client feel uneasy during the session (Maree, 2021). Lastly, there are emotional constraints that can make people have rigid control over their emotions when interacting with a therapist
Experience: while going through the reassessments, I became more confident in my ability to ask the appropriate questions, and complete treatment plans specific to each client based on their presenting issues. I learned how to complete assessments in a timely and thorough manner effectively. While working at the psychiatric facility at my last job, I saw treatment plans that the treatment team completed but now doing them myself was a very proud moment for me. While working as an intern, I performed reassessments that involved psychiatric treatment and therapeutic conversations and interactions with children’s families that were my clients at the office. The purpose of the reassessments was to understand their problems and resolve them by suggesting how they could modify their behaviors and make positive changes in their lives (Ditton-Phare et al., 2022). I applied different types of psychotherapy and interventions, while in some cases, I used a combination of medications to make the desired outcome more effective. I have a piece of deep knowledge of biopsychosocial assessment, and I was excited to apply it during my internship.
During the sessions, I learned that I could communicate assertively by being clear, direct, and honest about emotions while ensuring I express my feelings appropriately. Being assertive taught me the value of asking questions clearly to avoid confusing the client. I learned the value of listening before talking out my thoughts because I realized a client could pay attention to the message I am communicating rather than explaining her problems. I gathered great details about the client and was able to counsel her accordingly.
I learned that a counselor could be affected by the client’s feelings. For instance, I was passively aggressive due to the child’s annoying, aggressive responses and rudeness. I think that handling passive aggressors should require empathetic skills. In the future, I want to learn emotional control strategies, which I can use in the future sessions, such as learning to breathe deeply to relax my emotions, such as in situations where the client makes me angry. This will help me remain calm throughout the sessions while making notes about the client’s report.
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