Therapy Session: Good Counseling Skills. Hoarding Disorder. Kim Lampson, PhD
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- Опубликовано: 18 май 2019
- Therapy Done Effectively. This video demonstrates good therapy and is a useful teaching tool. This is the second or third session with this client, Eva, a successful professional woman who struggles with hoarding disorder. You will see good attending throughout the session, effective listening, validating of the clients thoughts and feelings, deepening questions, summarizing, and communication of hope. This is not a perfect therapy session; no such thing exists. So it has strengths and weaknesses lending to good discussion. The therapist, in retrospect, would have interjected more comments sooner, but decided since it was early in the therapy relationship to spend more time listening and seeking understanding of the client’s issues and pain.
Viewing the Companion video: Ineffective Therapy Session Video may be useful. • Therapy Session: Reall... and the video Therapy Session: Couples Counseling Demonstration, • Therapy Session: Coupl...
If you choose to use this video with students, this guide will help them identify therapeutic techniques and skills.
1:46 Affirming and validating client
2:00 Asking client what she would like to talk about
2:38 Open-ended, deepening questions
3:13 Paraphrasing
4:00 Reflection of thoughts
6:26 Reflection of feelings
7:15 Asking question about coping skills
10:12 Connecting/joining with the client
11:55 Summarizing and validating what client said
13:07 Reframing
15:24 Affirming
16:50 Open-ended question
18:00 Summarizing complexity of the problem
19:44 Psychoeducation and reframing
21:40 Showing client she is important by remembering and mentioning things she said previously
23:30 Going deeper by asking if uses certain behavior to cope
24:50 Helping client make connections
27:00 Mentioning time so client knows session ending soon
27:05 Sensitively introducing a book
30:00 Discussing homework
31:50 Tying things together and reassuring the client
33:00 Reflecting feeling and reassuring client
I really like this therapist and therapy. The therapist is very empathetic and helpful but doesn't talk too much or make a lot of judgments. Very skillful.
Thanks for sharing this invaluable video. It is greatly appreciated.
Great therapist very natural and open in her work .
I also related to the hording issue
I relate to this so much, thank you.
This is so valuable, thank you so much for uploading it
People need to understand this is just one session... therapy doesn't happen in one day..change takes a lot of time and sessions n therapist just aid in it.this is for educational purpose ..for students like me who need some help to see how the skills are used
I think the acting of the therapy is demonstrated through Psychoanalysis, but from what the client needs would be EFT (Emotional Focused Therapy) and DBT (Dialectal Behaviour Therapy). I noticed the client avoids expressing her feelings as she is an intellectual thinker which would make processing emotions very tough for her. The therapist should allow the client to feel what feelings arise by giving the client space to lesson her anxiety, as she shows high symptoms of it. Giving the client breathing techniques (holistic approached) can help with the anxiety as well.
Is this DBT? Maybe some other, similar approach. It's very interesting to watch this. Thank you for uploading. I did feel disappointed though, after watching the very funny 'bad therapy session'. I'm not keen on directive models, though accept they work for some clients in certain situations. I think typically with this model an opportunity was missed with the very first conversation about the clients day, to reflect what the client was feeling about her work day and therefore bring feelings into the space with something she feels positive about. I think if this gateway had been trusted, the client would have naturally shifted through to talking about what wasn't right in her life, but emotion language would have already been invited into the therapeutic space. By the time the therapists started advising and informing, I'd started switching off.
This Video very helpful for teaching as Counselor Educator
That is wonderful news! Exactly what I am hoping for.
can u help with the skills used..?
I don't get it😭😭I was thinking of seeing a councillor because I found out that my husband is taking to other girls and now I can't sleep and eat😭😭💔💔
I would definitely go and look into some therapy it helps so much
Is this an actual patient? Did she give consent to have her session filmed and broadcast? Or is this a dramatization with an actor? It would truly help to clarify this question for the general public, so they would know that this video would never be made without the client's informed, signed consent, given the legal and ethical constraints of confidentiality. (I just clicked on the "really bad counseling skills" video where the fact that this is indeed a dramatization is clearly stated. It would be very helpful to have the same statement on this video too, for those who come to it first, like I did.)
how are issues such as oppression, intersectionality and micro aggressions in the society present in the service users story?
lol thats funny i have the same question for my assignment! George brown college??
@@chriscovers9192 LOL, Last Reflection paper? I love how this person was like, let me fully just comment under this video asking for the answer haha
Heyy Esha! Haha we have this video again for counseling class this semester lmaoo
Miranda Pelletier omg every one from George brown is commenting it’s so funny😂
@@mirandapelletier8114 How do you cite RUclips comments in APA?!?
She helps her stop buying shoes by making her buy books 😂
I think the point of doing so is because of the symbolism of the shoes. The red shoes are very symbolic for her?
🎯 Key Takeaways for quick navigation:
00:57 *Eva is enthusiastic about her project at work, developing a video game for children with autism to aid word comprehension.*
02:15 *Eva feels nervous discussing personal issues at home with John.*
03:09 *Eva and John's relationship is strained due to lack of intimacy, weight gain, and emotional disconnection.*
04:02 *Eva expresses feeling lonely and unfulfilled despite her high-stress job and successful career.*
06:25 *Eva's shopping addiction, particularly for shoes, serves as a coping mechanism and reflects deeper emotional issues.*
11:50 *Eva's collection of items, especially shoes and newspapers, holds significant emotional attachment and serves as a source of comfort.*
13:11 *The therapist discusses hoarding behavior with Eva, emphasizing curiosity over judgment and identifying different aspects of the problem.*
20:07 *Eva struggles with letting go of items due to their potential use, emotional significance, and connections to past memories and relationships.*
22:35 *The therapist proposes addressing both behavioral changes and underlying emotional issues simultaneously to tackle Eva's hoarding problem effectively.*
24:49 *Eva's hoarding behavior appears rooted in childhood experiences of rejection and emotional neglect, leading to feelings of containment and anxiety.*
26:36 *Eva discusses her parents' dynamics, noting her mother's neatness and her father's disappointment, indicating complex family relationships.*
27:28 *The therapist suggests a book titled "Buried in Treasures" to help Eva with acquiring behaviors, aiming to increase awareness and provide strategies for reducing clutter.*
29:47 *The therapist discusses the concept of "retail therapy" and suggests questions for Eva to consider before making purchases, aiming to address impulsive buying habits.*
30:42 *The therapist acknowledges that addressing Eva's attachment to her shoes may be challenging due to its deep emotional connections, suggesting that they may work on it later in therapy.*
31:35 *Eva discusses her compulsive shopping habits related to maintaining her image at work, indicating a potential area for intervention in therapy.*
32:02 *The therapist suggests using strategies like sorting items into boxes and setting time limits to help Eva manage her clutter without feeling overwhelmed.*
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how is this supposed to make someone feel better? (im uneducated :U btw)
because no one listens properly to them at home and this makes them feel seen and heard! She reflects her words back and is showing understanding like a friend and not judging them. What a friendly thing to do! It shows a lack of emotional connection in the home and the relationships are distant and despondent and if she learns to listen like this at home it will teach her how to be a better family member
@@georginajovanovic ohhh thats genius, makes a lot of sense tyy!!!!
@@jhonnie6778 yes, and to add...
It helps to verbalize your feelings, to put words to emotions, to put a name to your deeper complex feelings.
When we ignore or brush off how we feel (or if others do), we can start to have a disconnect for WHY we feel a certain way. By reconnecting with why we feel the way we do, and what feelings make us behave the way we do, we can see why we make the decisions we do. We can begin to understand where certain behaviors and emotions originate from. With that, we can set goals to make real changes in our lives and take positive steps forward toward things we can be proud of.
It's often a slow process, but it's a great learning experience!
Deeper complex feelings, like identifying your feelings as anxiety instead of saying "having a bad day." Or saying you're frustrated instead of saying you feel "upset."
Jji
You totally missed it when shes feels empty and doesn't like wide open spaces...that was the key to her hoarding....
the stuff represents the missing emotional support. to feel better and soothed because the connection or people's presence is missing she buys
I would really like a volunteer opportunity in counseling and some resources so I can find this as I might be good at this and develop a new listening skill and be of service
@@georginajovanovic have you tried it out yet?
she didnt miss it she said they were running out of time in the session, she will bring it up later in the next session. it would have been too much to get into if she expanded on that observation.
wow this therapy is useless
Why do u say that?
Snake oil salesmen.