Intake and Assessment Role-Play Part 1 - Referral and Presenting Problems
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- Опубликовано: 1 окт 2024
- This video is part one of an intake and assessment (clinical interview) role-play of a counseling client (played by an actress) who is having symptoms of anger, substance use, and inflexible thinking. In this section, data about the referral and presenting problems are collected.
I like how he establishes a collaborative relationship with the client and allows her to identify her own presenting problems. He very well could have focused too quickly on her anger issues and not learned of her substance use issues. Very helpful!
As a social work intern, he helped me with my individual intake session and others. I absolutely love his role plays!
I like that the intake seems to be very conversational and you are not getting stuck on anything but clarifying when need.
This was a good use of both open and close ended questions. I like how Dr. Grande used silence in order to allow her to complete her thought or to add more to what issue she was discussing.
This video was very helpful in seeing how the beginning part of an intake should go. I wasn't aware that the presenting problem could be spoken about so in-depth but I was glad to see it presented this way to get a better idea.
Easy enough to read about how and intake is supposed to be done is one thing, but being able to see one being conducted proved to be very beneficial. Thanks!
Thank you for demonstrating rapport building with an initially resistant client and how essential it is during the assessment process. As she became more comfortable, the client was more willing to discuss more.
I agree with you here. The video was helpful in showing potential counselors how to effectively and efficiently handle a situation where the client is reluctant to share information and how to continually have an unconditional positive regard for the client at the same time.
I was already following you Dr Grande! but then they plugged this video in a class I'm taking for my post-grad. Love it!! thank you
very analytical. It was person centered but still information driven. I like how Dr Grande was able to do both at the same time. He elicited all of the information necessary to conducted a thorough assessment and built a therapeutic alliance with her while doing so.
i like that Dr. gave the client the choice at first if there's a topic is one that the client does not want to talk about, she had a choice not to.
This intake was straightforward. It showed how a counselor should interact with a client for a first time. Specifically, when Dr. Grande gave the client the option to not talk about certain topics if she does not feel comfortable. Dr. Grande did well in building trust with the client and not being judgmental.
This was a great way to show how to build rapport and open a clinical interview session.
I didnt know Doc G was into role play
Dr. Grande did A really good job making sure the client understood what to expect in therapy. He also did well reflecting and paraphrasing.
I agree, and I loved that he explained to the client in the beginning of the session that she did not have to talk about certain topics that were uncomfortable for her, or she could approach the topics later.
I showed this to a clinician friend who thought the counselor spoke too slowly with a lot of pause. It was good that he gave the option of comfortability at the start and reiterated the clients concerns.However, I would not go back after the initial meeting, he was boring.
As a counselling student we have a lot of discussions about the discomfort of pauses in counselling sessions. It's something we are told is natural but that with experience we need to get over. Staying calm, allowing pauses, and going slowly allows the intake session to progress naturally, allowing the client to continue speaking if they wish, with a client who may become easily agitated if the counsellor goes too fast. Your clinician friend should rewatch this and listen to what the client is saying, and how they are saying it. Going faster could have escalated her emotional response.
Dr Grande! This video was linked for one of my University Social Work classes. I watch your channel all the time and was pleasantly surprised to see you.
This video was great because it shows the counselor checking in with the client to see if the presenting problems were accurate to the client. I will practice checking in more with the client after going over each section of the intake process.
I do like the option that was given to the client to feel free to not answer questions that they deemed to be too sensitive for a first meeting. I believe that after some further rapport building the client become more forthcoming.
I thought this was an informative video. i think that the counselor made the client feel relaxed and she had the option to share what she wanted and if she didn't want to share that was ok too. The counselor also allowed the client to elaborate on her presenting problem by using open & close ended questions
I like how the video shows how an intake goes, but I wonder if a lot of clients are as forthcoming with their problems as the actor portrayed. I know in my own sessions I try to put everything out there because I want the help and to change, but for those who went mostly to appease another, do they really come out with it all right from the start or no?
I think that it is important for a counselor to let the client know what to expect during an intake. The counselor in this role play was very patient with the client while probing for information. I like the way this assessment was structured, the counselor was able to obtain some very important information from the client.
I agree with you. By letting the client know what to expect and moving at a comfortable pace for her, he was able to information from the client that could have been difficult to get .
well established ground-rules. she was comfortable in sharing experiences
Thank you, dr Grande, for your clinical vignettes and role-play videos. I am finding them extremely helpful as I transition towards more of a counselling-related subspeciality within my clinical medicine practice.
I love the conversation. He was able to establish a unique relationship with the client first, that which allows her to feel free to identify her own problem.
Garcia Paul Martinez Amy Harris Mark
What I liked about this video is that counselor gave the client the option to skip over questions she may have been uncomfortable answering or may have wanted to skip over and return to a at a later point.
Great evidence here for maintaining accurate empathy and feedback with an 'unwilling' client. Dr. Grande uses a combination of open and closed questions to guide the client in continuing to share despite her initial statements of just doing her friend a favor. This becomes a hearty testimonial of not only how she feels and behaves, but also how friends view her.
Who else is here for kents class, pcc 2021? 🌵🌍🌈
luckily for her snorting xanax is not bioavailable
Lol
lose the pen and pad of paper.. it's so impersonal regardless of being at the assessment stage of intake. It's like the counselling is hiding behind it. I would have revisited confidentiality at the beginning regardless of the client having been to counselling before. A counsellor has no idea of what or how a past counsellor may have reviewed this with a client. He did a decent job letting client know if she's uncomfortable with some of the questions that there's no obligation to respond or can do it later. Good work narrowing in on how much substance and what other people might see or know.
I’ve been a viewer for a couple of years but I’m so happy I discovered these older videos. I’m studying to be a counsellor and these are really helpful for me.
This intake assessment to appeared to be very straight forward and there was not much emotions shown between therapist and client. However I think it is definitely a good video to show how to build report with client during intake.
I love you Dr. GRANDE ❤!
I really enjoyed watching this intake the doctor is calm, and personable and non judgmental. He has a calm, fair style I would like to emulate.
Very helpful video, I like how the counselor is very accepting of the clients presenting problems and you can see the clients ambivalence to some of the issues, it is setting up the next few videos.
Thank you for your roll play video's they are very helpful
You are so good Dr. Can’t wait to be this smooth. 👍
I'm curious of her diagnosis? I'm in my internship class and struggle with dx.
any advice?
Good role play
Good example
Seems too text book but, good example
You're a good actor Dr. G !!!!
This was a good demonstration of building a positive rapport with the client. I liked how you were able to get the client to describe her substance use as well as her issues with anger and pride with our the client becoming defensive.
I agree. Dr. Grande got the client to disclose deeply personal issues by being empathic and nonjudgmental.
I like the way the counselor began to establish rapport with the client (during informed consent) by suggesting that the client could feel free to not answer any of the questions. The counselors use of a person-centered approach allowed the client the freedom of disclosing her drug use as a presenting problem.
The therapist doesn’t seem well-prepared for the intake.
I have watched so many of his videos, and I think maybe you feel that way is because he's acting and that is why things aren't coming off as they genuinely would.
The counselor doesn't come across as being sincere, just going through the motions like a robot with no personality.