If she did not think I was competent in the field, I would refer her to someone who is more practiced and experienced than I am. Fidelity, responsibility, and integrity in our therapeutic relationship are extremely important for trust. Those items would need to be discussed and signed upon. She would also need to know and understand that I am not a "problem solver " but more of a guide or teacher of personal resolution.
Unanswered Questions.
I still have many questions that I need answers to before we can continue on with therapy. Some questions I would need to ask Mira would include topics such as: how she has felt lately, if she is on any medications that have side effects similar to anxiety or depression, what her daily activities are and what he enjoys doing- to see if there is a change of activity over time, also her goals for therapy, and the duration of time she is willing to spend in therapy. .
Dialogue:.
TH: "How have you been feeling lately? ".
CL: "Shocked really. And angry a lot I guess. ".
CL: "I guess you could say I'm confused. I don't know how this could have happened to .
Me, I didn't see it coming. ".
TH: "Mira, you mentioned that sometimes you wish to get out of here and just .
disappear ".
CL: "Yeah ".
TH: "What do you mean when you say that? ".
CL: "I mean I want to get away and leave sometimes. Like I don't want this to be .
happening. So if I disappear then I don't have to deal with it and none of these .
problems will be happening anymore. ".
TH: "Mira, have you thought about committing suicide? ".
CL: "God no! I don't want to die. I just don't want for my family to being having these .
problems. ".
CL: "And you know what? If Larry had kept it in his pants, none of this .
would have happened and I wouldn't even have to be here right now! ".
TH: "Are you currently on any medications? Like antidepressants or antipsychotics? Maybe pain relievers? ".
CL: "No, no, no. I'm not crazy. I don't need any medications.
