I am a counselor-in-training from Malaysia. You can't imagine how important this is for me as a point of reference, for my own practice. Thank you very much for this.
Dr. Grande has a very calm, composed disposition; it's really calming, even to hear from the outside. It's clear that he's perfectly suited to deal with people who are in an emotional or vulnerable state. Thank you for your work, Dr. Grande.
The informed consent was so incredibly thorough, that was pretty great. I very much appreciated his thoroughness during the intake as well. He made sure to reassure her of the direction of the intake and normalized things that Anne needed normalized. It was good stuff.
It was interesting to see how the counselor carefully explained the exceptions to confidentiality. Working at a community agency, clients must understand that the level of care may involve a number of workers for their benefit.
I think what stood out to me the most was the extensiveness of limits of confidentiality. Dr. Grande took actually the first 15 minutes of the interview just explaining them. He gave "Ann" a good example that helped her understand the limits. I appreciated gesture to ask the client if they would be comfortable answering personal questions, before he started throwing them at her.
This was more conversational than I imagined. At work we have an intake form and procedure but it tends not to be relaxed like this was. It was clear he had a list to follow but there was a comfortable opening and the explanation of confidentiality and the assessment was thorough but not rigid. It also seems like some of the points Dr. Grande addresses, he keeps them in but refers to previous points in the interview as if to say, "I don't think this applies but I'm asking it to be thorough," or, "this might apply because of something else mentioned." That made it clear that he was listening as well as trying to get the best picture of her current and past health.
+Alicia Zahn I also recognized how Dr. Grande would ask a question, but mention something from earlier in the intake regarding how it may not apply to the client. I thought this was good because it shows the client that the counselor is listening and not just writing answers and asking questions without paying attention.
I absolutely loved this video! It was so helpful for our intake interview project for me to see an intake interview being done. I really liked that the video kind of showed how to build a therapeutic relationship by really explaining things to the client and making sure their comfortable with how the session is going. I was also under the impression that intake interviews may be boring, but this showed that they don't have to be if you can have good communication with your client.
This video was extremely helpful in learning how to conduct an intake interview. I liked how in the beginning of the video they discussed informed consent. This would probably help the client feel me comfortable when answering these questions.
This was such a great video! I never saw an intake interview before and this was very helpful. Dr. Grande was very thorough with confidentiality and how this applies to therapy with a client. Her discussion on suicide was very interesting and I am glad this was touched upon in the video.
I am so glad that this video is posted because it helps lay out the framework for an intake. Dr. Grande demonstrates how to gather all of the important information while maintaining rapport with the client.
I agree! It didn't look as "dry" as I expected. I thought it went smoothly. I feel he's naturally caring and he is so thorough explaining things and making sure the client gets it. I took notes and I will certainly follow his footsteps when I go through my intake interviews in the future.
I thought this was really interesting because intake interviews are a delicate balance of what the client needs and what your agency requires. You can't only ask questions that help the client because you'll get more story than facts, but on the other hand, you can't only ask the required questions because you'll come off as uncaring and mechanical. I have not seen an intake interview before this video and the confidentiality part with the exceptions was really interesting to watch. I think it is really important for the client to understand when confidentiality might need to be broken for the client's benefit, such as insurance or possible harm to others or themselves. If the client does not understand this they may be very upset that what was spoken in a "confidential" setting was being talked about without their knowledge.
I learned a lot from this video! It is so important to be unbiased and to watch your tone as you ask questions in the data collection stage. You want the client to answer honestly and to not worry about being judged. The limits of confidentiality is also very detailed and must be explained well. I enjoyed this video.
+Rachel Foster I agree that it is very important to keep an even and unbiased tone, especially because some of the questions asked could be so easily misinterpreted as being judgmental if not executed thoughtfully.
This was awesome! I love the way Dr. Grande discusses confidentiality and the exceptions of it in the beginning. He is very clear and provides examples to the client and makes sure she understands the concept, consequences, and rules. I love how he is particularly careful when he talks about thoughts of suicide and homicide, affirming to the client that they are common thought under some circumstances and that she shouldn't feel threatened discussing them in sessions with him. All the information Dr. Grande was providing to the client was a great review on confidentiality from the ethics class! Dr. Grande also explains really well the purpose of this particular interview. I love the structure he uses and I might adopt it myself. The session went smoothly and seemed open and comfortable. I know it's a role-play, but it felt more natural. I love how Dr. Grande asks her to discuss with him if she feels he's not "getting" her. This video was extremely helpful!
i loved this video too. He really put the client at ease, transitioned well, and established great rapport with a nonjudgmental attitude which really seemed to put the client at ease and allow her to feel comfortable to open up with her disclosures.
I really like the session.I think this is a well conducted session with each step carefully and professionally executed. I was enlightened with the intake process such as the informed consent, the release of information and the explanation of the fact that as a client, your information might be available to other people other than the clinician. I think you were great in educating her on your duty to warn as a therapist should she become a treat to someone or herself. I wouldn't be comfortable giving her any diagnosis at this point. Even though she reported of having problems with alcohol and others.
I appreciate this video to walk me step by step through the clinical interviewing process. I have experience with interviewing and intakes. But this video was nice to see how and what exact information/data I should gather during the intake.
my first post, I was not sure how this video applied to pscyhopathology. now it makes sense. The video was straightforward, facts. The informed consent & confidentiality are important, before proceeding to basic information gathering for a treatment plan (goals). great acting.
I really appreciate Dr Grande made this video, It is super helpful for me to learn how to couduct the first couselling session, especially the confidentiality and informed consent process, Thankyou so much！
i discovered you about a month ago on youtube and as a psychology student myself, your videos are extremely helpful and entertaining! having a hardcore stalk of your channel now hahaha thank you for the content you create!
I found this video extremely helpful! I was wondering exactly how an interview like this was started and how as a therapist we would keep it from being just a boring list of questions. Especially since the therapeutic relationship is so important. I think that this was a great example of how to begin a therapeutic relationship while still collecting the information needed.
+Mandy Moore I also thought it was a great example of how to gather the necessary information, yet build rapport without diving too deep into any issues just yet. I liked that he made the purpose of this session clear.
This was a great example of an intake interview. I really appreciated this example because I had never really seen an intake interview before. It is very different than the traditional counseling sessions that I had seen before. One of the things that I really like about this role play is how much time and attention was paid to the confidentiality and the exceptions. I felt like the whole role play was very thorough but even more so with the confidentiality portion. I was surprised by how in depth the intake was and how long it took to complete.
+Melissa Clendaniel I really enjoyed the confidentiality part because I think it is incredibly important for the client to understand certian situations where their personal information may need to be shared with others for the client's benefit. If they find out and they were not aware of this they can become extremly upset and it may turn them away from seeking counseling in the future
This was a great video and really helped me to better understand how to conduct an intake interview without seeming intrusive to a client. I like how the video started off with informed consent and explaining to the client about confidentiality. I think clients are more likely to answer honestly after understanding the limitations and regulations of informed consent and confidentiality.
+Candace Fernandez I also liked how the video started off with informed consent. This way the client probably feels more comfortable about answering the questions.
This was such a great video to watch, especially in preparation for our Appraisal project. I really liked Dr. Grande's calmness and thoroughness. He really made a point to clearly explain what the intake process was for and gave great detail. He made sure the client was on the same page multiple times and asked her permission to continue to each next step in the process. He also opened it up for questions multiple times and was patient in explaining confidentiality, what he would/wouldn't do based on her suicidal thoughts, etc.
I appreciate the depth of this video. This is such an important topic which can just be glossed over. its alot to remember for confidentiality and all the different areas to inquire about, but I feel like it gets more fluid with practice. I appreciate the example of how to have a good rapport to establish the tone from the beginning with the client. I like also how he kept the data collection part on track. i think its easy to get off track or get in too deep in any one area and that isn't the point in this stage.
This video was a good example of an intake session. There is a lot of crucial information and client history needed to start a therapeutic counseling session. I especially appreciate the detailed explanation of the exceptions to confidentiality. The symptom checklist seemed to by of loose association...As for a client who is actively suicidal...Dr Grande please call Crisis Intervention as they have the authority to detained the client in a least restrictive manner versus law enforcement.
Great example of the first part of data collecting and how that will affect session structuring. I thought the explanation of reasons for confidentiality break were clear and easy for a client to understand. I can see the importance of ensuring the client understands the limits of confidentiality and the counselor's role. The specific questions asked during the data collection were broad and covered many topics. I understand the importance of getting a general overview before getting deep into a topic during intake.
+Bethany Elstrom This intake interview was really helpful to watch. Obviously, we learned very early on that confidentiality is extremely important, so it is good that this was stressed by the counselor to the client.
It was great to see an interview, I see that before the question of what brings you here today a great deal of time was spent on the consent and confidentiality which was great. As I recall the agency that I used to work for there was very little time spent on the guidelines of confidentiality the intake person schemed over it and the client just signed. I also see that in this process the intake person has to be careful not to allow themselves to get bogged down on any particular area of the symptoms checklist or trauma screening . Give client space to respond but not go into any depth.
+Regina Ames I agree with you! So important to spend time on confidentiality and make sure the client understands. I also think that it is important to not get bogged down in one area as this isn't really the place for therapy but more information gathering as a starting point for therapy.
I really enjoyed watching this video and found it very helpful in demonstrating how an intake interview should begin and progress throughout the session. I also appreciated the reminder about starting an interview discussing confidentiality and informed consent. Overall, it was very helpful!
+Jacklin Skibicki I agree, I think explaining the informed consent and confidentiality to a client before administering the intake interview helps offer the client clarity.
This video was very helpful in demonstrating the first part of an intake interview although I am left with a few questions that I'll present in class. I definitely intend to utilize some of the terminology Grande used such as switching gears to easily transition between the topics.
I agree. the transitions along with the rapport he had with the client made it more fluid and let the client feel comfortable about opening up and being honest with her disclosures. Especially if the client has had a bad counseling experience before, it is sooo important to build rapport from the beginning and put the client at ease.
Dr. Grande, I am even more interested in watching the rest of the videos after seeing Part 1. The flow was excellent, starting with discussing the informed consent, the session jived well, it appeared that the client was immediately comfortable with you. She asked questions and you were honest and open with her. The questions about past traumas/treatments/SA, etc, wow, talk about open-ended and it gave room for more questions to be asked. The pace was excellent, not rushed. Thanks.
I cannot stress enough the importance of making sure that as counselors, we stress the individuality of each client that comes before us. Whichever agencies we end up working for, I am certain that it is likely that intake forms may differ. We need to make sure to add or omit items that we feel are appropriate for our differing clients.
+Jessica Muzzin That's absolutely true. I think Dr. Grande gives an excellent example in this video of how to keep the intake thorough yet applicable for the client.
Your "patient" is too normal! If I were answering those questions, Dr. Grande, you would need a thicker notebook & a 2nd ink pen about 3/4th of the way through. This makes me realize that I have suffered tremendously in my life
My only thing with this is it is too much... For example I feel like there is not therapeutic relationship being formed.. and if there is i cant see it... I feel like if you have a form you can use it but doesnt have to be to the T.....
+Helen Golod This is an intake not a therapeutic session. I understand it can seem non empathetic however the goal is to obtain much needed information to continue with a therapeutic counseling session.
I would have to be restrained and stretchered out by the 15 minute mark. It’s so hard finding one to work with. This guy has brilliant newer videos and is great all round but any new professionals watching, always remember sometimes the client is wrong for you. And they might blame you because you’re the professional. But the fact is some people cannot face talking about what they need to talk about unless there’s some kind of involuntary chemical release or response to the therapist.
13:12 - "It's not unusual that clients have suicidal ideation of *some degree* for many session in a row... particularly with any type of depressive disorder, even just feelings of depression that *don't* rise to that diagnostic level, its *not* uncommon to have a "passive suicidal ideation" like you may be wishing that you wouldn't wake up the next day.. .that's *a lot different* than telling me that you have a plan to harm yourself and that you're going to do it"
For some reason I think I missed my calling. I would like to have done psychological counseling to help people work out their problems and improve their lives. Sadly at thirty-eight I'm probably too old to pursue such a career.
I think the intrevew is litle cold. She is afraid to say the personal truth. My oppinioon . Maibe its first intervew. I am not sure about the dinamics of this particular conversation.
