I appreciate this video to walk me step by step through the clinical interviewing process. I liked how Dr. Grande was calm and collected when transitioning between the sections in the intake interview.
The video effectively demonstrated how to navigate the client through the intake interview process without seeming uninterested or as though you are rushing them along. I like how Dr. Grande gave the client time to talk about her family relationships and did not cut her off to move on.
The transition period was very important for me during this video, his explanations were so helpful, they are something that I struggle with sometimes.
This was a great video! He had alot of patience with this client. She was talking alot about her issues and he just let her speak while her proceeded with his interview.
I appreciate the structure and intro of these videos to provide a great conceptualization of the flow of the videos. Again, great transitions and checking in with client to make sure she was ok to proceed.
I thought that this part went very smoothly. I thought it was interesting how Dr. Grande would use things that Anne said previously, to tie into a question. He did this when he said she had mentioned previously that she had not experienced any trauma, and then he said, "so you have never lost a child." This not only breaks up the monotony of asking question after question, but also showed that he was really listening.
I like how Dr. Grande said he was moving to a new topic. I think that was a good transition rather than just asking questions that might seem completely different than the last. I also liked how the client was able to explain her answers.
I think this part was more interesting for me than the first part because it goes over how to both clinically and empatheticily get the background for the client. I think it's important to have both approaches when it comes to the client's background because the facts need to be reported, such as "Where did you grow up" and "Any trauma", but the client needs to feel that the counselor also has empathy for the client's struggle. I think Dr. Grande showed an amazing balance between the two during this role-play. He got the raw information that he needed, but I believe that the client felt that he was listening to her.
Pretty cut and dry. Got the facts out as quickly as possible without making the client feel rushed. Dr. Grande explained transitions nicely, too. I think that is very helpful during intakes.
I watch this video months back before in psychopathology, at that time i was not sure how it applied to the class, until i realized that i was watching for the wrong class. Now that i am in appraisal, watching this video applies to the work we are doing in this class. This video follows the same pattern, questions is much more detailed, and this is usually one of the longer steps depending on the person's family/childhood history, or perceptions.
You can definitely see the importance of the lengthy assessment before making a diagnosis of any kind because the information is all relevant. Also even thought this is structured in terms of the questions that are asked the client is allowed to expand on her answers and Dr. Grande did ask if she saw a connection between her relationship with her daughter and her relationship with her own mother.
This video also does a great job demonstrating how to work your way through an intake interview. I found it useful to observe how transitions can be made while maintaining a positive therapeutic rapport.
+Jacklin Skibicki I also found the transitions useful as I was concerned about how to do that without seeming too rigid and cutting the client off from what they are telling you. I understand you do not want to make it into an actual therapy session just yet as you want to complete the intake, however, I did find it helpful that Dr. Grande allowed her to talk a little bit on certain situations and issues.
I really like how he gives her a heads up that they are switching topics. I think that this gives a clear stopping point for that domain. I also think that it is really great that he says, he will come back to more sensitive topics so the client feels heard. I think that in this video there was more ability for the client to give more of her story.
+Mandy Moore I enjoyed this as well. It was really helpful to see how transitions can be made much more natural and less awkward, which will make the client feel more comfortable and less likely to feel overwhelmed with lists of endless questions.
I liked the progression from the first portion of the video where their interactions were more formal, to this video where she is clearly beginning to be more comfortable. I felt like the counselor adjusted appropriately. He allowed her to explore without letting it take up too much time during the session.
+Jessica Muzzin I agree that it has become apparent at this point that there is a working therapeutic relationship and the client seems much more comfortable. It was a nice progression from the first video through this second portion of the intake interview.
It is very cold and the lady seems so uncomfortable. This is not how a session supposed to be. She is not relax she is not feeling secure. It is very difficult to start talking about all these stuff right from the start. First you need to trust your therapist. You don't open you heart like that. The language of her body shows how stressful she is. This is like an interview more than a therapy session.
Great video. The biggest thing I noticed is Dr. Grande's ability to stay on course during his questioning. He doesn't make any assumptions (ie, he asks if her children live with her, then follows that asking how often she sees them). It's important not to make assumptions about clients or their lives or what you think the obvious answer would be.
A client's childhood and family dynamics can provide insight on the client's current situation and level of insight on positive coping skills. For some clients their past is more important for providing insight on their current situation and does not always need to be deeply processed in a therapeutic session.
+Michelle Robinson Agreed, a client's past may not be something that you need to spend a lot of time in therapy discussing but it can provide valuable insight.
I find it interesting that Dr. Grande asked Ann to describe her relationship with her kids and she answered good. He asked her to give him more and she explained what she does for them, not really supporting why she said the relationship was good. Later in the interview the clinician finds out the son has experienced some depression that may have resulted from some episodes the mother has been experiences.
I like how Dr. Grande asks a question and then lets the client talk for awhile. SHe ends up answering other questions along the way and reduces the number of questions he actually has to ask.
The tangent that the client went off on provided some good insight into her family dynamic and I can see the relevance of allowing her to continue since she kept it brief. The client gave details that will assist the counselor as they being their therapeutic relationship. Dr. Grande keeps the interview moving forward at a good pace and the client continues to provide in depth feedback. Overall the information provided will give them a lot to work on in the future.
+Bethany Elstrom The client did offer a lot of details and this could prove beneficial for why the client is experiencing her current symptoms/mood. One's past can provide much needed insight for some.
+Bethany Elstrom I also thought the counselor did a good job to allow his client to share and decompress while still keeping it somewhat on track. This is definitely an important skill to mold.
It was difficult for me to adjust to the intake style versus traditional counseling sessions when the client began talking about some sensitive family issues. I found myself wanted to pause at certain moments and probe the client for more information and explore the topic. Basically, I wanted to stop the intake and begin counseling right then and there. I think this will take a lot practice to get right when I do this in real life.
+Melissa Clendaniel I agree, Melissa. I think it's definitely a learned skill to be able to put on the "intake hat" when we're usually so focused on diving right into counseling. He did a great job staying on task but still building rapport and coming across caring.
+Melissa Clendaniel Yes I agree Melissa. This is definitely going to take some practice. When we hear an issue we immediately want to help. However, during intake we have to learn when and how to do so.
The family history could be a place for the intake to move into counseling which is not the operative course. Even though the client talks about some clearly sensitive history, Dr. Grande doesn't move forward with the information. He just takes it down but shows he's listening. Rapport building is going on in the intake so there is a need to be present and caring.
+Alicia Zahn I agree that with the information the client gives him Dr. Grande only records it, but still shows empathy. There is rapport, but I think the more pressing matter is to have a detailed report to submit to the agency to move forward with thearpy.
This section of the series seemed to involve more explanation from "Anne" rather than the quick question/answer format. Overall, a very helpful video showing the process of an intake.
You are right, this went more in depth but i liked that it still stayed on track, any one of those topics such as the relationship with her mother could have taken several sessions, but he kept it moving without rushing the client.
I felt this started to get more "personal". I understand that a lot of people have childhood problems, and it is a very delicate topic for certain people. I could feel the tension from her during this part of the session. To me, it was obvious that she has a lot to explore there. She even feels a bit nervous and uncomfortable discussing the topic.
