1
Process Recording
Student
Walden University
Process Recording
Client Information/ Presenting Issue
Client is a 16-year-old Hispanic and African American male from Jacksonville, Fl. He lives with his mother and has a younger sister. His step father and mother are divorcing. The daughter is the step father’s child and will be living with him, while client stays with his mother. He joined the dentention center due to charges of substance use/diagnosis/ possession and theft. I joined therapist, Mr. Sanchez in an individual session to follow up on a suicide precaution assesment. Right now Client is on a one to one precaution where staff signs off that he is okay every 30 minutes. Mr. Sanchez is meeting with him to see if he needs to be taken off or continue to be watched. During this session the client displayed symptoms of depression over the choices that he has made in the past. He is afraid that his step father doesn’t love him any more due to these choices and the present circumstances at home. Also during the session he switched his answer when asked if he continued to have thoughts of suicide. His appearance showed that he was either having a rough morning or a rough night. His eyes were red. Not the eyeballs, but his skin. This could possibly happen due to crying, rubbing, or lack of sleep. After analysing his responses and appearance, I believe that is was necessary to continue to keep a watchful eye on him.
Dialogue
Identify skills, techniques and theories
Analysis/assessment of dialogue
Personal reactions and self-reflections to the interaction
Therapist: Hey do you know Mrs. Green
Client: Yes
I have seen this youth and recognized that he is fairly new. I’m not sure if he would let me sit in on his session.
Therapist: Do you mind if she joins us in our session today?
Client: No. I don’t mind
Therapist: Great let’s go to the control room and talk
Therapist: How are you feeling today?
Client: (Smirks) I’m straight.
Therapist: Are you still thinking of harming yourself?
Client: Yes
Therapist: Why are you wanting to harm yourself?
Client: My dad doesn’t love me anymore.
His mouth is shaking. I hope he doesn’t cry because my eyes are getting watery just watching him.
Intern: The word “love” is an action word. Has your dad done anything to show you that he doesn’t love you?
Client: No. I guess not.
Engagement Skills
Providing Information
Intern: I believe he still loves you based on your response.
Therapist: Tell me two positive things about yourself.
Engagement Skills
Strengths perspective
Interpretation
Clie.
1. 1
Process Recording
Student
Walden University
Process Recording
Client Information/ Presenting Issue
Client is a 16-year-old Hispanic and African American male
from Jacksonville, Fl. He lives with his mother and has a
younger sister. His step father and mother are divorcing. The
daughter is the step father’s child and will be living with him,
while client stays with his mother. He joined the dentention
2. center due to charges of substance use/diagnosis/ possession
and theft. I joined therapist, Mr. Sanchez in an individual
session to follow up on a suicide precaution assesment. Right
now Client is on a one to one precaution where staff signs off
that he is okay every 30 minutes. Mr. Sanchez is meeting with
him to see if he needs to be taken off or continue to be watched.
During this session the client displayed symptoms of depression
over the choices that he has made in the past. He is afraid that
his step father doesn’t love him any more due to these choices
and the present circumstances at home. Also during the session
he switched his answer when asked if he continued to have
thoughts of suicide. His appearance showed that he was either
having a rough morning or a rough night. His eyes were red.
Not the eyeballs, but his skin. This could possibly happen due
to crying, rubbing, or lack of sleep. After analysing his
responses and appearance, I believe that is was necessary to
continue to keep a watchful eye on him.
3. Dialogue
Identify skills, techniques and theories
Analysis/assessment of dialogue
Personal reactions and self-reflections to the interaction
Therapist: Hey do you know Mrs. Green
Client: Yes
I have seen this youth and recognized that he is fairly new. I’m
not sure if he would let me sit in on his session.
Therapist: Do you mind if she joins us in our session today?
Client: No. I don’t mind
Therapist: Great let’s go to the control room and talk
Therapist: How are you feeling today?
Client: (Smirks) I’m straight.
Therapist: Are you still thinking of harming yourself?
Client: Yes
4. Therapist: Why are you wanting to harm yourself?
Client: My dad doesn’t love me anymore.
His mouth is shaking. I hope he doesn’t cry because my eyes are
getting watery just watching him.
Intern: The word “love” is an action word. Has your dad done
anything to show you that he doesn’t love you?
Client: No. I guess not.
Engagement Skills
Providing Information
Intern: I believe he still loves you based on your response.
Therapist: Tell me two positive things about yourself.
Engagement Skills
Strengths perspective
Interpretation
Client: I am loyal and support my family
Therapist: That’s good that you support your family.
Therapist: Have you been thinking of harming yourself today?
Client: No. Not today.
5. Therapist: How is your sleep? Having you been sleeping well?
Client: No. I constantly wake up in the middle of the night.
He looks depressed and his eyes are extremely red.
Intern: I see that your eyes are red. Is it due to the lack of sleep
or rubbing?
Client: yes
Intern: What do you do when you’re awake in the night.
Client: I write about how I’m feeling and what I’ve done in the
past.
Intern: What are some of those decisions that you’ve made that
bother you?
Client: I would go steal stuff with friends or if I ask my mom
for something and she doesn’t give it to me then I would go out
and get it.
6. Intern: Do you think your mom isn’t able to give you what you
want or that she just won’t do it?
Client: She don’t give me stuff because of my behavior.
Engagement Skills
Building rapport
Therapist: So, you have trouble with impulse. Why do you think
you have trouble with just taking things?
Client: I don’t have any patience and I should be punished for
the things that I’ve done.
Engagement skills
Building rapport
Intern: Everyone makes mistakes. No one is perfect. I have done
things that I regret. I’m sure Mrs. Sanchez has too.
Therapist: Yes. I have done many bad things.
Engagement Skills
Disclosure
Intern: It is normal for people to make poor decisions, but we
must learn from them and continue, not allow them to beat us up
and leave us unhappy.
Client: (Shakes his head to say yes.)
Engagement Skills
Encouragement
Therapist: Are we going to try to be positive today?
7. Client: yes
Therapist: Would you like to call your father.
Client: (smiles) Yea.
Therapist: Why are you smiling.
Client: Because I love talking to my dad. He’s the only one that
understands me.
Therapist: What do you think Mrs. Green, should we keep him
on precautions?
Intern: Yes, because I want to make sure you’re doing okay
because we care about you Client.
Clients: (starts laughing and shakes his head that he
understands)
Therapist: I agree.
I believe that he is a good kid. From our conversation, he is
unsure of his future, but wants to do great things. He just needs
a little push.
END
8. References
Kirst-Ashman, K. K., & Hull, G. H., Jr. (2015).
Understanding generalist practice (6th ed.). Stamford,
CT: Cengage Learning
The client is a 37-year-old Caucasian female, she identifies as
lesbian. Her presenting problem is healing from mental and
emotional abuse from her ex-mother in law. The client divorced
her ex-wife two years ago.