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Choose a problem or issue that you would like to resolve. Of course, only share

ID: 3458888 • Letter: C

Question

Choose a problem or issue that you would like to resolve. Of course, only share what you are comfortable sharing. Address the following items about your problem or issue:

Describe a problem/issue. Depression after the loss of lower limbs.

As a solution-focused therapist treating a client with this same issue, describe what techniques you would use.

Describe possible goals for this client.

Describe possible interventions for this client.

Identify the possible outcome with this client.

Please include in your answer some of the following "solution-focused therapy” terminology: alternative story, coauthoring a new story, deconstruction, dominant story, exception questions, externalizing conversations, miracle question, not-knowing position, problem-saturated story, re-authoring, scaling questions, storied lives, problem talk, change talk, narrative letters.

Explanation / Answer

Solution-focused therapy is future-focused, goal-directed, and focuses on solutions, rather than on the problems that brought clients to seek therapy. the problem you stated is depression due to loss of limb.

the possible goals for the client- the first step is to understand where they are currently in dealing with their problem, what they have already tried and build goals around the areas they want to improve. the goals need to be specific. example: be more confident, be able to perform all tasks, getting out of bed on time, following a proper schedule, communicating with all the members of the family or talking to at least two different people every day, doing at least 2 activities everyday on your own. all this can be measured on a scale of 1 to 10.

INTERVENTIONS :

1. the miracle question: this is forming a situation in which the client is told that one day he wakes up and there is a miracle, in which all of his problems are solved, what will be the first thing you would notice.

2. exploring change: this can be done by asking scaling questions. it is useful in helping clients to assess their own situations, track their own progress, or evaluate how others might rate them on a scale of 0 to 10.  

3. asking presuppositional questions: presuppositional questions are offered under the presumption that a particular answer exists. The presuppositional question also invites an affirmative answer rather than an easily rendered and dismissive “no.”By presupposing that a strength, exception, or alternative exists, the advisor encourages the client to focus on positive past experiences rather than the past defeats.

4. positive feedback: one of the important technique is to constantly give positive feedback. this can be done by using coping questions and complimenting the client. In focusing on the positive aspects of the effort, the advisor conveys the message that the client took responsibility and had control over the situation.

5. assigning homework or tasks: with the use of a task or homework assignment, the client can bridge the advising session into his or her own life. Tasks are derived from the information given in the advising session and assist in making a small step toward the goals that were formed. eg narrative letters. one of the assignment can be narrative letters in which the client writes letters to a friend about the recent events.

possible outcomes: Even in the midst of despair, many clients do manage to get out of bed, get dressed, feed their children, and do many other things that require a major effort. the expected outcome is that the client deals with the depression and focus on their physiology and maintain a routine.