Week 7 Assignment

Week7USW1_COUN_6336_programtranscript.pdf

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"Facilitative Response Activity" * Program Transcript *

Sue is 43 years old; she has come to a local clinic seeking help. She is feeling sad and not sure why or the cause of her sadness. She is meeting with Michelle, who is conducting a suicide assessment and intervention.

As you observe the interaction between Sue and Michelle, you will be asked to select between two options on what Michelle should say next. You will receive feedback on the selection that you made. Choose wisely, because the better you interact with Sue, the better her suicide assessment and intervention.

Client Paperwork:

• Name: Sue • Age: 43-years-old • Gender: Female • Status: Married • Husband Ken, works as a lawyer in a local law firm. Husband noted that he didn't know why his

wife appeared sad all of the time and recommended that she visit the clinic as a possible solution.

• Client has two children, ages 10 and 12. • Client was a human resource representative for a large company before leaving her position to

start a family.

1 Michelle and Sue Interaction

MICHELLE: So, Ms. Johnson, do you understand the confidentiality that we've just finished discussing?

SUE: Yes.

MICHELLE: Are there any questions you'd like to ask me before we get started?

SUE: No, no questions.

MICHELLE: Would it be all right if I called you Sue?

SUE: Yes, that's fine.

MICHELLE: Thanks. So, Sue, tell me a little bit about what brought you into the clinic today.

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"Facilitative Response Activity" * Program Transcript *

SUE: I'm not really sure where to start. My husband's a successful lawyer. We're financially set. He spends lots of time with me. The kids are doing well. They have lots of activities at school and with their friends. I should be happy, but I'm not. I feel lonely and sad all the time. It's like nothing matters anymore.

1 of 10 How would you respond? Choose A or B *

Choose A: * So even though it seems like there are a lot of things that are going well for you, your life still feels * meaningless and empty. You're having a hard time feeling good about it. *

Choose B: * You know Sue, being a wife and a mom can sometimes feel like a thankless job. Sounds like, even * though you have a lot of things to be grateful for, you're struggling and could use some help figuring out * how to focus on the more positive aspects of your life. *

2 Michelle and Sue Interaction

SUE: I just can't take it anymore. Nothing I do ever works out. I think everybody would be better off without me. And so, I just think I'm going to just end it all.

2 of 10 How would you respond? Choose A or B *

Choose A: * The pain you're feeling is so unbearable. You don't see any other way out. You're feeling helpless. *

Choose B: * You know, things aren't always as bad as they seem. It sounds like you have a lot to live for. And I'm sure * a lot of people would be sad if you were gone. *

3 Michelle and Sue Interaction

SUE: Well, my thoughts have been so terrible, I couldn't tell anyone what I've been thinking.

3 of 10 How would you respond? Choose A or B

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"Facilitative Response Activity" * Program Transcript *

Choose A: * You know, you can talk to me, Sue. I am-- I've been trained to be objective about these kinds of things, * and I'm here to listen. *

Choose B: * Your thoughts are so frightening to you that you imagine other people would be shocked to know that * you're thinking such disturbing things. *

4 Michelle and Sue Interaction

SUE: I really feel like I'm going to do something to myself, like I might hurt myself or something, like I want to put an end to all the misery once and for all.

4 of 10 How would you respond? Choose A or B *

Choose A: * Sue, it sounds like you're having some really scary thoughts. And I'd like to hear more about what's * really bothering you. *

Choose B: * It must be terrifying to feel so hopeless and alone. Are you thinking about killing yourself? *

5 Michelle and Sue Interaction

SUE: I've wrestled with it for over a year without involving my family. I don't see the point in telling them now. I don't want to put them through that. So, I just want to just give up.

5 of 10 How would you respond? Choose A or B *

Choose A: * Sue, you've been carrying the weight of this secret, this pain, for over a year now. And I'm wondering * what happened recently that's caused you to feel so hopeless? *

Choose B: * Protecting your family from the pain that you're experiencing is very important to you. I'm wondering * what you think your family would want. *

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"Facilitative Response Activity" * Program Transcript *

6 Michelle and Sue Interaction

SUE: I don't know how to say it. Every time I think about it and want to talk about it, I try, but I just go numb, and can't talk about it.

6 of 10 How would you respond? Choose A or B *

Choose A: * You're devastated by the weight of what you're dealing with and detaching from that pain. It's been the * only way that you've been able to get by. *

Choose B: * You can tell me, Sue. I'm here to listen. I know it's hard, but you're doing a great job. *

7 Michelle and Sue Interaction

SUE: I've done good staying positive and taking care of myself and doing everything that I'm supposed to do. But I don't know how much longer I can keep doing this. It's just too hard. And so, I just don't think I can do it anymore.

7 of 10 How would you respond? Choose A or B *

Choose A: * You know, it's exhausting. I can hear that. I can see that. It sounds like you have a really supportive * family. And I'm sure they would want to help you. You've got to find a way to tell them. *

Choose B: * It's exhausting, carrying it on your own for so long. I'm wondering, what's one thing that you could think * of that might help you get the support that you really need? *

8 Michelle and Sue Interaction

SUE: I cry all the time. I can't keep it together. I feel so weak. I don't want to need anybody and rely on anybody and put anybody through any of this. And I just can't do it anymore.

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"Facilitative Response Activity" * Program Transcript *

8 of 10 How would you respond? Choose A or B *

Choose A: * You put so much pressure on yourself. The pain and the hurt, it's overwhelming. And it must be * impossible to hold all that pain inside. *

Choose B: * You know, it's hard to talk about your problems and to reach out for help. And there are a lot of stigmas * about what that says about us, and that reaching out for help makes us weak, or that struggling with * mental health issues makes us crazy. And I'm wondering, do you carry shame about needing help from someone? *

9 Michelle and Sue Interaction

SUE: What are you? Are you a doctor or something? How are you going to tell me about the pain and the misery that I've experienced? I'm sure your life has been perfect, and you've never experienced any kind of pain or hurt that I've been feeling. How can you even help me? You don't even know anything about what I'm going through. Have you ever tried to kill yourself before?

9 of 10 How would you respond? Choose A or B *

Choose A: * You know, I have been through difficult times too, and struggles. And I believe that everybody's pain * matters. You're not really giving me a chance to help you. We all struggle. And there are healthy and * unhealthy ways to cope. People find different answers to their pain and look for different solutions. *

Choose B: * You're afraid to trust me, afraid I won't be able to understand. You're taking a risk sharing your pain. * And it makes you feel vulnerable and uncertain, and wondering if it's even going to make a difference. *

10 Michelle and Sue Interaction

SUE: It's been good coming in to talk to you. I feel a lot better, but I still feel like I just put a Band-Aid on an open wound. I'm still raw and I still don't really know what to do. I don't know what's going to happen on the next bad day that I have. What do I do then? Still not sure.

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"Facilitative Response Activity" * Program Transcript *

10 of 10 How would you respond? Choose A or B *

Choose A: * It's hard for you to imagine a future where you'd be free from this pain and despair that's weighed on * you for so long. You took a huge risk coming in today, Sue, and it was very courageous for you to share * your pain with me. I know that that wasn't easy. *

And, you know, I wish that you could leave today not feeling that pain again. But it's a process that we * can work through together. I hope that you've begun to have some hope that your future might be free * from all this that's weighing you down. *

It does concern me that you were considering suicide. And it's important that you have a plan in place to * keep you safe. I'm wondering if you would consider calling the 1-800 suicide hotline if you were thinking * of hurting yourself. *

Choose B: * I'm glad you're feeling better, Sue. You took a big step coming in today. But progress takes time. And * you've been struggling with this for a long time. It's going to take time for us to work on that together. *

Well if you're feeling like hurting yourself, you can always call and make an appointment. And in the meantime, I hope you'll stay positive and continue to do the best you can trying to cope until we get a * chance to meet again. *