The staff appeared to follow David Burn’s four step process: being appreciative, avoided sarcasm, avoided coming across superior and avoided grill the client. The only thing I would have done differently is not offering the client my personal gym, because the client may not respect future professional boundaries. I would assess the client and have the client identify activities & coping skills that promote de-escalation. If there was no smoking or no punching bags; I would use the de-escalation tools that I had available, for example: a stress ball, therapeutic walk, listening to music, & etc. I would follow the agencies procedures for addressing & de-escalating …show more content…
I think the client is at risk for relapse, because the client has been using smoking to cope with her problems. The client may experience another issue that she can’t control and immediately be triggered to smoke again or experience more feelings of frustration. Carla is in the level of discouragement were she has no issue communicating her feelings, but can’t focus on a resolution. I came to that response, because Carla could express what was bothering her. However, she could not think of an alternative to smoking to help cope with her issues. I would encourage and support the client by saying, “You can do this.” This phrase meaning the client can get past their obstacles. In addition, I would start where the client is and promote collaboration for change. I would facilitate change by following motivating, encouraging my client, and utilizing proper communication skills to promote it. I would employ the recovery tools referenced in the recovery model, such as: self-direction, empowerment, holistic, non-linear, strength-based, peer support, respect, hope, responsibility, and individualized/person centered