WK4AssignMargeSession.pdf

Counseling Session 2

Counseling Session 2
Program Transcript

Welcome to Marge’s second counseling session, where you will ask questions to
determine the level of treatment needed to address her addiction and her
engagement level with her treatment. Before you begin, please carefully read
through the paperwork that contains information obtained from team members.

After reviewing this information, click the “continue” button to begin Marge’s first
counseling session. Using your cursor, rollover buttons A and B to review your
question options. Click what you think is the best question to ask Marge out of
the two options offered. If you ask an effective counseling question, you will
receive more information from Marge. If you ask an ineffective question, you will
receive an equally unhelpful response. Choose wisely, because the better you
counsel Marge, the better her treatment experience.

*Please keep in mind that the video has been made in a way that gives you a
realistic vantage point from where you would sit and counsel your client in real
life. A close up view of the individual has not been added because you, as a
counselor, will not have varying angles of your client to work with.

Paperwork:

• Marge C.
• Sixth day of detoxification treatment
• Patient is experiencing residual physical withdrawal symptoms. Patient is

shaky and groggy, has been given a mild sedative to keep her calm during
withdrawal

• Patient is cooperative and still open to treatment. Patient expressed
feelings of loneliness and concern for her children

• Patient exhibiting signs of depression

[About six days later, Marge is going through detoxification, which means she
may be a little groggy from sedatives and slightly shaky due to residual physical
withdrawal. Her appearance is plain but more kempt than on her admission; she
has no makeup, the bandage is removed, her abrasions are healing, and the
black eye is almost gone. She is composed, rather down, but cooperative and
still open to treatment.]

Question #1:

Option A:

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Counselor: Marge, when we last met, you expressed resentment toward your
family and friends after the intervention they held with you. We left that as
unfinished business. Share with me your thoughts and feelings toward them now.

Marge:. Yeah, I was furious, but not so much now. I’m more ashamed than mad
and concerned that I let things get that bad. They all had written down examples
of some of the things I had done while I was drinking that concerned them, and
they read those things out to me.

Ethel, my older sister, said that my sons told her they were embarrassed when I
came to their soccer games because I’m always staggering around and falling all
over everyone. My best friend, Emma, told me she found me passed out one day
in the house when she came by to check on me when I hadn’t answered my
phone. You know, I don’t even remember that, but why would she make it up?

Their examples got worse, especially when my husband Ken began reading his. I
don’t want to talk about what he said right now; I’m too ashamed and afraid to
face the facts right now. I need time and help before I can do that.

I’m glad I’m here now; I just hope I can stop drinking for good and live a normal
life. I just hope I can, but I don’t know… And even if I would be able to stop,
there’s all the damage I’ve done in my life in the meantime, to all those who care
about me and need me, and to myself. If only I could ever get sober and live a
normal life like most people, if only…..

Option B:

Counselor: Marge when we last met you expressed resentment toward your
family and friends after they held the intervention. We left that as unfinished
business. Do you still feel that resentment?

Marge. No, not anymore.

Question #2

Option A:

Counselor: Why do you think you’re here?

Marge: You ask me “why”? You’re making me wonder if I’ve done too much
damage to repair. Don’t you think I’m asking myself that same question every
minute that I’m here anyway? Or you’re making me feel as if I need to own up to
ever other single bad thing in my life before I can get better. Well, we could be
here a while!

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Counseling Session 2

Option B:

Counselor: I hear you saying that you think your drinking may have caused too
much damage to repair and because of that you won’t be able to stop drinking for
good. Tell me more about the damage and how it affects your ability to stop
drinking.

Marge. It would take me days to tell you all the damage my drinking has done.
For starters, though, there’s my family. My children have done the best they can
to carry on without a real mom; I’m never there for them, never pay them any
attention. I’m an embarrassment to them. They never bring their friends home.
They have their problems like any growing kids, and their dad does the best he
can to help them. But he has to moonlight to pay the bills since I got fired from
teaching, so he isn’t able to give them the attention they need by himself.

Because I lost my income, our finances are in a mess. Now there’s this DUI
facing me when I return home. I’ve totally ignored my health. I’m a diabetic, and
my drinking is always causing complications. And on top of all that, I’m so tired
and so depressed. I’ve always been depressed, and sometimes it’s like a dark
tunnel with no light at the end. I could go on and on, but it just depresses me
more.

I don’t know how I can return to all that when I leave here, and how I can stay
sober with all that facing me? I realize I’ve got a lot to work to do, the more I talk
about it, and the more I know I need to be here.

Question #3

Option A:

Counselor: Marge, look at me; I’m a recovering alcoholic myself. I took my last
drink 15 years ago, and if I can do it, you can do it. So I know exactly what’s
going through your mind. Until I admitted I had a problem and needed help, I
wasn’t able to get sober. Can you understand that?

Marge: I admire you for that, I really do (she’s sincere). I wish I could do it like
you, but I don’t think I have whatever it is you have to be able to do it.

Option B:

Counselor: What changes your mind about needing to be here?

Marge: That darn intervention; whether I liked it at the time or not, the truth is,
that’s what changed my mind! I didn’t think so at the time, but it brought reality

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home to me. I needed to hear everything they said to me that day. I realize now
my children haven’t had a mother; they’ve had a drunk who hasn’t been there for
them.

The DUI helped change my mind, too, I guess. I’ve never even had a speeding
ticket, and now I get stopped for drunk driving. My name was in the paper, and I
have to go to court, just like a criminal. If I had kept on doing what I was doing,
there’s no telling what would have happened.

My family and friends’ intervention pointed out that I’ve hit my rock bottom, I
guess you could say, before I hit a worse rock bottom than I want to imagine. I
could have never done it on my own. Like I told you, I tried. There are too many
triggers to drink and distractions out there in the world to just up and stop
drinking on my own. I don’t have the tools inside of me to cope with it all on my
own right now; I need someone to help me help myself when I go back out there
in the real world again.

I’m tired; I want to live a normal life. I just hope I can do it, I mean really stop…for
good…I wonder though.

Question #4
Option A:

Counselor: Marge, I strongly believe that unless you have a sound belief in a
higher power or sense of meaning, you will never get sober. People who have
faith can do it; people who don’t have it can’t do it. That’s my firm belief. Do you
believe in God enough to get sober?

Marge: (starts sobbing). No, I try so hard to believe, but I feel so sinful. No God
would have anything to do with me.

Option B:

Counselor: You said you need the “tools.” Let’s start identifying some of those
tools for developing goals for your treatment plan. What are a few of those tools
and personal goals that come to mind right now?

Marge: It seems like whenever I run up against something unpleasant, I don’t
have the inner resources to cope with it, so I reach outside myself to the bottle to
take care of it. I want to learn to relax without drinking.

And then there’s anger. I get so mad at the littlest thing and become a bundle of
nerves. Another thing I can’t cope with on my own is my lack of self-confidence. I
can’t go out in public without a drink; I’m too self-conscious.

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But more than any of that, I think my depression is the main thing that drives me
to drink. I’ve been depressed since I was a teenager; I can’t remember a happy
moment since my childhood. I can’t imagine me being able to ever stop drinking
and live a normal life as long as this depression hangs over me, ever.

If I am stressed, angry, or depressed, I want to drink, and it seems like I am
feeling those things almost constantly. I need to learn to recognize when I am
experiencing those feelings, and do something besides drinking to relieve them. I
used to enjoy running, a long time ago. Maybe if I get outside and walk? That
seems like a good way to handle those feelings instead of drinking.

Question #5

Option A:

Counselor: Before we end today’s session, Marge, there’s one question I want to
ask you. Are you ready to stop drinking?

Marge: I’m here, aren’t I? I never said I didn’t want to try. I just don’t think you
can help me do it. I can do it on my own.

Option B:

Counselor: Marge, several times today you’ve questioned your ability to stop
drinking for good and have a normal life. Picture yourself living that normal life
when you stop drinking and describe it to me.

Marge. Well, to begin with, I see myself being a good mother and a good wife;
that’s the first thing that comes to mind. (Ponders the question a moment longer)

And having a sense of meaning in life, yes, that’s important…a sense of
meaning…(displays a hint of pleasant anticipation on her face) I would be in
better health, too, so that I feel confident when I go out in public. I would be able
to help my kids and Ken instead of relying on them all the time to help me. I
would be the adult, you know? Not another kid that Ken has to take care of, but a
partner.

Final Text:
Congratulations. You have now completed your counseling session with Marge.

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