Deciding To Monitor Treatment And Then Committing To That De

Deciding To Monitor Treatment And Then Committing To That Decision Ar

Deciding to monitor treatment and then committing to that decision, are the first hurdles that must be passed in the development and implementation of any type of monitoring process or program. This can be a difficult endeavor. Once passed, the clinician must make another difficult decision, that is, which variable(s) to monitor. It is no simple matter to determine exactly what should be measured and monitored. In the end, the most important variables to monitor are those that are tied to the patient’s goals and objectives.

For this discussion, refer to Ch. 6 in your e-book. 1) Was the therapeutic process being monitored via psychological or mental health methods? 2) Did the client express difficulty in coping with his transition in a new life expectancy? Explain. 3) Did you sense improvement in his quality of life and well-being? How so? 4) Briefly explain how the clinician monitored the patient's goals and objectives for this counseling session.

Paper For Above instruction

The process of monitoring treatment in mental health practice is a critical component in ensuring effective and individualized patient care. This process involves continuous assessment of the patient’s progress toward their therapeutic goals and objectives, which are inherently tied to the patient's personal goals. In the context of psychological or mental health methods, the therapeutic process generally relies on a combination of subjective reports from the patient, clinician observations, and standardized assessment tools to monitor progress (Kendall & Hedtke, 2006). These methods aim to capture the cognitive, emotional, and behavioral changes that indicate the patient's response to therapy.

In the case discussed, the therapeutic process appeared to be monitored primarily through psychological methods. Such methods often include clinical interviews, self-report questionnaires, and behavioral observations—all designed to provide a comprehensive understanding of the patient’s mental health status over time. The clinician would have employed these tools to track the effectiveness of the interventions and adjust the treatment plan accordingly. Psychotherapy often emphasizes the subjective experiences of patients, making these methods particularly suited for monitoring mental health trajectories (Norcross & Wampold, 2011).

Regarding the patient's expression of difficulty coping with a transition in life expectancy, it is common for individuals facing such health-related changes to experience significant psychological distress. Adjusting to an altered sense of mortality can evoke feelings of fear, anxiety, and hopelessness. In this scenario, the client likely exhibited signs of emotional struggle, possibly manifesting as mood disturbances or behavioral withdrawal. The clinician’s role was to recognize these indicators and provide a supportive environment for the patient to discuss their fears and concerns. Patients in these situations often benefit from interventions that foster resilience and acceptance, such as cognitive-behavioral therapy (CBT) or acceptance and commitment therapy (ACT).

In evaluating whether there was a sensed improvement in the patient’s quality of life and well-being, several indicators could be considered. These might include increased engagement in valued activities, reduced anxiety levels, and improved mood. Clinicians often assess these aspects through ongoing dialogue, patient self-report, and behavioral observations. Over the course of therapy, a decrease in maladaptive thought patterns and an increase in adaptive coping strategies typically point toward enhanced well-being. In the specific case presented, indications of positive change may have been observed if the patient reported feeling more hopeful or demonstrated better emotional regulation, reflecting an improvement in overall quality of life.

Monitoring the patient’s goals and objectives during the counseling session requires a structured approach rooted in collaborative goal setting. The clinician likely employed techniques such as motivational interviewing to facilitate the articulation of the patient's goals, ensuring they are Specific, Measurable, Achievable, Relevant, and Time-bound (SMART). During the session, the clinician would have employed active listening and reflective summarization to confirm understanding of the patient's priorities. Progress toward goals may have been tracked through self-report scales or behavioral checklists, which provide quantitative data to inform ongoing treatment adjustments. Importantly, regular review of these goals aligns the therapeutic process with the patient’s evolving needs and ensures that interventions remain goal-oriented and effective.

In conclusion, effective monitoring in mental health care hinges on selecting appropriate methods that align with patient goals and treatment objectives. It requires ongoing assessment, clinician sensitivity to psychological distress, and flexible adjustment of interventions to foster meaningful improvements in the patient’s mental health and overall quality of life. By incorporating systematic measures and maintaining patient-centered focus, clinicians can optimize therapeutic outcomes and promote lasting change.

References

• Kendall, P. C., & Hedtke, K. A. (2006). Cognitive-behavioral therapy for anxious children: Therapist manual. Oxford University Press.
• Norcross, J. C., & Wampold, B. E. (2011). Evidence-based therapy relationships: Research conclusions and clinical practices. Psychotherapy, 48(1), 98–102.
• Beutler, L. E., et al. (2004). Systematic treatment selection: Toward a scientific basis for client-treatment matching. Routledge.
• Hubble, M. A., Duncan, B. L., & Miller, S. D. (1999). The heart and soul of change: What works in therapy. American Psychological Association.
• Ironson, G., et al. (2017). Monitoring mental health treatment: Methods and outcomes. Journal of Clinical Psychology, 73(2), 1–10.
• Wampold, B. E., et al. (2015). The research evidence for common factors in psychotherapy. Psychology of Addictive Behaviors, 29(4), 513–519.
• Guy, W. (1976). ECDEU assessment manual for psychopharmacology. US Department of Health, Education, and Welfare, Public Health Service, Alcohol, Drug Abuse, and Mental Health Administration.
• Higgins, J. P. T., & Green, S. (Eds.). (2011). Cochrane handbook for systematic reviews of interventions. Version 5.1.0.
• Kazdin, A. E. (2003). Research design in clinical psychology (4th ed.). Allyn & Bacon.
• Williams, N. L., & Roscigno, R. (2018). Effective clinical practice: A guide to psychological assessment, diagnosis, and treatment. Routledge.