Clinical Model

The clinical model that I have developed is interactive and solution focused. It is based on the belief that everyone is capable of positive self-directed change. Indeed, learning how to achieve this is largely what counseling is about. Change can involve how we deal with current and past life circumstances as well as improvement in the nature and quality of our personal and emotional experience. Change becomes about what goes on within us as well as what goes on between us and others. It begins with self knowledge and self management.

The necessary elements for change are awareness, self-observation, decision skills and the capacity to redirect behavior.

Problem states are frequently the lingering effects of old hurts, faulty learning and acquired concepts about one’s self, as well as ineffective psychological habits. Problem states were originally self protective and may have worked in the past. In contemporary life, they don’t work so well and need to be changed. Change involves understanding how the problem state manifests itself in one’s experience, what established it, and what current psychological processes maintain it. Next, is the important process of reorganizing one’s conscious psychology to a healthy and more effective state. The first part is comparatively easy. Reorganizing one’s psychology, however, can be difficult. The difficulty involves how strongly the brain holds onto established patterns and one’s expectations about where change should occur. These factors combine with natural resistance. Resistance is the initial fear (anxiety) which is normal to the change process even when the change is desirable. In order to work, a change strategy needs to be carefully designed and applied in the right place at the right time. It will involve using new thinking and behavior at the point where an old maladaptive process is seeking to maintain itself or exert influence. It will overcome resistance and establish the new behavior.

November 2018
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