Skills and Interventions Flashcards

A counselor uses 'immediacy' in a session. This skill involves:

Answer: Discussing the here-and-now dynamics of the therapeutic relationship

Immediacy involves the counselor openly discussing what is happening in the client-counselor relationship in the present moment.

A client with generalized anxiety reports chronic worry and muscle tension. In addition to CBT, which skill specifically targets physiological arousal?

Answer: Progressive Muscle Relaxation (PMR)

PMR systematically tenses and releases muscle groups, directly reducing the physiological component of anxiety.

When working with a client from a collectivist cultural background, the counselor should:

Answer: Adapt interventions to incorporate family and community values

Culturally competent counseling adapts goals and interventions to honor the client's collectivist values and relational context.

A client's resistance increases after the counselor offers advice. According to motivational interviewing, the counselor should:

Answer: Roll with the resistance by reflecting and exploring the client's perspective

MI instructs counselors to 'roll with resistance' by using reflection rather than arguing, preserving the collaborative relationship.

A counselor uses externalizing questions with a child who feels controlled by anxiety. This is most consistent with:

Answer: Narrative therapy

Narrative therapy uses externalizing language to help clients see the problem as separate from their identity, reducing shame.

During a clinical simulation, a client who recently lost a job reports guilt and worthlessness but denies suicidal ideation. The most appropriate intervention is:

Answer: Cognitive-behavioral techniques targeting the distorted cognitions

CBT targeting guilt-based distortions (e.g., personalizing, overgeneralizing) directly addresses the presenting depressive cognitions.

A counselor notices that a client consistently arrives late and avoids discussing a specific topic. The counselor addresses this pattern directly. This is an example of:

Answer: Confrontation of discrepancies

Confrontation in counseling involves pointing out discrepancies or patterns (e.g., avoidance behaviors) to promote client awareness.