PSYCHVINE

Tag: therapeutic alliance

 “Hello, Fred. Welcome back,” Dr. Smelt says as she ushers Fred into her office.   “Thanks for seeing me so quickly. I’m surprised you work on Black Friday. Does that mean the session is half price?”   Dr. Smelt laughs, “Actually, I find that this time of year is especially busy. And I hate to shop in crowds. So, Fred, last time I saw you was several months ago. You cancelled your last appointment and then didn’t make any further ones. What…

In previous session excerpts, Dr. Patricia Smelt paid close attention to the therapeutic alliance which she felt needed nurturance. That’s because her client, Fred, was court ordered to therapy for anger issues and demonstrated defensiveness. Let’s pick up a segment of session 3. Fred arrives at this session steaming, “Alright, doctor, now I have a real problem. My boss told me yesterday that I need a new attitude. Unbelievable. I work harder than anyone there and yet ‘I’ have an…

The following is a second excerpt from Fred’s court referred psychotherapy. Dr. Smelt continues to grapple with achieving a better therapeutic relationship with Fred who remains resistant to this point. Dr. Smelt asks for more information, “Fred, tell me a little bit more about your feeling of embarrassment. Do you feel that way because you’re coming here to see me or is there more?” “I really don’t mind coming to this office all that much. I realize that lots of…

Fred begins this session by asking Dr. Smelt, “How’s it going, Doc? Did you have a good week?” “Just fine, Fred. But I’d like to know how your week went.” “Nothing much happened. Work has been a real bitch though.” “I remember you work for the city in I.T. What kinds of problems have you been having?” Dr. Smelt queries. “I’m overloaded with crap. Too many meetings, too many bosses. Morale sucks. What else do you want to know?” “I…

You may have a counselor, therapist, social worker, psychiatrist, or psychologist. If you’ve been in therapy for a while, you probably have a trusting, helpful, and caring relationship with your therapist. In fact, if you don’t, you should probably consider seeking another mental health professional for a consultation—possibly your therapist isn’t the right choice for you. You may think you know your therapist; after all, you’ve probably seen your therapist weekly or so for a number of months or more…