Professional Insight and Reflection

Amelia Reed
Dr. Susan Walsh PSYT 1329.002

Bonnifil it is not unusual to see her waiting room with clients ranging from children to the elderly and family members. Bonnifil s theoretical orientation is Family Systems Theory. A typical day for Dr. Other than the chairs and several end tables. every hour. there is a radio which plays soft. The office of Dr. She uses primarily solution-oriented psychotherapy and cognitive-behavioral psychotherapy techniques. 1991. A diagnostic session with Dr. Dr. which gives a modern.m. Bonnifil also charges $250 an hour with five hour payment retainer in advance for any forensic record work subpoenaed by courts.For my professional insight and reflection paper I had the good fortune to arrange a one hour in-person interview with Virginia L. and checked in with her personal receptionist. sedating effect. Dr. Dr. I arrived slightly before my appointment at noon. It is low light and on the cool side. easy listening favorites. Arriving at her office you first notice the waiting room. Bonnifil also has a postdoctoral training in neuropsychology. Dr. Bonnifil is a licensed psychologist in the state of Texas. Dr. Bonnifil is located at 8627 Cinnamon Creek Drive. Dr. Bonnifil s office is in a building inhabited by a group of mental care specialists ranging from . San Antonio. when at the office. receiving her license in Septemeber. Texas. The walls are a taupe. She sees her last patient by 5pm and 8pm on Wednesdays. Alice. Bonnifil lasts approximately sixty minutes and the charge is $150. Bonnifil. Bonnifil. Any subsequent psychotherapy sessions are approximately 45 minutes long and the charge per session is $125. Bonnifil has a busy and successful private practice. seeing patients on the hour. At the office of Dr. PHD. She received a doctoral degree in Psychology from the University of California at Los Angeles in 1988. very comfortable. starts at 10a.

parents in the throes of crippling addictions. Instead of crack. Bonnifil has been in practice for over 21 years. several of Dr. but are dysfunctional none the less. They work together referring clients within the group when possible in order to best suit the needs of the clients. psychologists. Upon graduation she was hired within a group of psychologists from Baylor University.psychiatrists. stealing and felony activities of the poorer segments of her business. Dr. For instance. suicide and eating disorders in lieu of the fighting. The biggest difference in her patients from her court mandated clients to her private practice is now her patients are what she refers to as high functioning clients . Bonnifil s clients are more likely to be addicted to prescription drugs or alcohol. therapists and other medical offices. Dr. but more therapy is recommended. Her middle to upper class patients have more issues with cutting themselves. Bonnifil s clients have been referred to her by the psychiatrist when the medical needs of the client have been met. however she is not a substance abuse counselor. Bonnifil. and their children put in jeopardy as a result of the parents drug usage. She spent many years developing her skills and building a cliental from her years working with the courts. According to Dr. Dr. Back when she started she saw mostly poor black kids with parents addicted to crack. Similarly. but other substances are not uncommon. The private pay or insured clients have a much higher quality of life. much has changed in the area of addiction and the treatment of substance abuse. and refers the clients needing more help in that specific area to psychologists who specialize in addiction treatments. handling non-private court mandated child protective service cases. She refers to her clients back then as the walking wounded . as far as employment and social standing. Bonnifil cannot prescribe medications so she would refer to the psychiatrist any client needing more evaluation in that area. The .

In Dr. The difference with affluent clients is they want you to fix the child. Bonnifil the average number of sessions clients receive is only 16 and is actually limited by some insurance to no more that 30 sessions a year. Bonnifil says the core issues are the same. which was based on Skinner s research.social economics issues are no longer just neglect from being on drugs and poverty. to a focus on cognitive behaviors treatments. Dr. 1996). but Cognitive behavior treatment is not an open-ended. It is considered among the most rapid treatment in terms of results. Bonnifil describes as the Paradigm Shift (Bonnifil. Another change she has seen is if the number of sessions cannot be limited by insurance. whether from being abandoned from parents addicted to the street life or workaholics. It can be very difficult to get a high status parent to admit they might be a major part of the child s behavior. 2011). no matter what the cause. which is being heavily promoted by managed care. Moreover. Bonnifil s opinion. because by throwing money at the child. 2011). According to Dr. but do not see their involement in the child s problem. but neglect from being wealthy and giving the children money instead of a parents involvement. the family issues are just a higher class of inattention. can take years. the parent feels they have provided the family with an upscale environment. like psychoanalysis. children act out from neglect from their parents. This shift is from the school of behavioral psychology. Other forms of therapy. never ending process (Cognitive Behavioral Therapy. therefore improving the child s quality of life (Bonnifil. . The neglect is the same. the biggest change over the last twenty years to the practice of psychology today is what Dr. a huge deductible is given so the clients don t get the treatments they need due to financial restraints.

She advises if the patient is able to get to a hospital on their own or with family assistance. Dr. If the client cannot go on their own or is otherwise unstable. 2011). Bonnifil handled clients in extreme circumstances. may be set aside when emergencies dictate alternative actions. To conclude. which is signed at the onset of services. Do not give opinions. stressing not to give advice but to illicit information. the confidentiality agreement. Bonnifil disclosed that she has been a client on many occasions. She then phones the hospital to make sure they are expecting the client and that a mental health evaluation is done. she recommends calling an ambulance to take the patient to the hospital for evaluation. from parental abuse in her childhood. rather ask questions. She has also talked a client out of a SWAT situation through a cell phone in the client s home closet. one should have experienced counseling at some point in their lives.Additionally. one realization leads to other doors opening and that s where real progress begins to happen (Bonnifil. to a failed first marriage and as a breast cancer survivor. she just recently had such an event with a client who was delusional and suicidal. it is Dr. when I asked how Dr. . When lives are at stake. she has received therapy in private and peer support groups. expound on it. and allow the clients to come to their own conclusions. such as a client who is a danger to themselves or others. Bonnifil s belief that to be effective as a counselor. to do so immediately. She is an excellent listener.

2011. Reed.org/whatiscbt. (1996).htm .Bibliography Bonnifil. Retrieved April 19. (A. D. Interviewer) Cognitive Behavioral Therapy. April 21). (2011. V.nacbt. from NACBT Online : http://www.

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