State- Therapist and Client Skill Identification Process and

ment Statements Comments

No
C1 Hello, Ravi. My name is Anet Rapport building,
Augustine. For the past two years, and giving necessary
I've been employed as a guidelines
counselling psychologist. You can
share your problems and thoughts
here, and we'll keep them
confidential, but I'll break
confidentiality if it involves
harming others or yourself, or if it
necessitates legal action.
Is that okay to you?
T1 Yes.
C2 So, how can I help you, Ravi? Open question This lead facilitates
the client shares his
problem to the
therapist.
T2 My wife insisted that I come here.
My wife believes I drink
excessively. So she insisted that I
see a counsellor.
C3 Okay. So you're only here because Paraphrasing encourage client to
your wife demanded it. Is it like elaboration
that?
T3 Yes.Yes.
C4 Is there anything that you have Open Question
observed about your drinking over
the years that might be reason for
her concern?
T4 I suppose I drink more than I used
to. My wife feels the same way.
That is the main matter.
C5 So you've realised that you're Paraphrasing Help the client to
drinking more than usual lately.Is focus on the issue
that correct? and client become
aware that the
therapist understood
him.
T5 Yes. It's something I've noticed as
well. But it doesn't seem to bother
me any more than before.
C6 What I understood is that, while Paraphrasing client become aware
you may have noticed an increase that the therapist
in your drinking over the last few understood him.
years, these drinks do not really
intoxicate you. Is that correct?
T6 When I drink with my friends late
at night, they can't keep up with
me, and I don't feel like drinking
too much either. My father was
basically like that. He could drink
most men under the table and it
didn't bother him.
C7 Are you saying that he was like Clarification checking out what
you? the therapist heard
of the client’s
message.
T7 Yes yes. He was also like me.

C8 Is your father staying with you? Closed question

T8 No, he died two years ago of a
heart attack. He did, however, stop
drinking a year before his death.
C9 I am sorry for your loss. Why did
he give up drinking?
T9 My mother wanted him to stop
drinking. That’s why he quit
drinking
C10 When we stop to think about what Summary To tie together
we said so far, you think, and multiple elements of
you’ve noticed that, as with your client messages.
dad, alcohol doesn’t seem to
intoxicate you as much as it does
other people. Am I right?
T10 Yehh..
C11 What similarities do you see Open question This lead facilitates
between your drinking habits and the client share his
those of your father? problem to the
therapist.
T11 The important thing is I don’t
usually remember things from a
specific point in time when I'm
drinking. That is, if I go to a party,
I will have no recollection of what
happened after 4 or 5 drinks, and
when I wake up in the morning, I
will be sleeping in my bed.
Another thing is that I can't
remember how I got home or
where I parked my car... I usually
don't remember anything that
happened. The first thing I do is
inspect my car for any dents or
 scratches. I even showed a dash
cam for my car out of fear.
C12 That must be very scary for you at Reflection of feeling helps clients to feel
least for the first few times. Can understood, helps
you describe a similar situation that clients manage
occurred a few days ago? feelings
T12 Two weeks ago, my friend and I
went to a bar. We drank a lot there,
and then we went to another
friend's house, where I had a few
more drinks. The next morning, I
found myself sleeping in my bed
wearing the same dress from the
previous day, and I also didn't find
my car in the porch; when I started
looking for it, I found my car two
blocks away. This incident made
me very sad I felt like something
indifferent.
C13 That must have been very difficult Reflection of feeling helps clients to feel
for you, like getting up in the understood, helps
morning, unable to remember what clients manage
happened on the previous night. feelings. encourage
You may have felt weird and clients to express
clueless. What else came to mind at more of their
the time? feelings
T13 Other thoughts that ran through my
mind were whether I had hit
someone, did I driven too
fast, did the police had
apprehended me, whether I caused
any trouble. All of these thoughts
came to my mind, and also I
 recollect my father going through
similar experiences.
C14 Are you worried that what Interpretation Helps to identify
happened to your father will feelings that are
happen to you? suggested or implied
by the client’s
communication.
T14 Yehh….No, I haven't given it much
thought. I also noticed my father
was upset in the morning because
his hand shivered from not being
able to get drinks.
C15 Okay. Have you faced such
problems?
T15 I felt the same way. However, I
don’t drink in the morning.
C16 Okay.That’s a rule you’ve kept for Clarification checking out what
Yourself the therapist heard
of the client’s
message.
T16 No. Normally When I drink in the
morning I’ve noticed that I feel
better; it gets rid of the hangover.
That could get to be a bad habit.
They may identify the scent of
alcohol when I arrive at work.
Despite the fact that I have drank
alcohol in the morning when I do
not wish to go to work. In general,
I don't drink in the morning.
C17 Now I'll give you a summary of Summary To tie together
what we've talked about so far, and multiple elements of
you can add anything you think I client messages. It
 missed. Your drinking seems to be brings direction to
increasing over time, and you're the interview by
aware that you've driven when focusing on the
you've had too much to drink. Your theme of the client.
wife is worried about you, just as
your mother was worried about Probing encouraging the
your father. You've noticed that, client to express
like your father, you can drink a lot more information
without becoming intoxicated, and
you've been having memory
problems. You've had a few bad
hangovers, and you've noticed that
drinking more in the morning
makes you feel better, but you don't
usually drink in the morning.
Which of these things concern you?
T17 I'm mostly concerned about my
health. I felt as if I lacked stamina
and not physically fit. I also have
some memory issues, such as
forgetting other people's names,
where I put my keys... such things.
These are my primary concerns.
Mainly, health concerns.
C18 So you are mostly concerned about Interpretation Helps to identify
your health and memory issues. feelings, patterns
But at the same time, you never felt and behaviour that
like you are an alcoholic, Is that are suggested or
correct? implied by the
client’s
communication.
T18 Yes. I never felt like a drunkard.
C19 Can you explain a little more? Open Question encouraging the
client to express
more information
T19 I’ve quit drinking for weeks at a
time with no problem. And I can
have a couple of drinks and leave
it alone. I neve felt major problems,
and I am not like drunkards who
sleep on the street or cause trouble
for others. I'm not that kind of
person. When I drink, I am not a
risk taker. I also look after my
family. For example, I take
excellent care of my family and
even meet their needs before they
ask. I pay bills. I do everything
correctly, so I've never felt like a
drunkard. Not only that, but I have
a good relationship with my
neighbour’s, they don't complain
about my drinking. They invite me
to occasions, and I invite them to
functions at my home. Except for
my wife, no one ever complains
about my drinking. Do you think
am an alcoholic?
C20 Okay. Before I answer. What do Open question encouraging the
you think of this question? client to express
more information
T20 I don't feel like an alcoholic
because I provide for my family, no
one speaks negatively about me,
I'm not a troublemaker at work, and
 I meet my goals. Except for my
wife's complaints about my
drinking, I have a good image
among my family and my friends.
So I don't consider myself as an
alcoholic. I consider drinking
as something I do in my spare time
or as a form of entertainment.
C21 But when I consider what you said Interpretation Helps to identify
about your memory problems, I felt feelings, patterns
like you are quite confused, that is and behaviour that
on one hand, you can see some are suggested or
warning signs that you are drinking implied by the
too much, like your father did, and client’s
it worries you. On the other hand, communication.
you don’t really fit your picture of
an alcoholic. Is it like that?
T21 Yes, what you said is correct. I
have some problems and issues, but
I am not an alcoholic.
C22 And that’s why thus far it hasn’t Open question encouraging the
seemed like you needed to do client to express
anything. But now you’re here. more information
Why now?

T22 It just seemed like I ought to talk

to somebody. I don’t want to
ignore this. I saw what happened to
my dad, and I don’t want that to
happen to me and my family.
C23 Your family is really Clarification checking out what
important to you. the therapist heard
 of the client’s
message.
T23 Yes they are important to me.
That’s why I came here.
C24 And it sounds like they Immediacy
love you, too. Your wife cared
enough to tell you how worried
she is about your drinking. It must
have been a difficult thing for you
to decide to come here and I
appreciate you for being so open
here. It’s not an easy thing that you
did, coming here.What do you
think of just I said?
T25 Yehh.. It took me a long time to
decide to come here. Normally,
going to see a psychologist or a
psychiatrist is frowned upon. Even
though I had somewhere to be,
and a friend invited me to
accompany him I decided to come
here. So, ma'am, do you think I'm
an alcoholic?
C26 That’s a term that means
many things to different people and
I don’t think it is important to label
you under the term ‘Alcoholic’.
What matters, really, is that we
take a good close look at what’s
going on here. I can see why you’re
concerned, and I’d like to help you
get clear on what risk you’re
facing, and then what, if anything,
 you want to do about it.What do
you think?
T26 Yehh . I believe we should first
address the major issues, such as
memory loss and blackouts. Maam
what can I do about this?
C27 I think that first we ought to get a Information Giving Information giving
better picture of your present is also helpful when
situation. What you have told me clients are not aware
so far raises a few concerns, but we of the
really don’t know enough yet to possible outcomes of
make good decisions. What I a particular choice or
would suggest, then, is that we take plan of action.
some time for a good check-up.
There are some questionnaires you
could answer, and I’d also like to
spend a couple of hours with you
getting more helpful information.
After that, when we have a clearer
picture of exactly what is
happening in your life, we can
focus on your options. What do
you think? Are you interested
enough to spend a couple of hours
finding outmore about yourself?
T27 Yes.Iam wiiling to do all these. I
want to come out of these issues.
Iam wiiliing to do all these.
C28 Okay, That’s great.So, in order to Open question
gain a better understanding of your
situation, could you please describe
what you usually do during the
week? Please try to explain your
 drinking habits, including who you
drink with and when you drink.
T28 Normally, I don't drink on
Mondays; instead, I go to work,
then to a bar, and then to a friend's
place from there. If I went outside
with my family on Tuesday, I may
or may not drink. On Wednesday,
I'm thinking about going
somewhere with my friends, like a
resort or something. It all depends
on the day.
C29 So, do you drink on a daily basis? Closed question Gathering specific
information
T29 I don't usually drink every day. It
all depends on circumstances. If
there was a party, or if my friends
came over, I might drink. However,
I refuse to drink If my family
requires me at that time.
C30 Can you explain your drinking Open question
habits on weekends, i.e. on
Sundays and Saturdays, including
who you drink with, when you
drink, and how much you drink?
T30 Normally, I drink four peggs and
then forget about the counts. When
I'm with friends, we'll occasionally
cook. We'll be around six or seven
people, and we usually buy three
litres. After this , I return home
with little to no recollection of
what had happened. This is
 something I am absolutely certain
of.
C31 On Sundays, did you drink until Closed question Gathering specific
you lost consciousness? information
T31 yess
C32 Do you have a favourite group of
friends or people to drink with?
T32 I only drink with people with
whom I am comfortable, and I
never drink alone.
C33 So you were saying that you don’t Paraphrase client become aware
drink alone and you drink only that the therapist
with people whom you are understood him.
comfortable with.
T33 There were also days when I began
drinking first thing in the morning.
But I don't drink alone very often.
C34 So you've told me about your Open question
drinking habits on weekdays and
weekends. since this is our first
session, I believe we can make a
rough estimation of how many
standard drinks you consume.
Could you please tell me how
much you drink on weekends and
weekdays?
T34 On weekdays I might drink 6 to 8
peggs and on weekends 11 to 12 ,
something like that.
C35 So, what kind of alcohol do you Closed question Gathering specific
usually consume? information
T35 Brandy
C36 So, when we calculate. A typical Information giving Information giving
drink of any brandy contains 42 is also helpful when
percentage of alcohol. Based on the clients are not aware
information you provided, we can of the
estimate that you consume possible outcomes of
approximately 85 drinks per week. a particular choice or
What are your thoughts on this? plan of action.
T36 I've never done these estimations
before, and I'm quite surprised to
know this.
C37 Yes, it must be surprising and Reflection of feeling helps clients to feel
shocking for you. I can even tell by understood, helps
your body language. clients manage
feelings. encourage
clients to express
more of their
feelings
T37 Yeah, I'm surprised and shocked.
I've never made a calculation about
this. This also shows that I spend a
lot of money on alcohol. Even
though I drink this much Well, I
don’t ever feel that drunk. Why is
that?
C38 That could be because you've Information Giving Information giving
developed an alcohol tolerance, is also helpful when
which means that if we drink a clients are not aware
consistent amount of alcohol for a of the
long time, our bodies will lose possible outcomes of
sensitivity to the physical effects of a particular choice or
alcohol, which is responsible for plan of action.
the dizziness and shaking you
experienced after drinking. As a
 result, you'll need more alcohol
than usual to feel euphoric once
more.
T38 Okay
C39 Then let me try to summarize In Summarization To tie together
recapitulation, the multiple elements of
where we are, and you can tell me client messages. It
if I’ve counselor collects the brings direction to
left anything out.You came here , the interview by
partly because the urging of your focusing on the
wife,You were aware that your theme of the client
drinking has been
going up over the years.You
were also aware that you drink
more
than other people, and you appear
to have a high tolerance for
alcohol, just like your father. You
care about your family and don't
want your drinking to have the
same impact on them as your
father's drinking did. Then we
evaluated your drinking habits.
When we calculated the number of
standard drinks you consume, it
came to around 85 standard drinks.
When compared to the average
man, this does not appear to be
normal. This caught you off guard.
Do you want to add anything else?
T39 I think I want to change my habits.
What can I do madam? I will
follow your instructions.
C40 This is a significant step. You've Termination.
noticed that your drinking is having
an impact on your life. To resolve
this issue, we need to learn more
about your drinking habits, such as
how it affects your relationships
and other aspects of your life, and
how your drinking habits started.
So, if you agree, we can schedule
another session for this week. I
believe that if you bring your wife
to the next session, we will have a
better understanding of your
situation. We can inquire about her
opening and proceed together. So,
if you are ready for the next
session, please contact my office.
T40 Yes, ma'am, I'm ready for the next
session, and I'll contact your office
to schedule another appointment.
C41 Thankyou Ravi.