Clinical Placement Report PlanB

Reflection: CBT Counselling Name Institutional Affiliation Instructor Course Date Reflection: CBT Counselling What I Would Reflect On The presented video presents a case of CBT Counseling Role-Play, where the client shows symptoms of borderline personality disorder. Reflecting on the counselling session, the first consideration would be the challenges and issues the client portrays. The client has problems associated with insecurities and fear of abandonment. These are from her past experiences and affect how the client perceives herself and her relationships (Grande, 2017). In one case, the therapist talks about how the client has spoken fondly of her boyfriend, but later, she started showing doubt, indicating that she has experienced lies in her other relationships. Relationships are a sensitive topic for this client. As a result, it would be essential for a therapist to approach the issue from a sensitive and understanding approach. This involves reassuring the client of a possible understanding and relationship, thus making it easy to address her issues and learn to trust (Jones, n.d). The counselling sessions show that the client seeks reassurance and someone she can trust. A therapist must focus on these patterns, balancing empathy and support.  I would reflect on the therapeutic methods used in the session. The counsellor made the proper choice of techniques by applying cognitive-behavioural strategies. Given the client's negative thoughts, the approach is practical in assisting her to consider journalling so that she can track her emotions (Grande, 2017). Evidence-based approaches would also be critical in this case as they are essential in treating anxiety and attachment issues which the client portrays. It would be necessary to reflect on the limitations of using CBT in this case. The approach can be practical in assisting the client develop coping skills, but it also has a disadvantage as it cannot help to address her past traumas and insecurities. The recommended approach would be a combination of methods such as CBT, interpersonal therapy and trauma-focused therapy (Velsen, 2024).  How the Counsellor Handled the Session The counsellor handled the session in a professional way. He applied empathy, thus encouraging the client to talk about her insecurities. The counsellor also used a client-centred approach, focusing on the client and ensuring she got the best assistance. The counsellor illustrated active listening skills, which allowed him to connect with the client's emotions and validate her emotions without expressing any judgment (Dallas, n.d). For instance, when the client communicates about her frustrations of rejection, the counsellor listens without interacting with her and acknowledges her feelings. Through reflective listening techniques, the counsellor could paraphrase the statements the client was giving, thus clarifying her thoughts and feelings. The approach effectively developed a deeper therapeutic rapport and promoted trust between the two (Anstiss, 2022). The patient also appears comfortable in sharing with the therapist.      During the session, the counsellor challenged the negative thought patterns and encouraged the client to embrace cognitive restructuring. In one case, the client was suspicious of the boyfriend's behaviour, and the counsellor approached the issue differently, where she was asked to think about possible alternatives (Velsen, 2024). The counsellor provided a guide to the client where she could determine how her emotions and thoughts were connected. The counsellor's strategy with the client was effective in challenging negative thoughts and beliefs, thus creating ...