i currently work with clients with TBI in my psychotherapy internship?
April 222010
Counseling brain injured clients is so odd; I am never sure what to delve into and what to allow to fade into the recesses of their damaged brains. Sometimes I feel that all I am doing is trying to make them feel heard and worthy. Inside I fear that this isn’t therapy at all. I am learning relational skills, in a way I think that is deeper than found in most practicum experiences. And the therapeutic pace is slow, which I actually do appreciate. I can only hope that at some point my clients and I will move beyond relationship building, and together begin to explore something a little deeper.
How should I determine when to ask the client to discuss something that may bring them sadness? I feel like with brain injury, it’s a whole different ballgame.
I agree with no dirt on this one. I think that you are providing an important service to your patients, even if it doesn’t always feel like it. Just by listening to their stories and being supportive you are providing them with much needed compassion.
I think you will have to shift your focus a bit to provide this type of therapy. It’s not always about delving into the unknown here. Your mission is really to provide support.
Maybe, for example, you could bring something up and ask if they performed before their TBI? Maybe that would help to clarify for you what is caused by the TBI and what isn’t. Just an idea.
Also, try to become familiar with the results of a brain injury – this may involve some study of anatomy and/or neuroscience on your part. It varies significantly from person to person but just a basic understanding will surely help you.
Good luck. It’s a tough job but I think you will eventually find it quite rewarding.
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