With reference to the Transtheoretical Model,Mandy is at the “Contemplation” stage of change as Mandy has been reprimandedby her boss due to her poor performance at work. She knows that she has aproblem with her drinking issues and sleepless night. However, she has turnedto alcohol just to ease her pain from her recent break up from a long-termrelationship. Mandy is now in ambivalence state which feels unsure to change.
Thus, she needs some motivation, encouragement to overcome her current stateand move on. Motivational Interviewing The purpose of this techniqueallows me to become a helper in the changing process and express acceptance toMandy. Throughout the whole interviewing sessions, I would need to be directivein helping Mandy to examine and resolve the conflicts thoughts that she isfacing currently. I will be starting to use SOLER framework (non-verbalskills) as the approach. It will help me with the rapport building as it willaid in the development of the counselling relationship with Mandy and alsocreating a sage therapeutic environment throughout the whole counsellingsession. Next, after building up rapport with Mandy, Iwill gain her trust and reduce her anxiety so that she will share and tell mewhat had happened to her. In order for that, I will use the four basic skillsin motivational interviewing, OARS (verbal skills). Starting with the firstskill, asking open-ended questions as this will makes her elicit fuller withmore meaningful responses by encouraging Mandy to talk longer.
e.g. “Tell memore about why you had been drinking lately.” Which Mandy will explain what hadhappened to her lately which caused her to be neglecting her duties at work.
Wecould ask more open-ended questions for her to voice out in the counsellingsession. Followed by 2nd skill, affirmingresponses. Giving affirming statements is one of the ways to build up rapportand knowing their positive behaviours and strengths which also will give themconfidence for them to change. E.
g. “I appreciate that you are were willing toshare your problems with me. If I were in your position, I might have a hardtime dealing with that amount of stress.” Following on, it’s the 3rd skill,reflecting listening skills. It is by paraphrasing what Mandy has comment inthe session which will stimulate a deeper understanding of the issue so thatMandy could examine the problem more objectively. E.g. “This is what I hearingabout your issues that you are facing; please correct me if I am wrong.
” Last skill would be summarizing, in this I willbe able to put together the key themes, issues and feelings which Mandy hasspoken about. In this skill, it also can be known as “Self-motivationalstatements”. This will allow Mandy to verbalize and recognize theissues/problems she is dealing with the observations that I have mention andasking whether is there any other further input. So, by applying SOLER(non-verbal) & (ORAS)verbalskills into the motivational interviewing techniques. Out of the fiveprinciples, I will be using Expressing Empathy and Develop Discrepancy.
Expressing Empathy By expressing empathy, listening skills isessential in understanding of what Mandy is facing in her current situation dueto her recent break-up from a long-term relationship. In the process of theinterviewing, I will let her understand her thoughts and feelings withoutjudging her as a form of respect in the counselling format. During theinterview, I will persuade her slowly and gently while letting Mandy understandthat the final decision whether to change or not is still up to her choice.Regardless so, I will still encourage her into changing for the better plusgiving her sometime to research on how people change when they are also at thecurrent stage as her. Develop Discrepancy The purpose of this interviewing is to developawareness of consequences which will help Mandy to examine her behaviour.
Byletting her to know the pros & cons about her partying and heavy drinkingissues which could affect her health & work performance which she had workhard over the years to a manager position who is in-charge of 15 staffs. I willask Mandy questions like. E.g. “What do you see your life to be if you are notmaking changes and continue in your night life partying and heavy drinkingissues?” Alternative, E.g.
“What do you think how your life would be differentif you are not in heavy drinking issues?” As Mandy share with me her story, Icould also share with her some videos and research which some how connected toher case. By doing so, she would understand the consequences if she continuesher present lifestyle and her life goal conflict. Which I can encourage her onfocusing on what she wants and change for the better. The reason why I choose the two out of the 5principles of Motivational Interviewing is because expressing empathy is themost important for all counselling interview. It can let me understand how isthe client going throughout the situation before coming in for the counsellingsession. Next is developing discrepancy, I can find out whether is there anydiscrepancy in work inefficiency between Mandy and her workplace.
S.M.A.R.T Goals Mandy has heavy drinking issues.
So, byapplying the S.M.A.R.
T format for the desired change. Specific Mandy’s goal is to have a drink on Friday or Saturday only. To improve her performance at work due to her job position and sleeping time at night to be more focus at work. Measurable Reducing to 3 times per week and slowly decreasing to 2 times per week and generally lowered down to once per week.
Checkpoint: I will call Mandy to check on her progress once every 3 days. Moderate exercise or activities (e.g., Yoga, Zumba, Dancing classes) during Mandy’s free time after work (at least once or twice per week). Checkpoint: Setting a day for her to exercise by seeing her weekly work schedule. Attainable/Achievable Replacing alcohol to healthier drinks (e.
g., Fruit juice, Water, Hot Chocolate/Milk, Green Tea.) while having her meals or hanging out with her colleagues/friends after work at night. Also by increasing her exercise or activities to at least 2~3 times per week. Relevant By asking Mandy’s families, friends, working colleagues to encourage/motivate her with the action and plan. So that Mandy could feel the support from them. Short-Term: Reducing her night parties and drinking issues which will improve her sleeping plus having a healthier lifestyle.
Long-Term: Improving Mandy’s performance at work and keeping her job. Time Limited/Time Based Reducing her night parties and drinking to 1~2 times only on Friday & Saturdays from the 4th week onwards. Increasing her exercise to 2~3 times a week on 5th week onwards. Psychological Barrier Mandy could have encounter some psychologicalbarrier issues during the change process. One of the psychological barrierwhich Mandy would have faced is Blaming. This is a common negative automaticthought which Mandy will be facing during the changing process, this conditionwill surface when she might be thinking that she is not good or perfect as agirlfriend in her long-term relationship which have caused the break-up.
Thiswill affect her self-esteem which will cause her to have emotion break down.Mandy might be facing this current stage right now whereas she will needalcohol to ease her pain. With reference to Mandy’s profile and situationthat she is currently in now, I will apply Cognitive Behaviour Therapy (CBT) onMandy to help her to overcome the psychological barrier which was issued in thefollowings, ~ Increasing her hope and commitment towardsher job.~ Encouraging Mandy to resolve her issuethrough her own efforts.~ Increasing Mandy’s self-awareness to herthinking and behaviour patterns.~ Preventing Mandy’s addition relapse towardsnight partying and alcohol.
~ Overcoming her sleepless nights. ~ Letting Mandy to learn some strategies tostop unwanted thinking and learn to think clearly of what she wanted andrationally. In order for Cognitive Behaviour Therapy (CBT)to be more effective on Mandy, I will need to work closely with Mandy’simmediate supervisor so that when she is recovering from issues that she isfacing, she won’t have unnecessary stress coming from her workload and troublesfacing from her team at work.