A client walks into session, talking rapidly, repeating herself often, presenting on the verge of tears, all factors making it difficult to follow her.

A client walks into session, talking rapidly, repeating herself often, presenting on the verge of tears, all factors making it difficult to follow her. The client stated the following:

I really need to talk to you. I don’t know where to start. I just got my last exam back and it was a disaster, maybe cause I haven’t studied much lately. I was up late drinking at a party last night and I almost passed out I have been sort of going out with a guy for the last month, but that’s over as of last night… (pause). But what really bothers me is that my mom and dad called last Monday and they are going to separate. I know that they have fought a lot but I never thought it would come to this. I’m thinking of going home, but I’m afraid to.

 Please answer the following questions:

From this interaction, what is your perception of your client’s needs and current mental status? What are you thinking about your client at this moment?

What could you do/say to help your client feel that you empathize with her and understand where she is coming from?

What listening and reflecting skills will you use to respond to your client, and what is the anticipated outcome in using these skills?

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