1. Briefly outline four possible sources of information that a counsellor and client could use tohelpmonitortheclient'sprogressanddeterminewhetherornotitistimeforthecounsellingrelationshiptocometoanend.

2 Counsellorsshouldplan for theendofcounsellingfromtheveryfirstsession.Brieflyoutlineone(1)wayinwhichcounsellorsdo

3.SelectTrueorFalseinrelationto thefollowingstatements:

3.1 Counsellors should not discuss termination/the end of the counselling process until thelastcounsellingsession.

True False

3.2 Ending counselling can createfeelingsoflossin some clientsthatmayneedtobeaddressedpriortothe counsellingrelationshipending.

True False

3.3 Reviewing the client's progress can help the client feel more prepared and empoweredforthe end of counselling.

True False

3.4 As the counselling relationship is coming to a close, it is appropriate for the counsellorandclienttoreviewtheirworktogetherinordertoidentifychangestheclienthasmade,tohonourtheclient'spersistenceandachievements,toaffirmtheclient'sstrengths,andto discuss how theclientwill applytheirnew skillstodailylife.

True False

4 Imagine that you have been working with a client, Steve, for the last seven weeks. Youoriginally contracted to work together for ten weeks. You believe that Steve has made greatprogress towards his goals and will be ready for the counselling relationship to come to aclose at the end of the originally contracted sessions. However, because you have beenworkingwithSteveonsomehighlyemotionalissues,youthinkitisimportanttopreparehimfortheendofthecounsellingrelationshipandreviewwhetherthereareanyadditionalissueshewould like todiscussbefore counsellingends.

Intheappropriatespacebelow,writewhatyouwouldsaytoStevetofacilitatethisdiscussion

andoutlinewhyyouhavedecidedtousethisstatement/question.

5 As the counselling relationship is coming to a close it is useful to remind the client of theprogresstheyhavemade.Brieflyoutlinehowacounsellorcando

6. Whenreviewingclientprogressastheendofcontractedsessionsareapproaching,thecounsellorshould enable the clienttoconsider...

1. Whathaschangedforthem.
2. Whathasnotchanged forthem.
3. Theimpactthatcounsellinghashad.
4. Whethertheycancontinuetoworktowards/maintaintheirgoalsoutsideofthecounsellingrelationship.
5. Allof theabove.

Yourresponse:

7. Whydoyouthinkitisimportanttosupporttheclient'ssenseofautonomyduringtheendingof the counselling relationship and how can a counsellor can do ?

8 SelectTrueorFalseinrelationto thefollowingstatements:

8.1 If a client has not achieved 100% of their counselling goals by the end of the initiallycontractednumberofsessions,thecounsellormustrecontractforadditionalcounsellingwiththe client

True False

8.2 Counsellorsmustensurethananysupportoptionsdiscussedcomplywiththeirorganisation'spolicies and procedures.

True False

8.3 Whenconsideringopportunitiesforfurthersupport,counsellorsshouldconsiderpossibleeconomicbarriersthattheclientmayfaceanddiscussserviceoptionsthattheclientcanactuallyaccess.

True False

8.4 Thereisnoneedtodocumentadditionalsupportsagreeduponunlessitinvolves

recontractingwiththecounsellor.

True False

9. Briefly outline four (4) different opportunities for additional support that counsellors mightdiscusswiththeirclientsastheoriginallycontractedcounsellingrelationshipdrawstoanend.

10. Imagine that you are reaching the end of your contracted counselling sessions with each ofthe following clients. For each, consider their need (or not) for additional support and brieflyoutlineanyoptionsforsupportthatyouwouldexplorewiththeclient

10.1 YouhavebeenworkingwithPippaforthelastnineweeksonissuesofsocialanxiety.Shehas achieved most of her goals, however, during your monitoring processes you haveidentifiedthatPippaisunhappywithherprogressinrelationtoaspecificgoalofimprovingherabilitytoengage inpublicspeaking.

10.2 Youhavebeen working with Jamesfor thelastfiveweeksin relation tohisissuesregarding stress atwork. Together youhaveexploredanumber ofstressandtimemanagement techniques. Your monitoring processes have revealed that James is happywith his progress and goal attainment and that he is confident that he will be able tocontinueimplementingthetechniquesthathehaslearnedafterthecounsellingrelationshipcomestoanend.

10.3 You have been working with Ravi for the last ten weeks in relation to his dissatisfactionwith his life, career, and marriage. During the counselling process Ravi raised a lot ofmarital issues and, recently, he has discussed the possibility of engaging in counsellingwithhiswife(i.e.,couplescounselling).Youdonothaveexperienceincounsellingcouplesand,evenifyoudid,itwouldbeethicallyinappropriatetostartcounsellingwithRaviandhiswife asacouple givenyourexistingcounsellingrelationshipwithRavi.

11. Imagine that you have just started working with a new client, 43 year old Bryan. During theinitial contracting discussion you notice that Bryan is sitting with his arms crossed over hischestandislookingatthefloor.Whileheanswersyourquestionsandagreestotheproposed

counselling relationship, you observe that he does not appear to be very interested in theprocess.

You ask Bryan why he has come to counselling today. Bryan tells you that he is there at theinsistence of his wife who believes that he has anger issues but that she is overreacting andthatheisn'tthatbad-heneveryellsatorabuseshiswifeorfamily,only"idiots whoneedtobe told what they've done wrong". Bryan then tells you that he doesn't really need help andtheonlythingthatcounsellingwillachieve is keepinghis wife happy.

11.1 Imaginethatyouhaveastrongpersonalaversiontopeoplewholosetheirtempereasily.What impact do you think this could have on your capacity to be non-judgemental anddevelopaneffectivecounsellingrelationshipwithBryanandhowwouldyouintenduponaddressingthis?

11.2 Consider Bryan's current attitude towards counselling and the psychological barriers heis facing. What steps would you take to help Bryan feel more engaged in the counsellingprocess and comfortable enough to open up and discuss his concerns?

11.3 Inthespacebelow,writeaquestionthatyouwouldaskBryantoencouragehimtobeginsharinghis story.

11.4 Bryan tells you that last week he was involved in a minor 'road rage' incident in which itgot out of his car at a set of traffic lights and screamed at a woman in the car in front ofhim who had cut him off a few minutes before. Bryan's wife was in the car with him andtold Bryan that he needed to get counselling for his anger issues or she would considerleaving him. Bryan tells you that his wife overreacted and that the incident was fairlyminor - he says that he only yelled for about 60 seconds and then got back in the car -butthathewants to keephiswife happysohehas cometocounselling.You want to encourage Bryan to share more of his story so it is important that stay withBryan's perspective/frame of reference. In the space below, write what you would say inresponseto Bryan'sdisclosure.

11.5 You want to learn more about the nature and depth of Bryan's concerns. List threequestions that you would plan to integrate into the counselling discussion in order tobetterunderstandBryan'spossibleangerissues,theimpactthatangermaybehavingonhis life, and why Bryan's wife believes he needs counselling

11.6 During the counselling conversation Bryan tells you that his wife is quite a placid personand can't always understand his need to 'vent'. Bryan admits that he can get a 'little hotunder the collar' and that it does get him into trouble sometimes but that it isn't as badas his wife makes it out to be. Bryan says that he only points out what people are doingwrong and that if he doesn't tell them, they may never learn. Bryan says that he mainlygets set off by people who can't drive and blokes at the pub who are talking rubbish.During the conversation, Bryan also mentions that his desire to make sure people aredoing the right thing has gotten him into a little trouble at work - a few colleagues havemade complaints against him for telling them off when they do something wrong andthathehasbeenfiredfromafewjobswhenhewasyoungerfortellingthebosstherightwaytodothings.Consider the parallels and links in Bryan's stories. In the space below, write what youwould say to Bryan to encourage him to consider these links.

11.7 Imagine that over the course of the discussion, Bryan acknowledges that he does havesome anger issues that he would like to address. By the end of the session you havehelpedBryandeveloptwobroadcounsellinggoals(1.Identifyangertriggersand2.Learnand apply mindfulness and relaxation skills when anger is triggered). You also exploredthepossibilityofBryankeepinganangerdiary.Bryanseemedtobealittlehesitanttodo and you have decided that it would be appropriate to discuss the possibility of thisintervention later in the counselling relationship when Bryan is more comfortable withthe counselling process (you have found that the use of anger diaries is very effective inhelping clients identify their anger triggers). For now, Bryan has expressed an interest inlearningmoreaboutmindfulnessandapplyingsomemindfulnesstechniquesfromacceptance andcommitment therapy tohelp him better manage hisanger (he haspreviously read a book about mindfulness and was intrigued by the concepts - Bryanbelieves thatthese techniqueswouldworkwell forhim).

Ultimately,Bryanhasagreedtocontractwithyoufortwelvesessions.Togetheryouhavealsoagreedtothat youwillmonitorthecounsellingprocessbyengaginginverbalmonitoringeverythirdsessionandBryanwillalsocompleteaclientsatisfactionfeedbackformatthemidwaypointof thecontracted sessions(e.g.,atsession6).

Document the details of what you have agreed in the blank fields of the counselling planbelow.

COUNSELLINGPLAN

Clientname:BryanSmith

Involvementofotheragencies/referralinformation

None

Specialneedsinformation

Noneidentified
Recordingofclient'sownidentifiedpriorities
Observedclientrequirements
Goals
Monitoringwhichwillinclude:
Counsellorsignature:	Date:

11.8 Imagine that you have now been working with Bryan for three weeks. One of the waysthat you agreed to monitor the counselling process was with a verbal review every thirdsession. List five (5) questions that you would ask Bryan as part of this review.

11.9 During the review process Bryan tells you that he thinks that you are a good counsellorand that he feels comfortable with you. He also says that he really enjoys the discussionthat you have after each of the ACT/mindfulness interventions and that he thinks thesediscussions are important in helping him understand how to really get the most out ofthesetechniques.Healsotellsyouthat,sometimes,hefeelsasthoughthesediscussionsare a little rushed, particularly when you have included a number of interventions withintheone session.

Consider this feedback and, in the space below, briefly outline what changes you wouldyoumaketoyourapproachofworkingwithBryan.

11.10 AtthebeginningofthefourthsessionBryancomesintothesessioninastateofagitation.Hetellsyouthattodayhewaspulledintoameetingbyhisorganisation'shumanresourcesmanagerwhotoldhimthatoverthelast12monthsanumberofhiscolleagueshadmadecomplaintsregardingBryanyellingatthemandmakingthemfeeluncomfortable in the workplace. The HR manager told Bryan that due to the number ofcomplaints, he is required to attend a disciplinary meeting next week in which he willneedtoaddresshowheplansonchanginghisbehaviour.Bryantellsyouthatheisscaredthat if he does not handle this meeting appropriately he will lose his job. Bryan also saysthathe knows that his angerissuescanbetriggeredbyanxietyandhe is concernedthathis anxiety during the meeting will cause him to lash out and lose his temper in themeeting.You had originally planned on spending this session helping Bryan learn more about hisangertriggersandhowtoidentifyearlysignsofanger.Doyouthinkitwouldbeappropriate to continue with the original plan for the session or work with Bryan on hisimmediateissue?If you believe it would be most appropriate to continue with your original plan, justifyyour reasoning in the space below. If you believe it would be most appropriate to workwith Bryan on this new issue, justify your reasoning below and outline what you wouldfocusonduringthecurrentsession.

11.11 Imagine that you have now been working with Bryan for nine weeks. Bryan begins yourcurrent session by mentioning that he was almost late because he almost got into anaccident after a driver pulled out of a driveway without looking. Bryan laughs about howannoying it would have been because he had just picked up his car from the repair shopaftergettingsomehaildamagerepaired.YouthinkthatBryan'sstoryisquiteanimportantdemonstrationoftheprogressthathehasmade-beforecounsellingitislikelythatatrafficincidentsuchasthatonewouldhavetriggeredaroadrageincident,whereastodayBryanwas talkingaboutitasanamusingincidentwithno indicationsof anger.Inthespacebelow,writewhatyouwouldsaytoBryantoenablehimtoreflectuponwhatthisstoryrevealsabouttheprogressthathehasmadeduringcounselling.

11.12 You believe that Bryan will be ready for the end of counselling in three weeks' time butwant to spend some time preparing him for the end of your counselling relationship andalso explore whether there are any additional issues that you need to address before theconclusion of your counselling. In the space below, list three (3) questions that you couldaskBryantodo

.

11.13 WhilepreparingBryanfor theendingofthecounsellingprocessyouwanttoencourageBryanto...

1. Reflectonwhathas changedas wellas whathas notchangedforhim
2. Feelmoreempoweredandpreparedfortheendofthecounsellingprocess
3. Considerhowhecanmaintainhisprogressoutsideofthecounsellingrelationship
4. Understandthenatureandimpactofhisangerissuesandreviewtheskillsthathehas learnedtoaddress these
5. Alloftheabove

Yourresponse:

12. YouareabouttobeginyourfinalcontractedcounsellingsessionwithBryan.Overthelastfew sessions you have discussed the progress Bryan has made and his feelings aboutcounsellingcomingtoanend.Bryanhastoldyouthatheisveryhappywiththeprogressthathehasmade.Heisnowabletoidentifyearly triggersandimplementvariousmindfulnessandrelaxationtechniquestoensurethathedoesnotlosehistemper.Duringyour last session, Bryan expressed a real happiness with how far he had come. Whatwould you plan on focusing on during this final session together in order to effectivelybring your counselling relationship with Bryan to aclose?