bipolar axis ii
Therapists, social workers, psychologists, etc … I am a practitioner of social work and need help driving groups.?
Internal I a residential center for girls between the ages of 14 and 17. There are issues such as rape, abuse and drug addiction, the Axis I major depression disorder bipolar, and Axis II borderline personality disorder and histrionic personality disorder. Individual sessions are good but not this group. The first group discussed purpose of the group. The residents were very strong and some came out and said he did not trust each other. The next group talked about trust and confidentiality is explained again, however the girls almost got into a physical fight (not related to therapy) and other groups seemed to produce great inconvenience or walk outs. I've talked to Clinical my consultant about this and she says I'm doing a good job because every time I could still some committed and participation has increased each group. But I do not know what to do for the next group when I start to talk about issues related to their therapy out any act and disrupt the group.
Hello. You need read "Essential Theory and Practice of Group Psychotherapy" by Irvin Yalom. The best book on the groups out there. Well, when I earned my Master's in Psychology I worked with the same population of girls and children were too rough! Most of them were from Camden, New Jersey (the murder capital of the world). Well, here's what I did: Group I: I shared with the children a little about me, to break the ice and seem "real" for them. I informed them that what is discussed in group stays in the group. So I had to turn to teenagers and the status of your name, age, and something about themselves. (You can make old trick, and carry lollipops and sweets group. Great break the ice as well.) So, I took my teenage years on a walk. A very long walk, and I purposely "used this time to meet individually adolescents, and identify the group dynamics. What I mean is, trying to lead his group? Who resist? Who is your little "drama queen" of the group lol? These are things you need to know. After the hike, I dismissed the group. Well, second group: Customers we supposed to go for a walk again. No. But, I found a corner of the residential to sit outside and we had group there. Boys waiting for the candy, so I was ready, but my center is financed. In this group, I passed out brochures to discuss issues that needed to call one of their group bulbs. The aim of this group was feeling. Once the girls got into it, I dug deeper and deeper. Some girls and boys never opened. Some did. There were tears, and sometimes we laughed. Not be punished for it. We get in the habit of wanting to save the world, and we simply can not save them all. There moments in my group that I wore that disclosures together, and sometimes I used "the free participation of the states" to keep the client's feelings central. Too many self-revelations will cost you credibility and make customers want to pity you. Oh, and the other thing I wanted to talk to you is in a residential program, these teens are together all day! I know in my program for my MA, adolescents from school, even had there. Only if the teens were in level system (for good behavior), were allowed to go to work outside the rink, cinema, bowling. I personally find a way to break these girls down. Especially if they are African Americans and Latinos. You have to understand from a multicultural perspective. I know that many felt uncomfortable around white mental health clinicians. I think that you are using black in my favor. I know some of my colleagues that in Caucasians, struggled with trust issues. So when breaking them, find something they have a common interest and slow start. You can not get to the meat and potatoes with them immediately. We must start with the best appetizer and how they work (if you catch my drift). Now, I know this is a group, but maybe you could get permission to do something fun with your daughters, only to break the ice with them. I think from reading your question, it sounds like you're very authoritarian with the girls and a red flag went up to him, who refused to comply with you. Candy is always good to break the ice. You could pass them around, but depending on the number of items they take, have to share something of themselves same for the group. Breaking the ice, remove clicks, build anxiety about having to sit in assigned seats perhaps use a little self-disclosure without losing your position authoritative, and start rebuilding the group. In addition, some good readings are important to Latinos and African-American multicultural counseling.
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