Linaroid-Psych AI Client-Video

Linaroid-Psych AI Client:

Client in A Pocket: Panic Disorder : The Pensive Introvert : Reflecting Skills Outcome Evaluation and Termination Skills : Reluctance to Express Emotions Withdrawal

A therapy session simulation to improve Reflecting Skills Outcome Evaluation and Termination Skills skills for student consular by simulating The Pensive Introvert client personality with Reluctance to Express Emotions Withdrawal resistance type in Panic Disorder DSM Case.

Session:

[CONSULAR]: Welcome back. How have things been since our last session?

[CONSULAR]: Oh, you're still feeling overwhelmed? We’ve talked about this before; why do you think it’s still an issue for you?

[CONSULAR]: You keep experiencing these feelings of panic, which we've discussed many times. Haven't we gone over how to handle this? Why are you still struggling with the same issue?

[CONSULAR]: It sounds like you’re saying it’s too hard for you, but this shouldn’t be so difficult. Why don’t you follow the steps we talked about more closely?

[CONSULAR]: Well, if it were me, I would just stick to the methods we've already discussed. But if you really think we need to try something else—though I don't see why the current methods wouldn’t be enough—we can look into other options. What do you want to try then?

[CONSULAR]: You really think that adding more techniques will help? Most people don't need to complicate things. However, if you insist on trying these extra methods, I suppose we can discuss incorporating relaxation or mindfulness into our sessions. But really, you should be able to manage with what we've already covered.

Supervisor's Feedback for each Turn:

Consular Feedback:

[CONSULAR]: Welcome back. How have things been since our last session?

Skill Used: Invitational Skills - Verbal encouragers.
Rephrased: "Welcome back. I'd love to hear about how you've been doing since our last meeting."
Feedback: This opening is a good use of verbal encouragers to make the client feel welcomed. However, it could be improved by inviting the client to share more about their feelings or any specific events rather than a general inquiry, to encourage a deeper conversation.

[CONSULAR]: Oh, you're still feeling overwhelmed? We’ve talked about this before; why do you think it’s still an issue for you?

Skill Used: Questions (open) but leading.
Rephrased: "It sounds like feeling overwhelmed is still a concern for you. Can you share more about what situations are making you feel this way?"
Feedback: The question could be seen as slightly confrontational by implying the client should have overcome this issue. Rephrasing it to focus on understanding rather than questioning past discussions would be more supportive.

[CONSULAR]: You keep experiencing these feelings of panic, which we've discussed many times. Haven't we gone over how to handle this? Why are you still struggling with the same issue?

Skill Used: Challenging skills - Confrontation.
Rephrased: "It seems like the panic attacks are still very challenging for you. Let’s explore what happens during those moments when the strategies we discussed seem less effective."
Feedback: This statement can be perceived as critical. Using confrontation should be more empathetic and aimed at empowering the client rather than making them feel failed or judged.

[CONSULAR]: It sounds like you’re saying it’s too hard for you, but this shouldn’t be so difficult. Why don’t you follow the steps we talked about more closely?

Skill Used: Challenging skills - Giving feedback.
Rephrased: "I hear that it’s been really challenging. Let’s go over the steps together again to see how we can adjust them to work better for you in those tough moments."
Feedback: The response could discourage the client by minimizing their feelings. It's essential to validate their experience and reframe the discussion towards joint problem-solving.

Skill Used: Invitational skills - Questions (open, albeit reluctantly asked).
Rephrased: "It’s important that the methods we use work well for you. I'm open to exploring additional strategies that could complement what we are doing. What specific areas would you like to enhance with new techniques?"
Feedback: The consular's reluctant tone might make the client feel their needs are unimportant. A more open and genuinely inviting approach would foster a more positive therapeutic alliance.

Skill Used: Challenging skills - Giving feedback.
Rephrased: "Exploring additional techniques like relaxation or mindfulness could be valuable. Let’s discuss how we might integrate these into our strategy and see how they can support you."
Feedback: This response is somewhat dismissive and could potentially alienate the client. More encouragement and openness to the client's suggestions would better support their agency and engagement in the therapy process.

Client Feedback:

[CLIENT]: Thank you. Things have been about the same, I suppose. I’m still feeling a bit overwhelmed at times, but I’m managing. It’s hard to say if there's much improvement, but I'm here to try and understand things better. {'utterance': 'Thank you. Things have been about the same, I suppose. I’m still feeling a bit overwhelmed at times, but I’m managing. It’s hard to say if there's much improvement, but I'm here to try and understand things better.'}

[CLIENT]: Well, I think it's because the feelings of panic just come out of nowhere. Even when I try to reassure myself that there's nothing physically wrong with me, the fear of having another attack lingers. It's like I'm constantly on edge, waiting for it to happen again. {'utterance': 'Well, I think it's because the feelings of panic just come out of nowhere. Even when I try to reassure myself that there's nothing physically wrong with me, the fear of having another attack lingers. It's like I'm constantly on edge, waiting for it to happen again.'}

[CLIENT]: It’s just that even when I try to apply the strategies we've talked about, the intensity of the feelings during a panic attack makes it hard to keep control. I understand what we've discussed, but in those moments, it feels almost impossible to manage the fear. It’s frustrating, I know. I’m trying to get better at it. {'utterance': 'It’s just that even when I try to apply the strategies we've talked about, the intensity of the feelings during a panic attack makes it hard to keep control. I understand what we've discussed, but in those moments, it feels almost impossible to manage the fear. It’s frustrating, I know. I’m trying to get better at it.'}

[CLIENT]: I appreciate your guidance, and I do try to follow the steps we discussed. However, when an attack comes, it feels overwhelming, and sometimes it's hard to remember or implement the strategies effectively in that state. Maybe we could explore other methods or additional support that could help me manage better during those intense moments. {'utterance': 'I appreciate your guidance, and I do try to follow the steps we discussed. However, when an attack comes, it feels overwhelming, and sometimes it's hard to remember or implement the strategies effectively in that state. Maybe we could explore other methods or additional support that could help me manage better during those intense moments.'}

[CLIENT]: I understand the methods we've discussed are valuable, and I do try to apply them. Perhaps exploring additional support like relaxation techniques, or mindfulness practices could complement what we are already doing. It might give me a broader set of tools to handle the panic when it starts, making it a bit easier to manage. What do you think about incorporating those into our sessions? {'utterance': 'I understand the methods we've discussed are valuable, and I do try to apply them. Perhaps exploring additional support like relaxation techniques, or mindfulness practices could complement what we are already doing. It might give me a broader set of tools to handle the panic when it starts, making it a bit easier to manage. What do you think about incorporating those into our sessions?'}

Supervisor's Feedback Whole Session :

Feedback

Strong

Invitational Skills: The consular began the session well by welcoming the client and acknowledging their ongoing process, which sets a positive tone for the session.
Questioning for Assessment: The consular effectively used questioning initially to understand the persisting issue of feeling overwhelmed, which helped in trying to gauge the present state and issues of the client.

Weak

Reflecting Feelings: The consular could have focused more on reflecting the client's feelings of panic and frustration to validate their experiences better.
Nonjudgmental Tone: The consular's responses sometimes bordered on being judgmental, especially by implying the client's efforts should be resulting in more progress ("it shouldn’t be so hard," "Why are you still struggling with the same issue?"), which can make the client feel inadequate.

Missing

Summarizing: Throughout the conversation, there was a lack of summarization which could have helped in reinforcing understanding and agreement on issues and strategies discussed.
Empathy and Encouragement: More explicit expressions of empathy and encouragement were needed to bolster the client's confidence in managing their issues.

Avoid

Giving Advice Prematurely or Inappropriately: The consular quickly reverted to suggesting that the client should adhere more strictly to already-discussed methods without properly exploring why those might not be effective or sufficient.
Appearing Incredulous or Taking a Hierarchical Stance: The consular at times appeared dismissive of the client's suggestions ("You really think that adding more techniques will help?"), which may affect the egalitarian nature of the therapeutic relationship.

Additional

Enhancing Efficacy and Self-esteem: The consular could incorporate techniques aimed at boosting the client's self-efficacy related to managing panic attacks. Praising the client's efforts even when they struggle can improve their motivation and commitment to the therapeutic process.
Activating Client Expectations and Motivation: A more active exploration of what the client hopes to achieve and their personal motivation can lead to a more tailored approach that might yield better results.
Using Basic Methods for Evaluating the Effectiveness of Helping: Periodic evaluation of the effectiveness of the methods being used, done in a collaborative manner, would be beneficial. This could include asking the client which techniques they find most helpful or if adjustments need to be made based on their experiences.

Overall, while there were foundational elements present in the consular's approach, a more empathetic, validating, and client-centered approach would likely enhance the therapeutic relationship and effectiveness of the interventions. A shift from a slightly directive to a more collaborative and supportive stance could yield better outcomes for the client.