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This document outlines the requirements for a practicum journal assignment involving two parts. For part one, the student must select a client they observed or counseled, describe the client and their history/medications, justify a DSM-5 diagnosis, explain if existential-humanistic therapy would benefit the client and expected outcomes, and discuss any legal/ethical implications, supporting their approach with evidence. For part two, the student must reflect on their clinical supervision experiences, how often they receive supervision, what the sessions are like, what their preceptor brings attention to, and how they translate sessions to their clinical practice.

Education

* The Assignment
For
Part 1
, select a client whom you observed or counseled this week
(other than the client used for this week’s Discussion). Then,
address the following in your Practicum Journal:
Describe the client and identify any pertinent history or medical
information, including prescribed medications.
Using the DSM-5, explain and justify your diagnosis for this
client.
Explain whether existential-humanistic therapy would be
beneficial with this client. Include expected outcomes based on
this therapeutic approach.
Explain any legal and/or ethical implications related to
counseling this client.
Support your approach with evidence-based literature.
For
Part 2

, reflect on your clinical supervision experiences. Then, address
the following in your Practicum Journal:
How often are you receiving clinical supervision from your
preceptor?
What are the sessions like?
What is the preceptor bringing to your attention?
How are you translating these sessions to your clinical practice?

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|06|identifying exceptions and RECOGNIZING WINS “We can always choose to perceive things differently. We can focus on what’s wrong in our life, or we can focus on what’s right.” Marianne Williamson RECOGNIZING WINS | 98 Where We Have Been In the previous chapter, you learned the concept of neuroplasticity, the brain’s ability to be “plastic” or “changeable” in nature by actually growing new neural pathways when tasked with creating new thinking patterns. You also discovered that you cannot always trust your thoughts as they can get stuck in the habit of delivering faulty information based on self-limiting and self-sabotaging beliefs. You were also introduced to the concept of cognitive reframing, which highlights your ability to view the same information or experience through a different and more productive frame of reference. And finally, we shared the narrative concept of externalizing problems; the concept invited you to examine whether your self-concept was too closely defined by common problems like procrastination, anxiety, or overwhelm. We further examined what steps to take to start to have a constructive relationship with externalized problems by dialoguing with them as a way of escaping their impact. Where We Are Going In this chapter, we will dive deeply into the concept of finding exceptions to problem-saturated stories. Returning again to Angela, we will use her story as a teaching tool as we bring into focus exactly how the narrative process is engineered to discover these exceptions to problems. Highlighting her process will set the stage for you to highlight your own as you begin inquiring into your own personal narrative in a way that draws on actual evidence from your own life story thus far. In this chapter, you will come to find that you, like us all, have unexamined exceptions to the problem-laden beliefs that may be hard to abandon. Because of this, you will be taught how to explore the creative process of finding exceptions—those times when despite all odds and the many neural pathways that have already been carved so deeply to support the dominance of problems, something exceptional still occurred (Figure 1). Gearing Up » To develop a new relationship to your problem(s), now that you have learned to externalize them » To expand your non-cognitive vernacular (generate more words to convey the Big 7) » To take cognitive reframing to the next level by learning how to find exceptions to your problems (times the problem wasn’t in control) » To understand the neuroscience behind asking the right questions and visualizing yourself as successful in combating the effects of your problem(s) » To see the importance of recognizing wins in your life » To recognize that your wins are not context dependent, but “you” dependent Figure 1. Exceptions can be found anywhere, even in something as simple as paying a bill on time rather than letting the problem of procrastination t.

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1. * The Assignment For Part 1 , select a client whom you observed or counseled this week (other than the client used for this week’s Discussion). Then, address the following in your Practicum Journal: Describe the client and identify any pertinent history or medical information, including prescribed medications. Using the DSM-5, explain and justify your diagnosis for this client. Explain whether existential-humanistic therapy would be beneficial with this client. Include expected outcomes based on this therapeutic approach. Explain any legal and/or ethical implications related to counseling this client. Support your approach with evidence-based literature. For Part 2

2. , reflect on your clinical supervision experiences. Then, address the following in your Practicum Journal: How often are you receiving clinical supervision from your preceptor? What are the sessions like? What is the preceptor bringing to your attention? How are you translating these sessions to your clinical practice?

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