\n As the need continues to rise for increased accessibility of services, there are more options available for using telehealth. Since telehealth counselors are not in the same location as their clients, it is important to obtain a client\u2019s current physical location if safety concerns come up during a session.\n <\/p>\n
\n Read transcript excerpt from a telehealth intake assessment with a client who has experienced significant trauma and loss. The client has reached out to her employee assistance counselor after being urged by her supervisor to seek help. Please do not provide a lot of internet or book references. \u00a0Although a reference is needed.\n <\/p>\n
\n How are you Randall?\u00a0How are you today?\u00a0I’m doing okay.\n <\/p>\n
\n What brings us together today?\u00a0It’s kind of embarrassed thing.\n <\/p>\n
\n My supervisor asked me to give you guys a call\u00a0because I’m just kinda coming on glued.\n <\/p>\n
\n I haven’t been sleeping.\n <\/p>\n
\n Haven’t really been eating for the past, like week.\n <\/p>\n
\n I lost my house to a house fire,\u00a0something stupid my roommates did\u00a0caused me to lose like everything.\n <\/p>\n
\n Okay, so is this a recent event.\n <\/p>\n
\n Yeah, it happened last week.\n <\/p>\n
\n Last week, okay.\n <\/p>\n
\n You Randall, since we are on telehealth,\u00a0I need to ask a couple of questions.\n <\/p>\n
\n What is your actual physical address\u00a0in case I would need to send help to you?\u00a0I need to know what your actual physical address is\u00a0for this session.\n <\/p>\n
\n So like where I am right now?\u00a0Right now, right.\n <\/p>\n
\n I’m at work,\u00a0which is at 265, Cardinal Street.\n <\/p>\n
\n 265, Cardinal Street, okay.\n <\/p>\n
\n It’s in Downtown Phoenix.\n <\/p>\n
\n Okay, okay.\n <\/p>\n
\n And are you in an office suite or are you in an apartment?\u00a0I am in an office suite.\n <\/p>\n
\n It’s on the third floor, room 316.\n <\/p>\n
\n Okay, thank you.\n <\/p>\n
\n And from my office, I don’t have anyone around me.\n <\/p>\n
\n This is soundproof and HIPAA compliant,\u00a0Okay\u00a0But from what you are,\u00a0is there anyone who is an earshot that you are uncomfortable\u00a0hearing any conversations that we may be having?\u00a0No, my boss,\u00a0let me use his office so I could have total privacy.\n <\/p>\n
\n So no one else is in here.\n <\/p>\n
\n Okay, perfect.\n <\/p>\n
\n With counseling, have you been in counseling before?\u00a0No, so this is like totally weird for me.\n <\/p>\n
\n Okay, well, I’m going to make this\u00a0as comfortable as possible,\u00a0but I do want you to know\u00a0that everything we’d say is confidential\u00a0with the exception that if you do tell me\u00a0that you are suicidal or homicidal,\u00a0or that there’s some significant event of abuse\u00a0in your life, that’s happening,\u00a0I would have to break that confidentiality.\n <\/p>\n
\n Do you understand that, okay?\u00a0Yeah, yeah, I understand.\n <\/p>\n
\n Wonderful, okay, with that being said,\u00a0you have disclosed that you had a house fire a week ago.\n <\/p>\n
\n Yeah.\n <\/p>\n
\n Displaced, and that now at work,\u00a0you’re really experiencing a lot of nervousness,\u00a0anxiety, depression, what’s the…\n <\/p>\n
\n Yeah, I mean, I’m sad.\n <\/p>\n
\n I’m anxious, like I really haven’t slept.\n <\/p>\n
\n ‘Cause every time I close my eyes, I smell smoke.\n <\/p>\n
\n ‘Cause the fire, like the smell of the smoke,\u00a0it’s what woke me up.\n <\/p>\n
\n So like going to sleep is just terrifying for me\u00a0because I feel like it’s just a nightmare\u00a0that I keep reliving.\n <\/p>\n
\n Right, so as far as sleep,\u00a0have you spoken to a medical professional?\u00a0Have they talked to you about anything to help\u00a0was in the moment?\u00a0I talked to my doctor, so my doctor’s still out of state,\u00a0so he couldn’t prescribe me anything,\u00a0but he suggest that I take melatonin.\n <\/p>\n
\n So I’m gonna get some today to try to see if that helps.\n <\/p>\n
\n Okay, do you have any kind of past history\u00a0of emotional disorders of depression, anxiety,\u00a0any previous PTSD trauma,\u00a0any previous post traumatic episodes?\u00a0Not that I’ve been diagnosed with,\u00a0like I am a pretty anxious person anyway,\u00a0but it’s something that I’m able to\u00a0do usually have a really good handle on.\n <\/p>\n
\n Okay, so you have coping techniques\u00a0that you use for your anxiety to keep it in check?\u00a0Yeah, yeah, I usually like exercise and stuff,\u00a0but like all of my stuff kind of went up in smoke\u00a0for a lack of better words.\n <\/p>\n
\n Yeah, no pun intended.\n <\/p>\n
\n Yeah.\n <\/p>\n
\n It sounds like a little bit of humor.\n <\/p>\n
\n Yeah, that kind of helps me cope too,\u00a0’cause I mean, it’s nothing I can do about it.\n <\/p>\n
\n Luckily, no one was hurt.\n <\/p>\n
\n Like all this stuff can be replaced ’cause it’s stuff.\n <\/p>\n
\n But I moved out here like a month ago\u00a0to take this new job,\u00a0so like I’m here and like my support systems aren’t\u00a0so it’s really, really hard\u00a0’cause I have like, even this shirt that I have on,\u00a0it’s not mine.\n <\/p>\n
\n Like the only thing that I have is\u00a0the pajamas that I was wearing when I ran out the house\u00a0and the jewelry that I have on like, that’s pretty much it.\n <\/p>\n
\n So I’m having to get like new ID cards\u00a0and just like everything.\n <\/p>\n
\n So it’s just really stressful\u00a0and trying to be at a new job where I don’t time to take off\u00a0’cause I just started.\n <\/p>\n
\n Right.\n <\/p>\n
\n So safety factors, do you have a safe place to stay?\u00a0Right now, the Homeowners Insurance\u00a0put me in a temporary living\u00a0situation until like the investigation\u00a0and all that stuff is done.\n <\/p>\n
\n So, I mean, I’m somewhere safe, yeah.\n <\/p>\n
\n Somewhere safe , okay.\n <\/p>\n
\n Someone that is helping you\u00a0from the insurance end of things\u00a0to acquire new necessary items for living.\n <\/p>\n
\n Yes.\n <\/p>\n
\n So we are free to focus on just your emotional wellbeing\u00a0and how you’re coping through this crisis in your life.\n <\/p>\n
\n Yeah, yeah everything else is like,\u00a0kind of on, it’s underway the process for like claims\u00a0and everything has started.\n <\/p>\n
\n So just like helping me, hold it all together,\u00a0I guess is what I’m looking for, yeah.\n <\/p>\n
\n What emotions are you experiencing the most right now?\u00a0Oh, like anger, because like,\u00a0I feel like it’s my roommate’s fault\u00a0because they were shooting fireworks\u00a0and then just kind of, after they finished\u00a0cleaning everything up, put it in the trashcan\u00a0and that caught fire.\n <\/p>\n
\n So it was like,\u00a0hey, if you guys think a little bit,\u00a0we could have probably avoided it.\n <\/p>\n
\n I’m like really, really angry with them, for that piece.\n <\/p>\n
\n And like, I’m sad because like all my stuff is gone,\u00a0stuff that I worked really hard for.\n <\/p>\n
\n And I don’t know is this\u00a0so many different emotions right now.\n <\/p>\n
\n I don’t, like I’m overwhelmed, I’m stressed, I’m anxious.\n <\/p>\n
\n This is so many different things running through me.\n <\/p>\n
\n So everything is just kind of combined…\n <\/p>\n
\n and to manage that and still go to work\u00a0and to have this job that’s brand new for you.\n <\/p>\n
\n And now where am I going to live\u00a0and how am I going to cope with stuff…\n <\/p>\n
\n Yeah, exactly.\n <\/p>\n
\n Alright, coping skills,\u00a0you said in the past you’ve used things like humor,\u00a0you do some deep breathing,\u00a0you use maybe it’s sounded to me like maybe,\u00a0you know how to meditate a little bit in the moment.\n <\/p>\n
\n What other coping skills do you have,\u00a0that you’ve used in the past when you…\n <\/p>\n
\n Working out helps.\n <\/p>\n
\n So, I mean, since now I don’t have access,\u00a0I’ve just been trying to take some walks,\u00a0but then in doing that I’m getting inside my head\u00a0and just like getting more angry.\n <\/p>\n
\n That’s like some of the things that I did before\u00a0are not working like meditating in a moment,\u00a0but when I’m closing my eyes,\u00a0it’s like reliving everything all over again,\u00a0smelling the smoke and running out of the house\u00a0and seeing that flame,\u00a0so all of that is just keeps coming back.\n <\/p>\n
\n ‘Cause I can’t even focus to meditate.\n <\/p>\n
\n Right, so you’re going to have\u00a0to learn some new coping skills,\u00a0but also we really have to just process through\u00a0all these emotions and the event that happened itself,\u00a0the losses and change in your life.\n <\/p>\n
\n Absolutely.\n <\/p>\n
\n Okay, do you feel like\u00a0this Telehealth Modality works okay for you?\u00a0Yeah, because during my lunch I get an hour for lunch,\u00a0but it doesn’t give me enough time to like go anywhere\u00a0and see someone, and so my boss said that\u00a0I could use his office, so this is perfect.\n <\/p>\n
\n Okay, well…\n <\/p>\n
\n ‘Cause I don’t have like a computer\u00a0or any of that stuff at home.\n <\/p>\n
\n So being able to do it here is great.\n <\/p>\n
\n Excellent, okay,\u00a0well let’s go ahead and plan on doing some regular sessions.\n <\/p>\n
\n We’ll come up with a treatment plan\u00a0and really just focus on how to kind of debrief\u00a0and get through all of this crisis\u00a0and all these emotions that you’re dealing with now,\u00a0does that sound like a good plan?\u00a0That sounds good, yeah.\n <\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
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