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Responding to Client with Suicidal Thoughts in Therapy

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I am not sure what to say if I were the therapist or counselor. I need help responding to this client name Ramona who has thoughts of suicide. I need help in a way that response to this by normalize or provide psychoeducation around thoughts of suicide, clearly and explicitly ask about thoughts of suicide, and respond in an empathetic way. (1 or 2 paragraphs as if you having a conversation)

Ramona is a 17-year-old girl who has been seeing you for the past few weeks this clip is from her fifth session. For this video you will want to normalize or provide psychoeducation around thoughts of suicide, clearly and explicitly ask about thoughts of suicide, and respond in an empathetic way.

Here is the criteria for your response to Ramona

How to Respond

The response must sound as if your talking or having a conversation with your client Ramona once she has finished sharing with you the therapist.

Respond to Ramona by normalizing (educating the client) or provide psychoeducation around Ramona thoughts of suicide.

In your response you must clearly and explicitly be asking if the client has had thoughts about suicide.

The response must be delivered empathically.

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Here is the scenario

Ramona begins talking.

Ramona says, I have been avoiding and I haven't been going out much. I pretty much stay home now in my room. Ramona says, I still have been going to my dad's home every weekend. Ramona says he is still really angry, but he hasn't crossed that line with me yet. He hasn't hit me yet. Ramona says, I feel like every time I am there, I feel like something is going to happen, or I am going to do something or something is going to happen, or I am going to mess up. Ramona says, her dad has been holding back. He is going to get explosive and get into my face and shout at me. He is going to do something.

Ramona says, I used to think being at her mom's house was better, at least she wasn't getting angry at me. It is like when I am at my home it is like I don't exist. My mom doesn't, she doesn't look at me and my mom doesn't look at me in the eyes, even when I was little. Ramona says, you know like on T.V. the moms are always cooking their kids' breakfast and making their lunches and writing notes and the kids are saying I love you mom and all that stuff. Ramona says her mom doesn't acknowledge her by saying hi or asking her how her days ways. Ramona says it is like she is living in an empty house by herself.

Ramona says that the kids at her school, it been getting worse at school. Ramona says that her friends are not talking to her. Ramona says, I thought that they (her friends) wouldn't care, apparently, they do. Ramona says, when I am at school, she is sitting in some empty classroom all by herself hoping no notices her. Ramona says, someone tried to break into her locker at school. Ramona says, I guess I am all alone there too. Ramona says, I just been thinking during the past two weeks, when at school no one wants me there, everyone wants me gone. Ramona says, when I am at home it is like I don't exist and when I am with my dad it feels like he doesn't want me around anymore.

Ramona says, I just been thinking that maybe, just maybe it would be better if I ceased to exist. Ramona says, maybe it would be better if I could just be gone for everyone.

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Solution Summary

The solution provides information, assistance and advise in tackling the topic of responding to a client with thoughts of suicide while in therapy. Resources are listed for further exploration of the topic. A word version is attached.

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Dear Student,
Hi and thank you for using Brainmass. The solution below should get you started. In this particular task, you are being asked to respond to suicidal thoughts of a client emphatically but at the same time, educating the client from a psychoeducational way. I suggest this simple outline:

1. Opening emphatic response - 50 words
2. Science of Suicidal ideation - 100 words
3. Relate #2 to Ramona's thoughts - 100 words
4. Provide emphatic concern and therapeutic advice - 50 words
5. Resources

This outline should yield the two and more paragraphs asked of you for this task. Remember to refer to your course resources when formulating your final response, especially if you are making a video/audio presentation based on the response. You can use the listed resources to further explore the topic. A word version is also attached. All the best with your studies.

Sincerely,
AE 105878/Xenia Jones
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Responding to Ramona's Suicidal Thoughts

"Ramona, it makes me feel sad to hear these things are happening to you. I wish I could make it better right away and remove the hurt. I cannot ...

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  • MPhil/PhD (IP), Open University, Milton Keynes, UK
  • MA, Open University, Milton Keynes, UK
  • Certificate, Geva Ulpan (via Universita Tel Aviv)
  • BA, University of the Philippines
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