After five sessions of therapy with a family, everyone, including the therapist, agrees that things are worse than when the family started therapy. They describe continual discord at home. The children are trying to get each other in trouble, the parents are arguing, and there is hardly ever laughter at the dinner table. They come in for their sixth session and announce that they have decided to terminate treatment. The therapist should: Select one: a. see them all individually b. reframe this escalation of symptoms as a learning opportunity c. tell them they may need a psychiatrist d. allow them to terminate and end the session right then

Question

After five sessions of therapy with a family, everyone, including the therapist, agrees that things are worse than when the family started therapy. They describe continual discord at home. The children are trying to get each other in trouble, the parents are arguing, and there is hardly ever laughter at the dinner table. They come in for their sixth session and announce that they have decided to terminate treatment. The therapist should: Select one: a. see them all individually b. reframe this escalation of symptoms as a learning opportunity c. tell them they may need a psychiatrist d. allow them to terminate and end the session right then

Answer 1

B. Reframe this escalation of symptoms as a learning opportunity

Answer 2

The therapist should reframe the escalation of symptoms as a learning opportunity. This is because a system that is changing frequently experiences more stress than before due to disrupted homeostasis. The therapist should introduce the idea that change and stress can be positive learning experiences and are not, in themselves, signs that therapy is not working.

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