Miss A. S. is 38 years old; she came to the UK a year ago. She is divorced and has 3 kids. She has got bankrupt in her home country and struggled to pay back all her debt. She came to the UK and with the help of her friends she managed to get a job with a good salary. Now she is able to support her family and gradually pay off her debt. She is working very hard even in her spare time. It was a very difficult decision for her to leave her sons behind with her mum, but this was the only opportunity for her to sort out her financial problems. She works as a ‘live in’ nanny and finds this situation difficult. She is very independent, raised her 3 boys by herself and finds it difficult to settle in another family`s life. She is keen to adapt and accommodate but wants to have a bit of ‘own space’. The parenting style of the family she lives with is very different from hers and she finds it difficult to see where her limits are: in which case she has to do what was being told and when she can make or ask for some changes. She wants to be a good employee but wants to be able say out loud what she thinks, believes, especially when it is about the little ones’ interest. Her goal is to learn to relax, gain back her self-confidence and be more assertive. INTRODUCTION and INITIAL CONSULTATION
At the initial consultation I used my notation form and gathered as much relevant information as I can about Miss A. I have collected information about her goals and also examined her medical, family and life history, including information about her childhood and her relationship history. I already had a good relationship with the client because we know each other from voluntary work, but at the initial consultation I have tried to deepen this good rapport by giving my full attention to her and practising active listening. I tried to use positive sentences, expressions that are empowering and it helped Miss A to feel confident and at ease. I explained to her the confidentiality policy.
I also examined whether I can treat Miss A and have found that her problem is in within my professional competence. I discussed this case with my tutor and she agreed to carry it out. I also have considered whether we have any ethical issues in this case and I have concluded that this case study does not appear to have any ethical issues. I asked her about any previous experiences in hypnotherapy and other therapies and she said that she had been to some kind of counselling in her home country, but never tried hypnotherapy before. She was very interested in hypnotherapy and keen to try it. I explained to her what hypnosis is, how it works and that hypnosis is a natural state of awareness and that she will be in control at all times. I encouraged her to ask any questions about her treatment to make sure that all fears and misconceptions are cleared up. I also assessed her modality, learning style, individual needs and explored her history in detail to establish a good quality, tailor-made therapy with the help of personalised screeds. We also examined what her motivations are. I also looked for any hidden agenda in her case but I was not able to identify any at the first consultation. I will keep an open eye on it and look for any veiled motive or intention, because sometimes the clients are not consciously aware of their hidden agendas (or secondary gains) and for an effective therapy they need to be discovered. We also carried out a trial induction with the use of PMR (progressive muscle relaxation) because it enables the practitioner to assess whether hypnotherapy is practicable with the client. DIAGNOSIS
I examined Miss A`s situation and came to the conclusion that she needs help to regain her confidence, boost her self-esteem and learn to cope with stress. If she is confident then she will be able to effectively communicate her needs and opinion to her employer (assertiveness). The last 6-9 month has been very stressful for her. She made...