“Using the Case Study at the End of the Module, Assess the Client's Issues and Describe Your Treatment Plan. What Ethical Issues Might Arise?”

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In this essay I am going to assess the client, Miss E’s, issues using the case study provided. I will then describe a treatment plan for Miss E with an attached script. I will also comment on the strengths and weaknesses of using hypnotherapy in these cases and will be noting any ethical issues that may occur throughout. Hypnotherapy is a popular form of therapy for people seeking weight loss. However, clients have often tried many other techniques and diets to achieve their desired weight before choosing to see a hypnotherapist. It should also be noted that as a therapist, we should not jump to the conclusion that a client wishes to lose weight, as they may actually wish to gain weight and such assumptions could immediately damage rapport.

To begin with I would have an initial consultation with Miss E. This initial consultation would be free of charge as it is an opportunity to assess whether I can treat Miss E ethically, for example being within my competency limits as a therapist, as well as identifying the personality type of the client in order to write a screed personalised towards them and their preferred modality. During this initial consultation I would establish what the client's goals are, and in this case, Miss E wishes to lose 2 ½ stone and hopes to have lost this in three months time before she goes on holiday. At this stage the therapist would need to identify as to whether the time-frame desired by the client is actually realistic. For a sensible weight loss plan, the ideal aim is to lose weight at about 1 to 2 lbs per week. In terms of Miss E’s goal weight loss, this would mean a time frame of just over four months rather than the three that she was hoping for. This would have to be explained to Miss E to eliminate any false hope and expectations that she may hold towards the effects of hypnotherapy, so as to avoid potential feelings of disappointment or failure when the weight loss is not achieved in the desired time-frame. The next step would be to find out a detailed history from the client about their relationship with food and dieting. For Miss E, she has always struggled with her weight since she was 12 or 13. She has also tried many diets but always seems to put the weight back on. It is important to look at how food was approached when the client was younger and in Miss E's case, it mentions that her parents “badgered her about being unattractive and eating too much” which would have influenced her eating habits. This point will be discussed further in the essay.

Following this, the next step would be to ask the client how motivated they are on a scale of 0 to 10 to lose the weight, where 10 is very motivated. Clients answering between 8 and 10 will generally be more successful in their weight loss through hypnotherapy. However those who answer a score lower than 8 will need to be investigated further to find out why they are attending the sessions and whether or not you can heighten their motivation, otherwise the hypnotherapy is likely to unsuccessful. For example, if a client is attending hypnotherapy because of someone else's desires and not their own, then it will be unsuccessful as the techniques used require personal motivation which obviously would not be particularly high if they are there because of someone else. Miss E may be lacking in motivation from the many previous failures in weight loss from dieting that she has mentioned. However, the reasons for this can be explained to her in a way which inspires her towards believing in hypnotherapy. For example, diets often use techniques relying on willpower or food supplements which generally only work in the short term, before they lose the willpower as its hard to sustain or eat normally after the food supplements have ended. Hypnosis on the other hand is not based on deprivation and focuses on changing the programmes currently used by the subconscious. Furthermore as a therapist, you would also need to enquire into whether or not...
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