Person Centered

Helga has spent time in hospitals because of deep depression, marked feelings of worthlessness, and several attempts to kill herself. She was born in Germany and came to live in Maryland in her late teens. She relates that she has never felt at home since she left Germany, but that there is now nothing there for her to return to. She frequently mentions how lonely and isolated she feels. There are no friends in her life, no intimate relationships, and she feels a deep sense of rejection. Although she has been out of the hospital for over a year, she is an outpatient and comes to the treatment center on a regular basis. You are her new counselor and seeing her for the first time. Think about how you might deal with her in the first five minutes of your session. She relates:

“I just dread getting up every morning. Everything seems like such a chore. I’m afraid that anything I do will turn to failure. I see no real sense in going on. I have constant thoughts of ending my life. I’m no use to anyone around me. I couldn’t hold a husband or a job, and then I lost my kids. I just feel so worthless and rotten, and full of guilt and hate for myself. No matter what I do or try, I just can’t see any light at the end of that long, dark, cold, scary tunnel. I look forward to death, because then I won’t have to suffer anymore.”

What are your personal reactions to what Helga is saying? How does it affect you? What are you feeling as you listen to her?

Given the way that Helga presents herself, do you see much hope? Do you believe that there is a positive, trustworthy, and actualizing tendency within her?

In what ways might you use yourself as a person to create a relationship with Helga so that she might work through her depression? Do you think that your relationship with her by itself is sufficient, or would you see a need for interpretation, direction, and active techniques?

To what extent would you want to explore her German background with her, especially since she does not feel at home in either culture?

How would you respond to Helga when she says “you can’t understand how uprooted I feel. I don’t belong anywhere. But I just don’t think you can know what this is like for me.”?

Support your decision to approach Helga from a person-centered approach. What are the benefits and shortcomings of the Person-Centered approach in working with Helga and her presenting problem?

Full Answer Section

Using myself as a person

I would use myself as a person to create a relationship with Helga by being genuine, authentic, and empathic. I would listen to her without judgment, and I would try to understand her world from her perspective. I would also offer her unconditional positive regard, meaning that I would accept her for who she is, even when she is making mistakes.

Interpretation, direction, and active techniques

In addition to building a relationship with Helga, I would also use interpretation, direction, and active techniques to help her work through her depression. For example, I might use interpretation to help her identify and understand her negative thoughts and beliefs. I might also use direction to help her set realistic goals and develop coping skills. Additionally, I might use active techniques, such as role-playing and behavioral activation, to help her practice new skills and behaviors.

German background

I would want to explore Helga's German background with her to the extent that she is comfortable doing so. Her German heritage may be an important part of her identity, and it may be helpful for her to understand how it has shaped her experiences. Additionally, exploring her German background may help her to feel more connected to her culture and to others.

Response to Helga's statement

If Helga says "you can't understand how uprooted I feel. I don't belong anywhere. But I just don't think you can know what this is like for me," I would respond by saying something like, "I understand that you feel uprooted and that you don't belong anywhere. I may not be able to fully understand what that is like for you, but I can listen to you and try to understand your experience as best I can." I would also emphasize that she is not alone, and that there are other people who understand what she is going through.

Person-centered approach

I would choose to approach Helga from a person-centered perspective because this approach is based on the belief that all people have the innate capacity to grow and heal. The person-centered approach also emphasizes the importance of creating a safe and supportive environment where people feel valued and accepted.

Benefits and shortcomings of the person-centered approach

One of the main benefits of the person-centered approach is that it is very effective in building trust and rapport with clients. This is essential for working with clients who are struggling with depression, as they often feel isolated and misunderstood.

Another benefit of the person-centered approach is that it is non-directive. This means that the counselor does not tell the client what to do or how to think. Instead, the counselor provides a supportive and encouraging environment where the client can explore their own thoughts, feelings, and experiences.

One of the shortcomings of the person-centered approach is that it can be time-consuming. The counselor needs to be patient and willing to let the client set the pace of the therapy. Additionally, the person-centered approach may not be suitable for all clients. Some clients may need more guidance and direction from their counselor.

Overall, I believe that the person-centered approach is a good choice for working with Helga. This approach is effective in building trust and rapport with clients, and it is non-directive, which is important for clients who are struggling with depression.

Sample Answer

Personal reactions

Listening to Helga's story, I feel a deep sense of empathy and compassion. I can imagine how difficult it must be to feel so lost, alone, and hopeless. I also feel a sense of urgency, knowing that she is struggling with suicidal thoughts.

Hope and positive tendency

Yes, I see hope for Helga. Even though she is feeling very down right now, she is still seeking help and coming to the treatment center on a regular basis. This shows that she has a desire to get better. Additionally, she is able to articulate her feelings and experiences in a clear and concise way. This is a sign of intelligence and strength.

I also believe that there is a positive, trustworthy, and actualizing tendency within Helga. All humans have the innate capacity to grow and heal. Helga has simply been through a lot of difficult experiences in her life, which have made it difficult for her to realize her full potential.