Id 399075323

Crisis Counseling with a Self-harming Teen
A Motivational Interviewing
Demonstration
Presented By (Name)
T h e S e l e c t e d Vi d e o
The selected video is a demonstration of a therapy session conducted by
Dr. S with a 16-year-old self-harming teenager named Gina.
The purpose of this video is to illustrate the application of Motivational
Interviewing techniques in addressing self-harm behaviors in adolescents.
In the session, Dr. S engages Gina in a conversation about her self-
harming behavior, explores her motivations, ambivalence, and values, and
works towards building motivation for change.
The Crisis Situation
The crisis, in this case, involves Gina's self-harming behavior.

Self-harm refers to deliberate acts of inflicting physical harm on oneself
as a means of coping with emotional distress or pain (CASA, 2016).
Gina has been engaging in self-harm, typically by cutting, as a way to
alleviate emotional pain and distress (CASA, 2016).
Her self-harming behavior has led to conflicts with her mother, curtailed
her independence, and raised concerns about her future well-being.
She is particularly concerned about her ability to participate in activities
like being on the swim team.
https://www.variationspsychology.com/blogs/cutting-other-self-ha
rm-what-every-parent-needs-to-know
Handling the Case Using Crisis Counseling Guidelines
Dynamics of the Crisis
 Prevalence: Self-harm is a prevalent issue among adolescents, and it often co-occurs
with various mental health challenges such as depression, anxiety, and borderline
personality disorder (Son et al., 2021).
 Personal, social, psychological, situational, environmental, and cultural factors: Gina's
self-harm is influenced by personal emotional distress, conflicts with her mother
(situational), and her desire for immediate relief (psychological) (Son et al., 2021).
 Crisis Intervention Model: Dr. S employs Motivational Interviewing, a client-centered,
collaborative approach, to facilitate behavior change.
 Crisis Counseling Theory: The session integrates elements of Motivational
Interviewing, focusing on ambivalence, values, and motivation for change.
https://www.charliehealth.com/post/warning-signs-of-self-h
arm-in-young-adolescents
Assessment
Dr. S assesses the situation by exploring Gina's mixed feelings about self-harm and her
awareness of its negative consequences (CASA, 2016).
She uses open-ended questions to elicit Gina's thoughts and feelings.
Crisis Intervention Techniques/Strategies: Dr. S employs reflective listening,
summarizing, and open-ended questions to help Gina express herself.
Assessment immediately following the aftermath: Dr. S assesses the impact of self-
harm on Gina's relationship with her mother and her sense of independence and privacy
(CASA, 2016).
Assessment for the following 3 months: Dr. S discusses future consequences with Gina,
asking her to envision her life a year from now if self-harm continues. https://schools.au.reachout.com/articles/self-harm
Tre a t m e n t Te c h n i q u e s
 Treatment Goals: The primary goal is to help Gina reduce and eventually stop her
self-harming behavior.
 Secondary goals include improving her emotional coping skills, enhancing her
communication with her mother, and fostering a sense of independence and privacy.
 Dr. S uses Motivational Interviewing techniques to explore the positive aspects of
alternative coping strategies, such as taking baths, listening to music, and feeling
clean and good about herself.
 She encourages Gina to connect her values of independence and privacy with
healthier coping mechanisms.
 Dr. S helps Gina envision a future where she can return to the swim team and live a
life without the burden of self-inflicted scars (CASA, 2016).
Insights and Conclusions
Working with a self-harming adolescent like Gina highlights the

complexity of crisis counseling.
It emphasizes the importance of a client-centered approach that
acknowledges ambivalence and respects the client's values and autonomy.
The video demonstrates the effectiveness of Motivational Interviewing in
engaging adolescents in conversations about change.
https://www. The strategy allows them to explore their feelings and motivations in a
dallasbehavioral.com/node/2746
non-confrontational manner.
Insights and Conclusions Cont.
 The case also illustrates the profound impact of self-harm on a
teenager's life, including conflicts with family members, loss
of independence, and the potential for long-term
consequences.
 It reinforces the idea that self-harm is often a coping
mechanism that individuals resort to when they lack healthier
alternatives for managing emotional distress.
 The video confirms the challenges and rewards of working
with adolescents struggling with self-harm.
 Counselors must be gentle, empathic, and experienced in
https://connectionswellnessgroup.com/blog/understanding-self-injury-
and-how-therapy-can-help/
motivational interviewing to assist clients in overcoming
ambivalence and adopting healthy coping mechanisms.
How the Video Challenged My Interest in Working
with Adolescents
The video demonstration offers valuable insights into the
complexity of working with adolescents who engage in self-
harm.
One of the aspects that the video confirmed for me is the
significance of mixed feelings and ambivalence that clients like
Gina often experience regarding self-harm.
The video highlights the importance of exploring the client's
values and how their behaviors align with those values.
The video also emphasizes the role of consequences and the
client's future perspective, which challenged me to consider the
https://www.meadowsranch.com/why-self-harm-is-happening-earl
ier-and-more-often/ importance of helping clients connect their present actions to
their future aspirations.
R e f e re n c e s
• CASA. (2016). CGT self-harm in teens - motivational interviewing demonstration. In YouTube.
https://www.youtube.com/watch?v=9i_qh-BAWTw
• Clarke, S., Allerhand, L. A., & Berk, M. S. (2019). Recent advances in understanding and managing self-harm in
adolescents. F1000Research, 8(1), 1794. https://doi.org/10.12688/f1000research.19868.1
• Dobias, M. L., Chen, S., Fox, K. R., & Schleider, J. L. (2023). Brief interventions for self-injurious thoughts and behaviors in young
people: A systematic review. Clinical Child and Family Psychology Review, 1(1). https://doi.org/10.1007/s10567-023-00424-9
• Reinauer, C., Platzbecker, A. L., Viermann, R., Domhardt, M., Baumeister, H., Foertsch, K., Linderskamp, H., Krassuski, L., Staab,
D., Minden, K., Kilian, R., Holl, R. W., Warschburger, P., & Meißner, T. (2021). Efficacy of motivational interviewing to improve
utilization of mental health services among youths with chronic medical conditions. JAMA Network Open, 4(10), e2127622.
https://doi.org/10.1001/jamanetworkopen.2021.27622
• Son, Y., Kim, S., & Lee, J.-S. (2021). Self-Injurious behavior in community youth. International Journal of Environmental Research
and Public Health, 18(4), 1955. https://doi.org/10.3390/ijerph18041955

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Crisis Counseling with a Self-harming Teen

The crisis, in this case, involves Gina's self-harming behavior.

Working with a self-harming adolescent like Gina highlights the

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