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From: Charlie Healey
Date: 21 Oct 2008
Time: 10:22:57 -0500
Remote Name: 76.84.69.211
You ask a very good question but one that is hard to answer because every client reacts to therapy differently and each needs different types of things. What I do after each session is evaluate whether things are changing in the direction that I anticipate so if I think something isn't working after a few sessions, I begin to think that I might want to change directions or add a piece to the therapy that hasn't been addressed. For example, let's say that we have been working on fluency and stuttering modification strategies for many sessions but are also including the cognitive and affective pieces of awareness and feelings of anxiety that go along with learning the techniques. If it appears a plateau has been reached, then I might increase or decrease the focus on one of the CALMS factors. Remember that in my paper, I talk about how every activity that I do is integrated across the five CALMS factors. But, sometimes, I do spend more time on one factor than another. I always check with the client to see how things are going so I know if we are spending too much time on one aspect of therapy or not. Using your treatment data from one session to another is also important in determining if progress is being made or not. If not, then it's time to shift the focus of therapy and try something else for awhile and then see how the client is reacting to that new direction in treatement