One challenging case involved a client with severe trauma and multiple diagnoses. I employed a combination of cognitive-behavioral therapy (CBT) and trauma-focused therapy to address their symptoms. I also collaborated with a psychiatrist for medication management and a support group for additional resources. Over time, the client showed significant improvement in their ability to manage symptoms and engage in daily activities. This experience reinforced the importance of a multidisciplinary approach and individualized treatment plans.

Client confidentiality is paramount in my practice. I strictly adhere to HIPAA regulations and maintain secure electronic health records. I educate clients on the importance of confidentiality during our initial sessions and obtain their written consent for any necessary disclosures. I also have a robust system for handling any breaches or potential risks, ensuring that client information remains protected at all times.

Building rapport involves active listening, empathy, and creating a safe, non-judgmental environment. I use open-ended questions to encourage clients to share their thoughts and feelings. I also provide regular feedback and validate their experiences. Additionally, I tailor my approach to each client's unique needs, which helps in establishing trust and a strong therapeutic relationship.

Ethical dilemmas are addressed by consulting the American Counseling Association (ACA) code of ethics and seeking guidance from colleagues or supervisors. I also engage in ongoing professional development to stay updated on ethical standards. When faced with a dilemma, I carefully weigh the options, consider the potential impact on the client, and make a decision that aligns with ethical principles and promotes the client's well-being.

I have extensive experience in crisis intervention, having worked in both inpatient and outpatient settings. I am trained in de-escalation techniques and suicide risk assessment. In a crisis, I prioritize the client's safety by quickly assessing the situation, providing immediate support, and, if necessary, coordinating with emergency services. I also follow up with clients to ensure they receive ongoing care and support.