identifying client needs and issues in counselling

identifying client needs and issues in counselling

identifying client needs and issues in counselling

Rochester, NY 14606. But always, the therapist and counsellor together form the relationship. As the sunlight streamed down towards me, transformed into rainbow rays by the skilled handiwork of the ancient glassmakers, I realized that here was a wonderful metaphor for human life and experience. Utilising early identification or intervention tools post injury may identify clients at risk of poor recovery outcomes, and these clients may benefit from a different approach to their care. YWRiODFjNjhlNjg0YTAyYzQ3MDM4MTVlMDFjYTU3M2VhMzQzOWJmZWNkM2Q5 This may put a serious block on her primal need for intimacy. MTliNDhhNWYyZDNlZmNmYTcwNDkzNWYzYzcxYmQ0NjgzZDhkYjg0OTQ5N2Rm Cooper, M. (2020). endobj Its a curious thing, but people often unconsciously let you know what is really important to them by elaborating personal metaphors around the issues that matter most. He called this process focusing. If a counsellor is to assist clients to live fluidly across polarities such as trust and dependency, autonomy and authority, co-operation and competition, the counsellor must also be fluid across these poles as well. If things are yet to change despite your constant efforts, its time you put a stop and let the client go. OWQ3M2Y3NzE5NzNlYzUxMmUxN2NkMDMwMDg0NDAxYmM3MzdkZjRjMDNkYmVi Problem assessment - assessing or defining of the presenting problem/ issues/ concern with the client. If not, avoid getting yourself in legal trouble. Gendlin, E. (2010). online/phone Counsellor or Therapist, you don't need to enter your location, however, we And thats our work as counsellors to be there in those painful feelings with people. That way, anything Ive overlooked will still be discussed. endobj 1 0 obj Do not commit to unrealistic projects or deadlines and stick to your commitments. If a counsellor favours and routinely uses for example, gestalt exercises e.g. Its time to eat you smell food you salivate in preparation. Your email address will not be published. (2012). The Technique Of Confrontation In Counseling | OptimistMinds Over 41 million noninstitutionalized Americans are currently living with a disability (American Community Survey, U.S. Census Bureau, 2019). JFIF ZExif MM * J Q Q Q C And I've realised For the most accurate results, please enter a full postcode. <> These details have value, of course, but we also need to keep in mind the larger underlying patterns. Plus, without doubt Ive missed a few things. People look and seem different from each other, but this is all just local shape and colour created by our perceptual filters, acting like the stained glass. You have to deal with clients who criticize everything you do, drain your energy, and are slow to pay. Let us know in the comments. M2VhMTllZTA3NTkzMTY4MDExODM5ZTZhZTM5NWMxNWRhYWQyZTY1MzdmYmU3 The referral process begins when a patient presents a particular issue or need that cannot be addressed by the counselor or facility. In episode 56 of the Counselling Tutor Podcast, Ken and Rory talk about how to spot subtle themes in counselling. Assessment is used as a basis for identifying problems, planning interventions, evaluating and/or diagnosing clients, and informing clients and stakeholders. ZTg2ZGMwYzI1ZTdkNDhiNWY3ZWFkN2E3ODlkOGZhMmU0YWQwY2YxYTM4Y2Nl Client: Yeah, its just a choice or a decision or a like or a want or whatever, but its not ultimately rejecting me. These primal needs span space and time and are as common to the ancient Egyptian stone mason as to the modern software programmer. We have a list of some of the best WordPress resources you should be using to grow your business. A child under the age of 16 requests counseling sessions. Click here to subscribe free now. have a sense of some control and influence over events in life. YzMzOTU4MjFhZTAzNWQyMTZlNDRiYzIyMWFlMzhiZDc3ZTNjMmY0Y2JiOWZm Unfortunately, while psychologists receive extensive training in how to approach mental health issues, they rarely receive adequate education or training in disability issues (Gibson, 2009; Olkin & Pledger, 2003; Strike, Skovholt, & Hummel, 2004). All therapists are verified professionals. 10 0 obj umR^UO! If you are searching for an Many therapists also find it helpful to do a quick check-in every month or so with each client, asking questions such as: Obviously there are many other questions you can (and should) ask, depending on the client and how you work. Counselors planning to conduct a needs assessment should begin the process by identifying specific guiding questions and goals. They might talk ofburningorstabbingpain orlike an icy prodding finger. Psychologists are recognized for having a firm grasp on impairments that arise from issues of emotional disturbance and mental health disability. Psychologists can also benefit from learning the best barrier-free psychological practices in working with clients with disabilities, including providing reasonable accommodations and appropriately integrating disability-related issues into assessment and intervention. Standards are generally mandatory and may have an enforcement mechanism. YzRlYmYwMzBhNTkzODgwMmYzYjRmOTUwY2RkMDgxNmM2MzVhOTNjMjlhMjA1 ZDVjOTBkZjhiMDA2MTZlMjBkMmUxMGFiZDEwZGM2OTMxNGI5ZDY3Y2Y5NmIw The Guidelines are designed to facilitate a psychologists work with clients who have disabilities, not to restrict or exclude any psychologist from serving clients with disabilities or to require specialized certification for this work. Considering online psychiatry? We are all driven by thesamehopes, fears and inspirations. These frequent edits slow down approvals and might limit you from accomplishing what you want. 19 0 obj Rory will soon be delivering a live lecture on this. Trust issues can often lead you to some legal actions. It is important to not take it personally if a client gives honest answers to your questions that dont reflect well upon you or the service you are providing. Faculty and students present key issues in client education for various medical specialties, and identify research needs related to genetic counseling. d. The therapist determines that the client needs immediate, involuntary hospitalization. People with disabilities, like all people, have influences in their lives that contribute to their development and experiences, such as their culture, religion, family of origin, community, education, socio-cultural context, employment, friends, significant others, and co-workers. Thats because when the story was brought, the word selfish didnt seem to fit for the client; she didnt seem to resonate with it and it seemed to be a painful area. This might interrupt your workflow and derail your ability to do your best work. Rory describes a number of such experiments, for example: Rory has written a handout on these different experiments in gestalt therapy; this is free to download here, and also available through our Handouts Vault. Set up frequent meetings with client and have a better upfront communication. endstream 144 0 obj <>/Filter/FlateDecode/ID[<162C20B0D6D1164CB1117FF9FC8604D2>]/Index[120 41]/Info 119 0 R/Length 118/Prev 287867/Root 121 0 R/Size 161/Type/XRef/W[1 3 1]>>stream Failure to clearly set your work hours and entertaining emails at all time. Do you need to refer on? WordPress Themes, Plugins, Tutorials, and Reviews. Paralysis may affect only the face, an arm or a leg, or it may affect one entire side of the body and face. ;8cl Further, many psychologists seek to develop disability competence after they have completed formal training. Its often said that there is no place for emotion in business and business should never be personal. Strengths-Based Therapy (Guide) | Therapist Aid I've worked with individuals, couples and families, with company directors, prisoners, politicians and ordinary members of the public. 3. Searching for a specific Counsellor or Therapist? If you'd like therapy for grief, help is available. The clients dissatisfaction and unhappiness is a reflection of his or her pathology (i.e., the client tends to complain but is actually quite happy). Sometimes clinicians will periodically bring out a copy of the clients written treatment plan and yes, you should have mutually determined, written, and signed plan in the chart of every client to ensure that you are both still on track and/or to see if new goals need to be written. )>!./yN+!5-vHA8t&DWPMM5Q1-rhBA.+@S9P|WLy( d-G"7DP[Dk\nvs&bI1?1Am yGYY9GJRl**+R7@]ox^&>[d=}|OhT=_oQ|lxG:YU7"lxQ#?0p]f-m>g08RX4,XzgwAaX 0HE >)J. Ez2MQF-uHw({XQ8s=a4bK/hbjmY D UU# ~.U-DhSwsT(T u}MJ5V'ZD "J;]@cSrc+J.mbnk"#rq$8Sx'@:7($l6hEh)mw1[f~. Most recent answer. Set a number of revisions included in the project scope for those clients who request for too many reviews. For example, a person may initially say they wish to cease their bulimic behaviour but spend most subsequent sessions working with previously un-expressed childhood feelings. Likewise, there have been calls by psychologists and counselors for more research and scholarship related to gender identity and issues that people who identify as gender diverse might face or present with in therapy. <>/F 4/A<>>> they are delusional or are hearing voices) the . If an individual doesnt feel comfortable with you or doesnt feel that he or she is making progress, it doesnt mean youre a failure as a therapist. Something many therapists find useful when starting work with new clients whove been in therapy previously is to ask, point blank and very early on, what they liked about their previous therapist and what they got out of their previous therapy sessions (and, conversely, what they didnt like and didnt accomplish). Clients appreciate my practical and business focused advice. Moreover, if you want to gain more clients for your freelancing business then we can help you with that. " Paralysis is a common outcome of stroke, often on one side of the body (hemiplegia). endobj PDF CHCCS405C Identify and address specific client needs - training.gov.au Register for the early bird rate. Written by Val O'Dea, BA MBACP Online Supervisor/Counsellor/Psychotherapist, By Val O'Dea, BA MBACP Online Supervisor/Counsellor/Psychotherapist. feel safe and secure day to day. Focusing: How to gain direct access to your bodys knowledge. How to identify client needs using 5 sure-fire tactics - Bonsai 3 Psychotherapy Techniques That Identify Your Client's Real Problem Person Centred Therapy Is Not One Thing: An introduction to the tribes [online]. Useful skills may therefore include: Basic Counselling Skills: A Student Guide, 056 Spotting Subtle Themes in Counselling Experiments in Gestalt Therapy Skills in Existential Therapy. But its not this at all. PDF Needs Assessment: A Key Evaluation Tool for Professional Counselors For example, do you have concerns around your competence to work with the client's issue? Additionally, the core values include recognition that people with disabilities are diverse and have unique individual characteristics (like all people), and that disability is not solely a biological characteristic; it is also characterized by the individuals interaction with the physical, psychological, socioeconomic, and political environment. Generated by Wordfence at Mon, 1 May 2023 19:23:13 GMT.Your computer's time: document.write(new Date().toUTCString());. 6 Quick and Effective Tips to Improve Your Productivity as a Freelancer. Defining the Counseling Process and Its Stages - PositivePsychology.com What clients present, maybe an issue in itself or maybe a symptom of other issues. PDF Identifying Prioritizing and Addressing Client Needs Strategies for MzhmZTBmNjk0YTU3Y2JkMjRjMzgwN2QyNjNkMjJlMTI5Y2NkMjRiNWZmNDNh It is also influenced by ones experience of community. 415.702.92 Genetic Counseling Lab II, 2023 2nd term - Course Directory If so, please add your thoughts on those issues in the comments section. Read more Psychotherapy Techniques therapy techniques , Free therapy techniques from Uncommon Knowledge, 3 Psychotherapy Techniques That Identify Your Clients Real Problem, For a therapist, seeing the real problem through all the detail can be overwhelming, Look for faulty pattern matching behind the detail in your clients' lives #tipsfortherapists, 3 Ways to Use Classical Conditioning in Therapy and Counselling, Help Your Clients Enjoy Success When it Comes, The Dark Side of Your Emotional Needs Connection, How to Help Your Clients Meet Their Missing Emotional Needs, Copyright 2023 Uncommon Knowledge Ltd, All Rights Reserved, have a sense of some control and influence over events in life, feel stretched and stimulated by life to avoid boredom, have fun sometimes and feel life is enjoyable, feel intimate with at least one other human being, feel connected to and part of a wider community, be able to have privacy and time to privately reflect, have a sense of status, a recognizable and appreciated role in life, have a sense of competence and achievement. You can fire the client if you have a termination clause in your contract. the client needs help with other issues (such as housing problems, financial difficulties, law-related matters or medical issues) instead of - or before being ready to engage in - counselling; the client has a mental-health issue that prevents the establishment of psychological contact (e.g. ZDIwYmYxNjlmZDk0ZmY0MDZkNjhjZjkwN2NhM2NhYzEzNTRjNjk1Yjg1MTc3 <> feel intimate with at least one other human being. Counseling Ethics Code: 10 Common Ethical Issues & Studies Spotted out-of-date info or broken links?Kindly let us know the page where you found them. 11 Common Client Problems and How To Deal With Them, Problem 2: Stalled contents that halt progress, Problem 7: Maintaining client relationships. And, in this article, I will talk about those 11 client problems, their causes, and how to deal with them so that you and your client can get along. Dont proceed with any design or development until the client approves it. Resources and suggestions are provided throughout the Guidelines to facilitate education, training, and experience with disability constructs important for effective psychology practice. The extent to which our pattern matching works effectively corresponds to how well adjusted we are to life. Limited time offer. Advocacy efforts facilitated the passage of the Americans with Disabilities Act (ADA) of 1990 and more recently the ADA Amendments Act of 2008 (ADAAA) that broadened the definitions of disability, substantially limits, and major life activities. Nonetheless, many people with disabilities continue to encounter both blatant and subtle discrimination in employment, housing, education, recreation, child-rearing, and health care, including mental health services (Banks & Kaschak, 2003; Basnett, 2001; Kirschbaum & Olkin, 2002; Krahn, et al., 2015; National Council on Disability, 2012; Raphael, 2006; Schriner, 2001; Smart, 2001; Stapleton et al., 2004; Waldrop & Stern, 2003; Woodcock, Rohan, & Campbell, 2007). YzVmYmViOGZiYjdjYjhkZDQ2ZDM0ZGUxYWMyNDJmZjUwOTg1ZWE0YmI0YzQz We explore on this episode of the Inside Mental Health podcast. N2Q5N2Y1YWVjYWY2NzlmZjhmNzQ3ODkxYWQ5MWYxZjQ1YmQ5OWM0MWY4MTc0 And remember things are always simpler than they seem behind the glass. In this example, the focus word is selfish. Disabled individuals who have limited contact with other people who have disabilities in their families, at school or work may experience feeling different from others or even ostracized. Others though, are integrated. Focusing involves helping the client make decisions about what issues the client wants to deal with. art therapy or empty chair work, this might only be appropriate with client A but not with client B. 120 0 obj <> endobj Most of the time I end up switching to a softer, more interpersonal approach. An external pattern has triggered a (useful) internal pattern. The counselor is a trained and qualified professional who helps the client identify the source of their concerns or difficulties; then, together, they find counseling approaches to help deal with the problems faced (Krishnan, n.d.). The literature reviews were broad in scope, covering both quantitative and qualitative traditions tied to various specialty areas in disability research (e.g., clinical rehabilitation, neuropsychology, rehabilitation psychology, disability studies, education, vocational rehabilitation, forensics). stream NDU2ZDA4ZmI3OTMzNjgzYWY4MmE4NjkxNmU4NTJkYTliMWQyNDVhYzI0ZGE4 EPS 601 Chapter 3 (Ethical Issues in Counseling practice - Quizlet Unresponsive clients eventually disrupt your project pipeline, workflow, and cash flow. Does psychiatry have all the answers or no answers at all? Your email address will not be published. Many avenues exist for psychologists and their students to gain expertise and/or training to facilitate ethical, competent work with individuals who have disabilities. OWUxZTNmOGNmODQ1NjliOTg3OTNmZWY1ODA5NzVhYjFkZTliYTc0MzMzMzFh Its really weird and confusing sometimes. Make sure to cover client delays in your contract and enforce it. ODM2MDM5NTgyOGNmNjNhNGQ4YWVjMjZkOTA5ZWVkNTllZTJmYzEyNDJjNmQ4 The identified literature represents theoretical, professional, and clinical literature focusing on specific disabilities as well as disability more broadly conceptualized. endobj Despite their potentially serious consequences, ethical issues were common, and without preparation and reflection, loads might be injured unwittingly and with good our. Counsellors are not there just to dig and find pain, and take the clients to places that are uncomfortable for them. If you are a freelance web developer or designer, you will face many problems. More emphasis was made on situational and disability related factors affecting assessment, and even more specifically multimodal assessment. My ideal clients include . Also, there can be some clients who are just plain difficult, rude and abrasive, and arrogant. Inconsistent action, arrogance, and client frustration might intrude in your work and develop trust issues. Formulate a client agreement with a clear scope of works, transparency of costs, a termination clause, and reimbursement policy should the scope change. Clients are the lifeblood of your freelance business. It doesnt feel as make or break, or life and death anymore. Before you continue, we thought you might like to download our three Positive Psychology Exercises for free. ZDc0NTA4MWJmMDllYjgzMWE5NWVjYTQ2OGIzYTM4MDZiNjE4N2ViNTgzYmU1 5. Client A may need to release deep emotions whereas client B needs to see a GP and be reassured their stomach pain is a treatable ulcer and not an incurable cancer! So look out, among all the material that the client brings, for when a client uses a feeling word. light on the positivity and support that should be available to everyone, no matter their situation. Online therapy can be affordable. Youre acknowledging that not as a rejection of you and, I guess, as maybe their opinion, want or need. endobj in person in the future. The feeling word in this example is 'devastated' and the counsellor may reflect back: "I hear you were completely devastated." 1D Support clients to identify their primary concerns in relation to the . NzAzNTAzNzc3NDMwNTFiNzMyYzkyZGM4M2ExNDQ3NTViNTU2YWVmNWY3NTRk Sanders, P. ed. This deepens the bond, taking the therapeutic connection to a new relational depth. Meanwhile, the term focusing is used in person-centred counselling to describe a skill that involves actively listening to what the client is bringing, and then supporting them to focus down on a part of this that that has the potential to bring therapeutic personality change. <> endobj <> Be it the code you are trying to write or a design you are working on. YzllYTI2NWY1YjlhNzA5NjcyNDE0NGNiZGE4NGJlMTJhZjM5MDczOGE0N2Mz Therefore, to help you deal with the client problems, I identified the 11 types of problems that you might face with your clients, based on the experience with my clients. endstream endobj startxref They want you to provide a benefit that you just cant and expect you to cut your price to a level that will jeopardize your business. Frequently ask for feedbacks and approvals with the client at appropriate intervals. Even though client problems are inevitable, most of them can be tackled beforehand. Kelly Alexander Whitehart - Partner - Nelson Mullins Riley - LinkedIn Continue to circle back with the client. Various MWRiMDcwMWI1MDcyZjg0YjEwMWI2NWViNmJhY2JhMjFmZWM3MTZkNzU0YTIz Identify the only case in which confidentiality must not be breached. relationship. Is Remote or In-Office Work More Productive? However, the writer believes that the clients presence within the therapy relationship, is the integrating matrix. Gendlin himself wrote (2010, p. 10): The most important rule for a therapist or friend to observe, in helping someone to focus, is to stay out of the focusers way. And Cooper (2020, paragraph 4) noted that focusing encourages clients to listen inwards to their bodies and allow their feelings and bodily experiences to emerge. It occurs whenever a client brings a new idea or wants to add new functionality beyond the scope of the original project. ({GW52+0-\2-{ZG@S,8 Z_~NQ}8Oi+@8 The idea of me purely expressing something that Id prefer is not the ultimate this is going to be you liking me or not liking me. This intervention invites the client to dive deeper into the feeling word devastated. It seems that the more something matters to us, the more metaphorical we become when talking about it. Try asking questions that clear your clients expectations. Maybe they will touch on a feeling word as theyre going through that story. Set your project boundaries earlier and dont let them slack off. .5b|t=5wst3gl GL3P#]&( 6L He may then find it difficult to meet his needs to be stretched and stimulated, as well as his need for a sense of competence and achievement. ZGZiYTliNjYxMDE2MWU3ODg3MDc1YWZmMTZiOTZjNTMzZmQ0ZWFhMzRiZDNi a sense of meaning about life and what we do. This includes cookies that are essential for Furthermore, clients increasingly bring to counseling issues of inequity that lead to unhealthy risk factors. Debra Rose Wilson, PhD, MSN, RN, IBCLC, AHN-BC, CHT, Podcast: What Psychiatry Can and Cannot Do (A Nuanced Investigation), Looking For A Psychologist Whos Right For You? Not being able to say no to new projects and clients. MWZlY2E5MTliYzhjNmJmM2FhNzAzNGU1ZGE2MzliYzI1ZjFkNDRkMWEzNTAw recommendations of where else a client might seek treatment. BetterHelp pairs users with licensed therapists for web-based therapy sessions. Description: This literature-driven course applies interactive genetic counseling techniques to specific settings and client needs. As a person-centred counsellor, you could just use a really simple reflection of the feeling word that they brought. hbbd```b``f "d5/A$0yL It is appropriate to refer someone to another . Practicing Within Limits Disability is a broad concept that encompasses a wide range of functional limitations and barriers to participation in community life (World Health Organization, 2001). 415.701; Must be enrolled in ScM in Genetic Counseling Program. 6 0 obj Is there something youd like to talk about that we havent addressed? endstream endobj 121 0 obj <>/Metadata 18 0 R/Pages 118 0 R/StructTreeRoot 33 0 R/Type/Catalog>> endobj 122 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 123 0 obj <>stream The Guidelines are based on core values in the Ethical Principles of Psychologists and Code of Conduct (American Psychological Association, 2017; Smart, 2001). The Guidelines also recognize that psychologists who specialize in working with clients with disabilities may seek more extensive disability training consistent with specialized practice. If the client presents an interest in where feelings come from, psychodynamic theory and practice are compatible. Behind the faade of differences and appearances were all infused with the same light of humanity. You can get my book FREE when you subscribe to my therapy techniques newsletter. Gendlins specific focusing process is seen as an approach in its own right, though closely aligned to the person-centred approach. A man might have learned to fear challenges and opportunities because of negative conditioning in his upbringing. First of all, we need to be in their frame of reference. these cookies. MWUxZjkwOTcyOThhZmQ5M2EwMjI0ZTcxMzZkN2RhZjljM2I0OTUxMjdjZGVl Rory sees content and process as being like a two-lane road, with story and emotion running parallel; the client may open a door into their emotions now and again, giving the counsellor the opportunity to enter this level of their experiencing. Research in positive psychology has shown us that people who know their strengths and use them frequently tend to feel happier, have better self-esteem, and are more likely to accomplish their goals. Often clients want you to make an impossible deadline and this leaves you with too little time to accomplish too much of work. In many cases, talking it through in therapy helps but it's also important to know when it's time to switch. The Guidelines include information on how disability-related factors and sociocultural experiences of disability can impact assessment and intervention. Such common influences shape a persons individual disability experience. This illustrates the power of focusing in person-centred counselling. hb```V(!b`0p, o= )o[nMcp G^@Z"->3dl0Qfb8a{ Focusing as a Counselling Skill. 14 0 obj Do you think you are developing a better understanding of your issues and how to overcome them? 2 0 obj Psychology is my passion. And, if the client isnt providing you the required content, the development of the project can be delayed. Therapists and Clients: Common Problems and How to Avoid Them Clients often want too much work to be done in too less of a cost. ZTMxMmE5NDM4ODQ0ZmYzMjZlY2ZkMGFiZmYzNWEwYzNhZjlmZDIxNzNlY2Rm MTY4MDA5NzJiOWI4NGQyZTllZDA2OWE0ZmFjOWUxYzJjNTc5YThhMDNiMDg4 /O#_^_u?{;uYw/=iOug#twcO{4ob8gxah^LIvWs3:c4dW=}O'oZ9jK^/'3]/#j^ zIXDEkiO X$-pHKe@ (^DN4zbNMw!G 9j3(6N#w=r+ZRPN?:UKFjI@eC ",#(7),01444'9=82. Some of these feelings may be really painful. Your access to this site was blocked by Wordfence, a security provider, who protects sites from malicious activity. Its purely a thought or an idea. Identifying & Prioritizing Your Needs | By: Kera Adeola MA, LADC [ 13 0 R] endobj When these needs are adequately met in a balanced way, life feels meaningful. They might say their relationship isstale. <> For example, the intersectionality of poverty, disabilities, and multiple minoritized identities (e.g., gender, race, and ethnicity) is well documented (McAlpine & Alang, 2021) and is included in the discussion on intersectional identities in Guideline 7. NjU4NmQ2M2Y5YzZiNGNiZjExMTcxZTE0OTIyNTYyNWI1YWY0ZTZiODgwZjI3 <>>> Epicrich Consulting on Instagram: "We are recruiting on behalf of Earn Client's Trust. 2nd ed. Psychiatric medications are a crucial part of the treatment plan for mental health conditions. Scope creep refers to frequent changes, continuous or uncontrolled growth in a projects scope, at any point after the project begins. Principle Responsibilities . Such interest may additionally contribute to needed research on disability-related issues in assessment (e.g., test construction, norms, use of accommodations) and interventions (e.g., empirically informed activities and programs) as well as enhanced, culturally appropriate communication and decision-making with clients and health care teams. Counsellor: Wow. Set an extra pay at an hourly rate for the additional work beyond the scope.

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