Pediatric counseling

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PPT'S DONE BY MR.STEPHIN MANIPAL UNIVERSITY

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Pediatric counseling

  1. 2. GROUND RULES <ul><ul><li>Please maintain silence during presentation. </li></ul></ul><ul><ul><li>Please keep your mobiles switched off. </li></ul></ul><ul><ul><li>As you all know, questions can be shared </li></ul></ul><ul><ul><li>towards the end. </li></ul></ul><ul><ul><li>Please feel free to give feedback about the </li></ul></ul><ul><ul><li>presentation & presenters. </li></ul></ul><ul><ul><li>Please share your knowledge on the subject, if any </li></ul></ul><ul><ul><li>towards the end. </li></ul></ul><ul><ul><li>Last but not least encourage us by your true applauses. </li></ul></ul>
  2. 3. OUTLINE.. <ul><li>CONCEPT OF PAEDIATRIC COUNSELLING </li></ul><ul><li>COUNSELLING – WHY? WHEN? & HOW? </li></ul><ul><li>WHY CHILDREN ARE DIFFERENT? </li></ul><ul><li>WHAT CHILDREN GO THROUGH? </li></ul><ul><li>PSYCHOTHERAPY IN PAEDIATRICS </li></ul><ul><li>PLAY THERAPY </li></ul>
  3. 4. PAEDIATRICS Introduction
  4. 5. <ul><li>Paediatrics is the branch of medicine that deals with the medical care of infants, children, and adolescents . The age limit of such patients ranges from birth to 18. </li></ul><ul><li>The word paediatrics is derived from two Greek words: </li></ul><ul><li>( pais = child) and ( iatros = doctor or healer). </li></ul><ul><li>Abraham Jacob (1830–1919) is known as the Father of Paediatrics because of his many contributions to the field. </li></ul><ul><li>A major consideration is Paediatricians often have to treat the parents and the family, rather than just the child. The same concept extends when it comes to Counseling. </li></ul>
  5. 6. CONCEPT OF PAEDIATRIC COUNSELING
  6. 8. <ul><li>Children deal with the same stressors adults face: illness, crime, divorce, addiction, death. There is no shielding children from these things. </li></ul><ul><li>They experience - conflicts at home with issues like bedtime </li></ul><ul><li>and homework. </li></ul><ul><li>- conflicts with teachers when academic </li></ul><ul><li>and behavioural demands increase. </li></ul><ul><li>They encounter problems with parents and peers - attempt to establish a personal identity and relate to others. </li></ul>Cont..
  7. 9. <ul><li>As a child is faced with new situations, demands and expectations, it experiences emotional ups and downs. </li></ul><ul><li>Their response is similar to most adults. They feel sad, frightened, anxious or angry in varying degrees. </li></ul><ul><li>When the degree interferes with their success or pleasure in life, action should be considered. </li></ul>
  8. 11. <ul><li>Aggressive or violent behavior </li></ul><ul><li>Abusive language </li></ul><ul><li>Difficulty in following rules </li></ul><ul><li>Lack of social interaction / friendships </li></ul><ul><li>Over-timidity, whining, withdrawal </li></ul><ul><li>Over-dependent behavior </li></ul><ul><li>Sleep disturbances </li></ul><ul><li>Irritability, anxiety, trembling with fear </li></ul><ul><li>Uncontrollable crying, hysteria </li></ul>When the child displays -
  9. 12. Counseling for children
  10. 14. Why Children are different?
  11. 15. <ul><li>Age </li></ul><ul><li>Exposure </li></ul><ul><li>Intelligence </li></ul><ul><li>Brain capacity </li></ul><ul><li>Emotions </li></ul><ul><li>Reactions </li></ul>
  12. 16. What Children go through ?
  13. 17. <ul><li>Insecurity </li></ul><ul><li>Panic </li></ul><ul><li>Fear </li></ul><ul><li>Anxiety </li></ul><ul><li>Separation </li></ul><ul><li>Totally different environment/set up </li></ul><ul><li>Different language </li></ul><ul><li>Different people </li></ul>
  14. 18. <ul><li>Exposure to different patients and their sufferings. </li></ul><ul><li>Exposure to other children patients. </li></ul><ul><li>High technology, machines, ambience, fear of injections, </li></ul><ul><li>dressing etc. </li></ul><ul><li>Crying scares them. </li></ul>
  15. 19. INTRODUCTION TO PSYCHOTHERAPY
  16. 20. TYPES OF PSYCHOTHERAPY
  17. 21. <ul><li>Cognitive behavioural therapy ( CBT ) is a psychotherapeutic </li></ul><ul><li>approach, a talking therapy, that aims to solve problems </li></ul><ul><li>concerning dysfunctional emotions, behaviours and cognitions </li></ul><ul><li>through a goal-oriented, systematic procedure. </li></ul><ul><li>Play therapy, Kids are given toys to play with, to understand </li></ul><ul><li>better their emotional or mental health issues. The child figure </li></ul><ul><li>out feelings and express them. Play therapy can help kids who </li></ul><ul><li>have depression or anxiety because they are having trouble </li></ul><ul><li>dealing with life issues like divorce or the death of a loved one. </li></ul>
  18. 22. <ul><li>Psychodynamic psychotherapy in which psychotherapist </li></ul><ul><li>helps to figure out the issues that are influencing a child’s </li></ul><ul><li>thinking or actions. This therapy operates on the theory that a </li></ul><ul><li>child's behavior will improve, once his inner struggles are </li></ul><ul><li>brought out in the open. This can help a child who has </li></ul><ul><li>anxiety or depression, eating disorder, or conduct disorder. </li></ul><ul><li>Behavioral therapy (behaviour modification) is an </li></ul><ul><li>approach to psychotherapy based on learning theory which </li></ul><ul><li>aims to treat psychopathology through techniques designed to </li></ul><ul><li>reinforce desired and eliminate undesired behaviours. </li></ul>
  19. 24. <ul><li>Play therapy ? </li></ul><ul><li>Refers to a method of psychotherapy with children in </li></ul><ul><li>which a therapist uses a child's fantasies and the symbolic </li></ul><ul><li>meanings of his or her play as a medium for understanding </li></ul><ul><li>and communication with the child. </li></ul><ul><li>Generally employed with children aged 3 to 11years, </li></ul><ul><li>provides a way for them to express their experiences and </li></ul><ul><li>feelings through a natural, self-guided, self-healing </li></ul><ul><li>process. </li></ul>
  20. 25. <ul><li>Play therapy: </li></ul><ul><li>In play therapy toys, blocks, dolls, </li></ul><ul><li>games and other things that attract </li></ul><ul><li>children are used to identify and </li></ul><ul><li>verbalise children’s feelings. </li></ul><ul><li>The main aim is to decrease behavioural and emotional </li></ul><ul><li>difficulties that interfere significantly with a child's normal </li></ul><ul><li>functioning. </li></ul><ul><li>Goals include improved verbal expression, ability for </li></ul><ul><li>self-observation, improved impulse control, more adaptive </li></ul><ul><li>ways of coping with anxiety and frustration, and improved </li></ul><ul><li>capacity to trust and to relate to others. </li></ul>
  21. 26. ELEMENTS OF PLAY THERAPY
  22. 27. Children require…!
  23. 28. <ul><li>Safety </li></ul><ul><li>Love and Affection </li></ul><ul><li>Security </li></ul><ul><li>Continuous presence </li></ul><ul><li>Assurance, Reassurance </li></ul><ul><li>Careful handling </li></ul><ul><li>Diversion </li></ul>
  24. 29. conclusion <ul><li>“ We worry about what a child will become tomorrow, yet we forget that he is someone today.”  ~Stacia Tauscher </li></ul><ul><li>Counseling for children is vastly different from counseling for adults, but it is important to remember that as human beings, we all require the same things, i.e. basic love, affection and support. So it is crucial to provide all this to the child and to create a safe, nurturing environment for him/her to grow into a healthy adult. </li></ul>
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