This document outlines 13 brief interventions that can be used in counseling sessions to help clients. It begins by discussing the benefits of brief interventions such as reducing no-shows, increasing treatment engagement and compliance. It then describes goals and target symptoms for brief interventions before detailing each of the 13 interventions. The interventions include techniques like backward chaining, cognitive restructuring, mindfulness, guided imagery and distress tolerance. In under 3 sentences, the document provides an overview of research-based brief therapy techniques counselors can use to efficiently help clients meet treatment goals.
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
10 Brief Interventions for Counselors by Dr. Dawn-Elise Snipes
1. 13 Useful Brief Interventions
Instructor: Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
2. Objectives
Review the benefits of brief interventions
Identify the goals of brief interventions
Explore 13 brief interventions that can be used with most
clients
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
3. Benefits
Reduce no-show
Increase treatment engagement
Increase compliance
Increase self-efficacy
Reduce aggression and isolation
Provide an interim for clients on waiting lists
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
4. Goals of Brief Interventions
Goals should be…
Specific
Measurable
Achievable in 8-10 weeks
Relevant
Time Limited
Purpose:
Reduce the likelihood of damage/additional problems from the
current issue. (i.e. family, work, health, self-esteem, guilt, anger)
Provide rapid measurable change to increase hope and motivation
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
6. Modern populations are increasingly overfed yet
malnourished, sedentary, sunlight-deficient, sleep-
deprived, and socially-isolated
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
7. Assessment for Brief Interventions
Identify what the resolution of the problem looks like.
Define a starting point to create one measurable change
in the client’s behavior
Explore the array of causes of the behavior
Physical (sleep, nutrition, relaxation, medicine, health, pain,
hormones, addiction…)
Affect (anxiety, depression, grief)
Cognitions (Cognitive distortions)
Environment and Employment
Social Relationships (quality, boundaries, communication)
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
8. Assessment cont…
Explore Current Strengths/Mitigating Factors
Support systems
Client strengths
Situational advantages (mitigating factors)
Previous treatment (What has and has not worked)
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
9. 1. Backward Chaining
Identify triggers and mitigating factors by backward chaining.
Ask the client to describe a situation that triggered the problem
John came home late and I got angry
I had a bad day and came home and drank a bottle of wine
It was valentine’s day and I wasn’t in a relationship so I got depressed
I didn’t sleep well and everything seemed to make me feel overwhelmed
Ask the client to think of a similar situation that did not trigger the
problem
John came home late but he called and let me know.
I had a bad day and decided to go out to dinner with friends from work to
commiserate
It was valentine’s day and I wasn’t in a relationship so I went out with friends
and we celebrated un-valentine’s day together
I didn’t sleep well, so I kept my office door closed and reminded myself that
I can only do what I can do
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
10. 2. Forward Chaining
Add in triggers for behaviors you want to start doing
Push notifications
Visual cues
Change buddy
Rewards
Add in obstacles to behaviors you wish to stop
Make it more difficult to start
Journal
Inaccessibility
Temporal distance
Aversion
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
11. 3. Positive Reflection
Positive Affect Journaling for 20 minutes per day improves
depression and anxiety , enhanced resilience, reduced
medical visits
Alternatives for those who hate journaling
Tell someone about the positive things in your day for ~10-20
minutes
Mentally reflect on all the positive things in your day and life for
~10-20 minutes
Draw a picture about something incredibly awesome in your life
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
12. 4. Sleep
Benefits: Enhances cognition, enhances immunity, reduces
depression and reduces anger, anxiety, and fatigue
Only quality sleep within normal limits (7-9 hours) is
helpful
Incorporation into treatment
Review sleep hygiene
Develop a sleep routine
Keep a log of symptom severity and sleep
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
13. 5. Sunlight and Circadian Rhythms
The body uses sunlight to set circadian rhythms and make
vitamin D
Vitamin D deficiency is implicated in seasonal affective disorder,
behavioral withdrawal
Sunlight exposure related positively to job satisfaction and
organizational commitment, and negatively to depressed mood
and anxiety
Bright light therapy has been found effective for addressing
eating disorders, depression, fatigue, sleep disruption
Incorporation
Sunlight exposure first thing in the morning and throughout the day
Light boxes
Full-spectrum lights (100watt or more) within 1 meter
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
14. 6. Oxygenation
Oxygen is needed for serotonin and ATP-synthesis
Relaxing Deep Breathing has been shown to attenuate
pain perception, tension, anger, anxiety and depression
and improve sleep
Incorporation
Breathing breaks
Exercise improves mood, cognition and sleep
Even in healthy adults without clinical depression, exercise has
improved depressive symptoms.
Exercise may modulate dopaminergic and glutamatergic
neurotransmission as well as serotonin, noradrenaline, and GABA
systems, which are all related to depression, anxiety, and sleep
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
15. 6. Oxygenation
Laughter
Alters dopamine and serotonin activity, decreases cortisol levels
and increases endorphin release
Impacts depression, anxiety, pain, immunity, fatigue, sleep quality,
respiratory function and blood glucose
Significantly decreased adults' depression, anxiety, and improved
their sleep quality
Integrating laughter into the treatment plan– 10-15
minutes per day prior to stressful situations, and at the
end of the day to “reset” the system.
Laughter distracts from distress and “breaks the loop”
Laughter increases good chemicals
Laughter increases oxygenation
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
16. 7. Hardiness
Hardiness
Commitment: Tendency to involve oneself in activities in life and as
having a genuine interest in and curiosity about the surrounding
world (activities, things, other people) and to recognize ones’ self
as multidimensional
Control: Tendency to believe and act as if one can influence the
events
Challenge: Belief that change, rather than stability, is the normal
mode of life and constitutes motivating opportunities
Improves: Cardiovascular health, anxiety, response to
bullying, insomnia, reduces neuroticism, rumination and
worry
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
17. Hardiness
Incorporating it
Have clients identify all the different aspects of self which are
important
Health
Housing
Family
Friends
Finances
Job
Other…
When unpleasant things happen, encourage them to identify 5 things
that are going well, how this event represents a growth opportunity
and what aspects of the situation they can change.
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
18. 8. Cognitive Restructuring
Cognitive Restructuring teaches people to identify and
dispute maladaptive thoughts
Cognitive Restructuring can assist in increasing perceived
efficacy, altering negative self-concept, enhancing pain
tolerance, reducing hopelessness and helplessness
associated with anxiety and depression
Incorporating into the treatment plan
Worksheets (CPT, ABC-Des)
Identifying 3 alternatives
Finding meaning
Note: Older adults with anxiety and depression are worse at learning
and benefiting from CR with a brief intervention, partially due to
having poorer cognitive flexibility
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
19. 9. Cognitive Dissonance
Create dissonance between unwanted behaviors, thoughts and
emotions to encourage purposeful change-- (It may be
pleasurable (or “safe”), but it does not help me)
Resolve dissonance between helpful behaviors (exercise, sleep,
nutrition)-- (It’s good for me, but it is awful)
Cognitive dissonance has been shown to be maximized by four
factors:
Voluntary nature
Absence of an external justification
High public accountability
Dissonance-inducing behaviors required a high level of effort
Incorporation
Self-talk scripts
Make dissonant behaviors difficult
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
20. 10. Mindfulness
Mindfulness meditation and cognitive therapy cultivates an
awareness of one’s feelings, urges, thoughts and perceptions in
the present moment, without judgement and relate
constructively (purposefully) to those experiences to improve
the next moment
Mindfulness meditation improves pain perception, anxiety and
depression, emotion regulation, insomnia, binge eating
The key is not only being aware and accepting of the present
moment, but also figuring out how to relate constructively to it
–Change the situation, change your reaction, let it go…
Incorporation
Mealtime/General mindfulness—Awareness and early intervention
Problem focused mindfulness (pain, anxiety, habits)
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
21. 11. Guided Imagery
Guided imagery improves mood, fatigue, and quality of
life, pain perception, anxiety and depression
Incorporating it
Envision success
Take a mental vacation
Envision healing
Altered focus (physical discomfort—pain, cravings, urges)
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
22. 12. Biofeedback--HRV
Heart rate increases are associated with increased stress
and HPA-Axis activation
Prolonged HPA-Axis activation contributes to fatigue,
insomnia, difficulty concentrating and problem solving,
irritability, anxiety and depression
HRV-BF is effective at reducing symptoms of depression,
anxiety and “stress” as well as pain perception
Incorporating it
Fitness trackers with “stress feedback”
Heart rate monitors/fitness trackers can be used at point of distress
to alter focus and reduce HPA-Axis activation (fight or flight
response)
Planned relaxation breaks
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
23. 13. Distress Tolerance
Distress tolerance significantly mitigates depression,
substance misuse, negative affect, stress, intolerance of
uncertainty, and anxiety sensitivity
Distress tolerance is related to reductions in cortisol and
HRV by altering how people perceive and relate to
stressors.
Incorporation (SPAM-IT)
Sensations
Positive focus
Activities
Mental vacation
Thought stopping
Imagery
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
24. Summary
Brief therapy is a cost effective technique that can:
Help engage clients in the preparation phase
Enhance treatment compliance
Improve outcomes
Increases success and client self-efficacy
Reduce cost-per-patient expenses
Be used for a variety of issues to help clients accomplish SMART
goals
Be implemented in group or individual settings
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149