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Counseling
BY MR. JONES H.M-MBA
2/22/2021
Jones
H.M-MBA
1
Definition
 It is a two way communication process that helps
individuals examine personal issues, make decisions and
make plans for taking action.
2/22/2021
Jones H.M-MBA
2
Counseling involves the
following
 Listening to client
 Respecting clients’ needs, Value, culture, religion and life
style.
 Asking clients questions that help them identify behaviors
which put them in danger of HIV infection
 Answering clients Questions and correcting false
information
2/22/2021
Jones H.M-MBA
3
Counseling involves the
following cont
 Talking with clients about the advantages and
disadvantages of a given situation such as HIV
testing
 Allowing clients to make their own decision
about abut a give situation such as HIV
prevention and testing
 Helping clients understand their HIV test result
if they decide to be tested
 Helping client whose test results are negative
select ways to help them reduce their chances
of getting infected with HIV.
2/22/2021
Jones H.M-MBA
4
Counseling involves the
following cont
 Helping client whose test results are positive find
treatment services and discuss ways to avoid spreading
HIV to other.
 Help clients find places to obtain other services they
need, such as treatment and support services, family
planning, antenatal and childbirth care, and drug abuse
treatment services.
2/22/2021
Jones H.M-MBA
5
Principles of basic counseling
 Be sure to communicate with respect in your
verbal and non verbal communication. Be
careful not to scold, condemn, or be overly
familiar with the patient
 Honor confidentiality
 Communicate carefully with sensitivity
 Use simple words and language that is easy to
understand. Encourage the patient to ask
questions and have them repeat key
information to make sure they understand
2/22/2021
Jones H.M-MBA
6
Principles of basic counseling
 Be sensitive to social/cultural practices that may
conflict with your plan of action. Respect these
practices and incorporate them when possible, and
provide alternatives or empathetic counsel when they
need to be eliminated.
 Allow the patient to ask questions and voice concerns
and listen to what she or he has to say.
 Find out the person already know before providing. A
good example to do this is to ask, “tell me what you
know or have heard about…)
2/22/2021
Jones H.M-MBA
7
Types on counseling
 Pretest counseling
 Post test counseling
 Genetic counseling
 Preventive counseling
 Disclosure counseling
 Supportive counseling
 Crisis counseling
 Bereavement counseling
2/22/2021
Jones H.M-MBA
8
Counseling skills
 There a few basic counseling skills that anybody
providing counseling need in order to talk with the client
in a helpful way.
 Some of these skills include the following:
 Empathizing
 Active listening
 Open questioning
2/22/2021
Jones H.M-MBA
9
 Probing
 Focusing
 Affirming
 Clarifying
 Correcting false information
 Summarizing
2/22/2021
Jones H.M-MBA
10
Empathizing
 This is the act of seeing the word thruogh
another person’s eyes and understanding how
that person feels from his/her point of view.
 You need to listen to the client and show them
that you understand without judging.
 Empathy is not feeling sorry for the client
 It is trying to understand the client’s by
imagining how it is to be in the clients shoes
2/22/2021
Jones H.M-MBA
11
Empathizing cont
 An example is when your adolescent client tells you that
“my boy friend keeps asking me to have sex with him and
I feel embarrassed and angry”
 Your empathetic response would be “ so you feel
irritated, uncomfortable and pressured by him. That must
be difficulty”
2/22/2021
Jones H.M-MBA
12
Active listening
 This involves paying attention to what the
client says and does and listening in a way
that shows respect, interest and empathy.
 E.g. if the client is biting nails and looking
nervous but tells you she is fine.
 You as a counselor may say “ sometimes
when we think we are relaxed, we can still
feel quite anxious inside. I see you are
biting your nails. Perhaps there is
something bothering you that you do not
know how to express. Do you have any
idea what that might be?”
2/22/2021
Jones H.M-MBA
13
Asking open ended questions
 These are questions that require more than a one word
answer
 They usually begin with word such as “How,” “what,” or
“why.
 These questions encourage clients to express their
feelings and share information about their situation
2/22/2021
Jones H.M-MBA
14
Probing
 This is using questions to help the client
express themselves more clearly
 Probing is necessary when the counselor
needs more information about the client’s
feelings or situation.
 Probing question are a good way to follow
up question that can be answered by “yes”,
or “no”
 E.g. “ can you tell me more about that”
2/22/2021
Jones H.M-MBA
15
Focusing
 Client are usually overwhelmed by their emotional or
personal problems, that they may want to address all
their problems at once.
 If the client wants to talk about the information that will
be discussed later in the session ,the counselor may want
to keep the topic of discussion related to the current task.
2/22/2021
Jones H.M-MBA
16
Affirming
 This is congratulating or complimenting
the client on the positive actions that they
have been able to take.
 This will help the client to feel respected
and valued and encourage them to do the
right things.
 For instance the client says “ recently I’ve
started using condoms each time I have
sex.”
 The counselor may say “ that is a positive
step you have taken in protecting yourself
against HIV and other STIs.
2/22/2021
Jones H.M-MBA
17
Clarifying
 This is done in order to make sure that the
counselor understand a client’s statement or
question.
 It also helps the client to understand his/her
situation or feelings better and identify
uncertainty or conflict between his /her
thought and behaviour.
 E.g. The client may say “my partner gave me
gonorrhea and Iam afraid of getting HIV. But
Iam also afraid that if I ask him to use
condoms he’ll leave me.”
2/22/2021
Jones H.M-MBA
18
Clarifying cont
 The counselor may say” Help me understand this. You are
afraid you might get HIV from your partner, but you are
also afraid he’ll leave you if you ask him to use condoms.
2/22/2021
Jones H.M-MBA
19
False information
 Correct any false information
 This will help the patient to have the right information
and make an informed choice
2/22/2021
Jones H.M-MBA
20
Summarizing
 The counselor summarizes the whole
discussion in order to eliminate the less
important information and present the main
points of the conversation to the client.
 Summarizing also help the counselor to:
 Make sure the counselor and the client
understand each other
 Enable them to move to another topic
 End the counseling session
2/22/2021
Jones H.M-MBA
21
Counseling process
 Welcome the client
 Introduce yourself and your role
 Assure the client about confidentiality
 Introduce the topic
 Find out what the client knows the progress
from the known to the unknown
 Allow the client to talk and use you attending
skills
 After the discussion allow client to make a
dicision
2/22/2021
Jones H.M-MBA
22
Qualities of a counselor
 A good listener
 Empathetic
 Non judgment
 Knowledgeable with the principle and skills of counseling.
 Ability to honor confidentiality
 Good voice clarity
 Self aware
2/22/2021
Jones H.M-MBA
23
Support groups
 This is important for the client in order to get the support
and care he/she needs
 For example the a client who is HIV positive may require
HIV support group
2/22/2021
Jones H.M-MBA
24

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Counseling

  • 1. Counseling BY MR. JONES H.M-MBA 2/22/2021 Jones H.M-MBA 1
  • 2. Definition  It is a two way communication process that helps individuals examine personal issues, make decisions and make plans for taking action. 2/22/2021 Jones H.M-MBA 2
  • 3. Counseling involves the following  Listening to client  Respecting clients’ needs, Value, culture, religion and life style.  Asking clients questions that help them identify behaviors which put them in danger of HIV infection  Answering clients Questions and correcting false information 2/22/2021 Jones H.M-MBA 3
  • 4. Counseling involves the following cont  Talking with clients about the advantages and disadvantages of a given situation such as HIV testing  Allowing clients to make their own decision about abut a give situation such as HIV prevention and testing  Helping clients understand their HIV test result if they decide to be tested  Helping client whose test results are negative select ways to help them reduce their chances of getting infected with HIV. 2/22/2021 Jones H.M-MBA 4
  • 5. Counseling involves the following cont  Helping client whose test results are positive find treatment services and discuss ways to avoid spreading HIV to other.  Help clients find places to obtain other services they need, such as treatment and support services, family planning, antenatal and childbirth care, and drug abuse treatment services. 2/22/2021 Jones H.M-MBA 5
  • 6. Principles of basic counseling  Be sure to communicate with respect in your verbal and non verbal communication. Be careful not to scold, condemn, or be overly familiar with the patient  Honor confidentiality  Communicate carefully with sensitivity  Use simple words and language that is easy to understand. Encourage the patient to ask questions and have them repeat key information to make sure they understand 2/22/2021 Jones H.M-MBA 6
  • 7. Principles of basic counseling  Be sensitive to social/cultural practices that may conflict with your plan of action. Respect these practices and incorporate them when possible, and provide alternatives or empathetic counsel when they need to be eliminated.  Allow the patient to ask questions and voice concerns and listen to what she or he has to say.  Find out the person already know before providing. A good example to do this is to ask, “tell me what you know or have heard about…) 2/22/2021 Jones H.M-MBA 7
  • 8. Types on counseling  Pretest counseling  Post test counseling  Genetic counseling  Preventive counseling  Disclosure counseling  Supportive counseling  Crisis counseling  Bereavement counseling 2/22/2021 Jones H.M-MBA 8
  • 9. Counseling skills  There a few basic counseling skills that anybody providing counseling need in order to talk with the client in a helpful way.  Some of these skills include the following:  Empathizing  Active listening  Open questioning 2/22/2021 Jones H.M-MBA 9
  • 10.  Probing  Focusing  Affirming  Clarifying  Correcting false information  Summarizing 2/22/2021 Jones H.M-MBA 10
  • 11. Empathizing  This is the act of seeing the word thruogh another person’s eyes and understanding how that person feels from his/her point of view.  You need to listen to the client and show them that you understand without judging.  Empathy is not feeling sorry for the client  It is trying to understand the client’s by imagining how it is to be in the clients shoes 2/22/2021 Jones H.M-MBA 11
  • 12. Empathizing cont  An example is when your adolescent client tells you that “my boy friend keeps asking me to have sex with him and I feel embarrassed and angry”  Your empathetic response would be “ so you feel irritated, uncomfortable and pressured by him. That must be difficulty” 2/22/2021 Jones H.M-MBA 12
  • 13. Active listening  This involves paying attention to what the client says and does and listening in a way that shows respect, interest and empathy.  E.g. if the client is biting nails and looking nervous but tells you she is fine.  You as a counselor may say “ sometimes when we think we are relaxed, we can still feel quite anxious inside. I see you are biting your nails. Perhaps there is something bothering you that you do not know how to express. Do you have any idea what that might be?” 2/22/2021 Jones H.M-MBA 13
  • 14. Asking open ended questions  These are questions that require more than a one word answer  They usually begin with word such as “How,” “what,” or “why.  These questions encourage clients to express their feelings and share information about their situation 2/22/2021 Jones H.M-MBA 14
  • 15. Probing  This is using questions to help the client express themselves more clearly  Probing is necessary when the counselor needs more information about the client’s feelings or situation.  Probing question are a good way to follow up question that can be answered by “yes”, or “no”  E.g. “ can you tell me more about that” 2/22/2021 Jones H.M-MBA 15
  • 16. Focusing  Client are usually overwhelmed by their emotional or personal problems, that they may want to address all their problems at once.  If the client wants to talk about the information that will be discussed later in the session ,the counselor may want to keep the topic of discussion related to the current task. 2/22/2021 Jones H.M-MBA 16
  • 17. Affirming  This is congratulating or complimenting the client on the positive actions that they have been able to take.  This will help the client to feel respected and valued and encourage them to do the right things.  For instance the client says “ recently I’ve started using condoms each time I have sex.”  The counselor may say “ that is a positive step you have taken in protecting yourself against HIV and other STIs. 2/22/2021 Jones H.M-MBA 17
  • 18. Clarifying  This is done in order to make sure that the counselor understand a client’s statement or question.  It also helps the client to understand his/her situation or feelings better and identify uncertainty or conflict between his /her thought and behaviour.  E.g. The client may say “my partner gave me gonorrhea and Iam afraid of getting HIV. But Iam also afraid that if I ask him to use condoms he’ll leave me.” 2/22/2021 Jones H.M-MBA 18
  • 19. Clarifying cont  The counselor may say” Help me understand this. You are afraid you might get HIV from your partner, but you are also afraid he’ll leave you if you ask him to use condoms. 2/22/2021 Jones H.M-MBA 19
  • 20. False information  Correct any false information  This will help the patient to have the right information and make an informed choice 2/22/2021 Jones H.M-MBA 20
  • 21. Summarizing  The counselor summarizes the whole discussion in order to eliminate the less important information and present the main points of the conversation to the client.  Summarizing also help the counselor to:  Make sure the counselor and the client understand each other  Enable them to move to another topic  End the counseling session 2/22/2021 Jones H.M-MBA 21
  • 22. Counseling process  Welcome the client  Introduce yourself and your role  Assure the client about confidentiality  Introduce the topic  Find out what the client knows the progress from the known to the unknown  Allow the client to talk and use you attending skills  After the discussion allow client to make a dicision 2/22/2021 Jones H.M-MBA 22
  • 23. Qualities of a counselor  A good listener  Empathetic  Non judgment  Knowledgeable with the principle and skills of counseling.  Ability to honor confidentiality  Good voice clarity  Self aware 2/22/2021 Jones H.M-MBA 23
  • 24. Support groups  This is important for the client in order to get the support and care he/she needs  For example the a client who is HIV positive may require HIV support group 2/22/2021 Jones H.M-MBA 24