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1
Counseling: A Process
SREEJA GANGAGDHARAN P
2
Definition Of Counseling
 A supportive and empathic professional
relationship that provides a framework for
the exploration of emotions, behaviors,
and thinking patterns, and the facilitation
of healthy changes.
3
Components Of The Counseling
Process
 Relationship Building
 Assessment
 Goal Setting
 Intervention
 Termination and Follow-Up
4
Relationship Building
5
Conditions Of An Effective
Therapeutic Relationship
 Accurate Empathy
 Genuineness/Congruence
 Positive Regard/Respect
Client’s perception of relationship is what counts!
6
Counselor Skills Associated With
Facilitative Conditions
 Nonverbal and verbal attending behaviors
 Paraphrasing content of client communications
 Reflecting client feelings and implicit messages
 Openness and self-disclosure
 Immediacy
 Attending to Client's Theory of Change
 Interactive vs. Didactic Approach
 Promoting Hopefulness
7
Functions Of A Therapeutic
Relationship
 Creates an atmosphere of trust and safety
 Provides a medium or vehicle for intense affect
 Models a healthy interpersonal relationship
 Provides motivation for change
 People like to be heard. To be heard helps
reduce insecurity
8
Assessment
9
Purposes Of Assessment
 Systematic way to obtain information about the
client’s problems, concerns, strengths, resources,
and needs.
 Foundation for goal-setting and treatment
planning.
10
Assessment Considerations
 Assessment is always an ongoing process,
 What is the person motivated for? What does he
or she want?
 What does the person do well? (Find contexts of
competence.) Skills, hobbies, sports, activities,
avocations, life experiences, etc.
 Exceptions/previous solutions/times when
situation was better
 Best coping moments
Get specific about the problem-free future.
11
Assessment Considerations (Cont.)
 What are the patterns of the problem?
How is it performed? Search for
regularities of action and interaction, time,
place, body behavior, etc
 Scan for potentially harmful actions of
clients or others in clients' lives (e.g.,
physical violence, drug/alcohol abuse,
sexual abuse, self-mutilation, suicidal
intentions/attempts, etc.).
12
Assessment Tools
 Intake forms
 Intake interview
 Clinician questions
 Formal instruments
 ASAM PPC
 DSM IV
 DrInc
 SASSI
 SOCRATES
 ………..
13
Stages of Change
(Meeting the client where they are)
 Precontemplation - "I really don't want to change.
 Contemplation- I'll consider it."
 Preparation- "I'm making a plan for it."
 Action- "I'm doing it, but not regularly."
 Maintenance- "I'm doing it."
 Termination- "I have no desire to go back to my own ways."
14
Goal-Setting
15
Goal Functions
 Define desired outcomes
 Give direction to the counseling process
 Specify what can and cannot be accomplished in
counseling
 Client motivation
 Evaluate effectiveness of counseling
 Measure client progress
16
Seven Qualities Of Well Formed
Treatment Goals
Saliency to the Client/Collaborative
Small
Concrete, Specific, and Behavioral
The Presence Rather Than the Absence of
Something
A Beginning Rather Than an End
Realistic and Achievable Within the Context of
the Client’s Life
Perceived as Involving “Hard Work”
17
Interventions
18
Categories Of Counseling Interventions
 Affective
Person-centered therapy
Gestalt Therapy
 Cognitive
Rational-emotive therapy
Problem-solving and decision-making
 Behavioral
 Interpersonal/Systemic
19
Collaborative Therapy
A collaborative therapy is one in which:
 The expertise of clients is given at least as
much weight as the expertise of therapists.
 Clients are regularly part of the treatment
planning process.
 Clients are consulted about goals,
directions and responses to the process
and methods of therapy.
 Client status is elevated from passive needy
recipients to active expert contributors.
20
Termination and Follow-Up
21
Indicators Of Counseling Success
 Clients “own” their problems and solutions
 Clients develop more useful insight into
problems and issues
 Clients acquire new responses to old issues
 Clients learn to develop more effective
relationships
22
Accountability For Mental Health
Professionals
 Continuing education
 Paying attention to relevant research findings
 Applying research findings to clinical practice
 Validating efficacy of our work
23
Outcome Rating Scale (ORS)
Name ________________________Age (Yrs):____ Sex: M / F Session #____Date:_______________________
Who is filling out this form? Please check one: Self _______Other_______ If other, what is your relationship to
this person? ____________________________
Looking back over the last week, including today, help us understand how you have been feeling by rating how well
you have been doing in the following areas of your life, where marks to the left represent low levels and marks to
the right indicate high levels. If you are filling out this form for another person, please fill out according to how you think he or she
is doing.
Individually
(Personal well-being)
I----------------------------------------------------------------------I
Interpersonally
(Family, close relationships)
I----------------------------------------------------------------------I
Socially
(Work, school, friendships)
I----------------------------------------------------------------------I
Overall
(General sense of well-being)
I----------------------------------------------------------------------I
Institute for the Study of Therapeutic Change
www.talkingcure.com
© 2000, Scott D. Miller and Barry L. Duncan
Key words
 Counseling
 Relationship Building
 Assessment
 Goal Setting
 Intervention
 Termination
 Follow-Up
24
REFERENCE
 Gibson, R.L, and Mitchell, M.H. (2006) Introduction
to counseling and guidance (6th Edition). Prentice-Hall
of India Pvt. Ltd, New Delhi.
 Narayanan Rao, S (2002). Counseling and Guidance
(Rev. Second Edition). Tata McGraw-Hill, New Delhi.
25
26

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Counseling Sree

  • 2. 2 Definition Of Counseling  A supportive and empathic professional relationship that provides a framework for the exploration of emotions, behaviors, and thinking patterns, and the facilitation of healthy changes.
  • 3. 3 Components Of The Counseling Process  Relationship Building  Assessment  Goal Setting  Intervention  Termination and Follow-Up
  • 5. 5 Conditions Of An Effective Therapeutic Relationship  Accurate Empathy  Genuineness/Congruence  Positive Regard/Respect Client’s perception of relationship is what counts!
  • 6. 6 Counselor Skills Associated With Facilitative Conditions  Nonverbal and verbal attending behaviors  Paraphrasing content of client communications  Reflecting client feelings and implicit messages  Openness and self-disclosure  Immediacy  Attending to Client's Theory of Change  Interactive vs. Didactic Approach  Promoting Hopefulness
  • 7. 7 Functions Of A Therapeutic Relationship  Creates an atmosphere of trust and safety  Provides a medium or vehicle for intense affect  Models a healthy interpersonal relationship  Provides motivation for change  People like to be heard. To be heard helps reduce insecurity
  • 9. 9 Purposes Of Assessment  Systematic way to obtain information about the client’s problems, concerns, strengths, resources, and needs.  Foundation for goal-setting and treatment planning.
  • 10. 10 Assessment Considerations  Assessment is always an ongoing process,  What is the person motivated for? What does he or she want?  What does the person do well? (Find contexts of competence.) Skills, hobbies, sports, activities, avocations, life experiences, etc.  Exceptions/previous solutions/times when situation was better  Best coping moments Get specific about the problem-free future.
  • 11. 11 Assessment Considerations (Cont.)  What are the patterns of the problem? How is it performed? Search for regularities of action and interaction, time, place, body behavior, etc  Scan for potentially harmful actions of clients or others in clients' lives (e.g., physical violence, drug/alcohol abuse, sexual abuse, self-mutilation, suicidal intentions/attempts, etc.).
  • 12. 12 Assessment Tools  Intake forms  Intake interview  Clinician questions  Formal instruments  ASAM PPC  DSM IV  DrInc  SASSI  SOCRATES  ………..
  • 13. 13 Stages of Change (Meeting the client where they are)  Precontemplation - "I really don't want to change.  Contemplation- I'll consider it."  Preparation- "I'm making a plan for it."  Action- "I'm doing it, but not regularly."  Maintenance- "I'm doing it."  Termination- "I have no desire to go back to my own ways."
  • 15. 15 Goal Functions  Define desired outcomes  Give direction to the counseling process  Specify what can and cannot be accomplished in counseling  Client motivation  Evaluate effectiveness of counseling  Measure client progress
  • 16. 16 Seven Qualities Of Well Formed Treatment Goals Saliency to the Client/Collaborative Small Concrete, Specific, and Behavioral The Presence Rather Than the Absence of Something A Beginning Rather Than an End Realistic and Achievable Within the Context of the Client’s Life Perceived as Involving “Hard Work”
  • 18. 18 Categories Of Counseling Interventions  Affective Person-centered therapy Gestalt Therapy  Cognitive Rational-emotive therapy Problem-solving and decision-making  Behavioral  Interpersonal/Systemic
  • 19. 19 Collaborative Therapy A collaborative therapy is one in which:  The expertise of clients is given at least as much weight as the expertise of therapists.  Clients are regularly part of the treatment planning process.  Clients are consulted about goals, directions and responses to the process and methods of therapy.  Client status is elevated from passive needy recipients to active expert contributors.
  • 21. 21 Indicators Of Counseling Success  Clients “own” their problems and solutions  Clients develop more useful insight into problems and issues  Clients acquire new responses to old issues  Clients learn to develop more effective relationships
  • 22. 22 Accountability For Mental Health Professionals  Continuing education  Paying attention to relevant research findings  Applying research findings to clinical practice  Validating efficacy of our work
  • 23. 23 Outcome Rating Scale (ORS) Name ________________________Age (Yrs):____ Sex: M / F Session #____Date:_______________________ Who is filling out this form? Please check one: Self _______Other_______ If other, what is your relationship to this person? ____________________________ Looking back over the last week, including today, help us understand how you have been feeling by rating how well you have been doing in the following areas of your life, where marks to the left represent low levels and marks to the right indicate high levels. If you are filling out this form for another person, please fill out according to how you think he or she is doing. Individually (Personal well-being) I----------------------------------------------------------------------I Interpersonally (Family, close relationships) I----------------------------------------------------------------------I Socially (Work, school, friendships) I----------------------------------------------------------------------I Overall (General sense of well-being) I----------------------------------------------------------------------I Institute for the Study of Therapeutic Change www.talkingcure.com © 2000, Scott D. Miller and Barry L. Duncan
  • 24. Key words  Counseling  Relationship Building  Assessment  Goal Setting  Intervention  Termination  Follow-Up 24
  • 25. REFERENCE  Gibson, R.L, and Mitchell, M.H. (2006) Introduction to counseling and guidance (6th Edition). Prentice-Hall of India Pvt. Ltd, New Delhi.  Narayanan Rao, S (2002). Counseling and Guidance (Rev. Second Edition). Tata McGraw-Hill, New Delhi. 25
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