This document discusses the use of tools in counseling. It provides background on how tools have traditionally been used as screening or educational aids. Benefits of tools include building rapport, increasing self-awareness, and empowering patients. Guidelines for using tools emphasize collaboration, individualization, and flexibility. Several specific tools are then presented, including assessments, charts, diaries, and creative exercises. The document concludes by noting that the therapeutic alliance is the largest factor in promoting change, not any single tool.

1. Tools in
Counseling
Yasmine Buraik
Psychiatric Counselor
Psychiatric & Community Counseling
Services

2. The Healing Relationship
Compassion is not a relationship
between the healer and the wounded.
It's a relationship between equals.
Only when we know our own darkness
well can we be present with the
darkness of others.
Compassion becomes real when we
recognize our shared humanity.
--Pema Chodron--

3. Background on Tools
 Have been used many years primarily
as screening tools.
 Used now as educational tools and
learning tools, to gain more information
about a particular symptom or
experience linked to psychological
distress
 Sometimes they are simply used as
entertainment.
 Great range of tools available for
various settings and conditions.

4. Benefits of Tools
 Build Rapport
 Increase Self Awareness
 Encourage Responsibility
 Encourage Self Care
 Promote Mind Body Connection
 Empower Patient
 Continuity of Therapy
 Overcome Therapeutic Impasse

5. Guidelines for Using Tools
 Therapists not Teachers
 Collaboration
 Individualized
 Confidentiality
 Respect
 Neutrality
 Optional
 Exploration
 Flexibility

6. The Therapeutic Alliance
Miller and his colleagues in Escape from
Babel (Norton, 1997); The Heart & Soul
of Change (APA, 1999) state that
therapeutic alliance account for the
largest explained variance in change.
This includes all factors including the
relationship model, skills, tools, placebo
effects etc.

7. Self Assessment

8. Depression Inventory

9. Anxiety Inventory

10. Mood Chart

11. Skills Assessment

12. BAD Observation Chart

13. BAD Observation Chart (2)

14. CBT Introduction

15. Mood & Activity Chart

16. Mood & Activity Chart (2)

17. Thought Record

18. Thought Record (2)

19. Behavioral Experiment
Chart

20. Behavioral Experiment
Chart (2)

21. Assertiveness Ladder

22. Stress Awareness Diary

23. Ritual Record

24. Eating Disorder Record

25. Daily Food Dairy

26. Personal Positive Eating
Goals

27. Exercise Diary

28. Responses to Reasons for
not Exercising

29. Creative Journaling

30. Male, 9, Abuse
I am afraid of you and I will not
return home even if the feeling in
my heart is good I will never
return home, If I return home my
feeling will be worse because you
hit me at home and I have never
forgotten that and these are not
beautiful memories. Even if you
tell me to go home with you I will
not.
Thank you
Saeed

31. Male, 54, ADHD,Depression
The common
thing between
my childhood
and now that I
am always
jumpy and noisy

32. How do I feel

33. Female, 18, Borderline IQ, Abuse

34. Male, 31, Depression

35. Male, 31, Depression

36. Unknown
To Dr. Yasmine Buraik
I apologize for not
attending our Monday
meeting, but I was in a
state of very big sleep
from Monday until
today.
I do not leave my room
at all, but you are on my
mind and I am very very
sorry.

37. Drawing
 Me as I see myself now
 Me and my biggest problem
 Me as I would like to be

38. Female, 32 ,
Marital Discord

39. Female,31, OCD

40. Female,50, Marital Discord,
Divorced later

41. Female,32 ,
Grief Reaction

42. Female,30,
Depression & Obesity

43. Female, 25,Depression

44. Male, 50, Depression

45. Female, 42, Anxiety

46. Female, 40, Martial Discord

47. Female, 32, Depression

48. Genogram

50. Emotional Relationships

51. Female, 54, Grief.
4th Grade Education

52. Female, 42, Forgiveness

53. Male, 37, Relationship Problems

54. Male, 42, Social Anxiety

55. Mind Body Skills

56. Comfort Bag

57. Coping Box

58. Pandora’s Box
 With every tool, we will
possibly expose to the light
of day some aspect of
mental health or illness that
is: strange, weird,
hypocritical, “quacky”,
beyond belief and possibly
dangerous.
 Unlike the mythological box
of Pandora where you are
safe as long as the evil stuff
is locked away or hidden,
therapists encourage this
“trade of secrets” between
them and the patient, They
call it the “Therapeutic
Alliance”.

59. The Healing Relationship-Revisited
‫ لم تكوني أول من أضاء لي شمعة وسط عتمة طريقي المظلم، لكنك الوحيدة التي‬
.‫حافظت عليها مشتعلة و ظلت معي إلى أن وجدنا – و بصعوبة- بقية الشموع‬
‫أنت لم تضيئي طريقي و حسب بل علمتني أن لغيابك معنى آخر غير الفقد و هو‬
‫ من فريق المساندة‬X ) . ‫أنك تركتني بأمان ما دامت حولي شموع أخرى أشعلها‬
(‫البيض‬
 You were not the first to light a candle for me
along my dark path, but you were the only one to
keep it burning and stick with me until we found
– with great difficulty- the rest of the candles.
You did not only light my path, but you taught
me that your absence meant something other than
loss. You left me feeling safe that there are other
candles around me I can light. ( ْ X from The White
support team)

60. Thank You