Counselling

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COUNSELLING

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COUNSELLING What is Counselling Counselling is a process of enabling the client / patient to express her / his feeling and create physical and psychological environment in which client feels confident enough to take his own decisions in particular issue. DISCUSS Actual Need Suitable choices Advantages Disadvantages Empowering client and assist to take his / her own decision for positive behaviour change

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COUNSELLING - Useful technique in dealing with sensitive issues. - Success rate is high compare to other methods - Produce most acceptable result - Use full technique to deal with problems which are complicated by own fear, anxiety, doubts and family and social pressures.

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Differents between Counselling and Health Education Counselling Health Education Initiated by client Initiated by service provider Aim to reduce stress and anxiety towards particular health problems. Aim to disseminate of information Performed in one to one (or) small groups Done for large groups Client is helped to make his own decisions Creating awareness and motivations More than the time One time

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COUNSELLING - Counsellor gives up to date information to client - Assist client to make his own suitable decisions - Counselling is a continuous process - May need more than one sessions Examples for Counselling Marriage Job opportunities Educations Adolescent Problems Family Planning HIV / AIDS

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Role of Counselling in Health Helps People - To understand their Health Problem - To identify their need - To make free, informed and well considered decision regarding Health problem - Useful in dealing with family welfare, Adolescent and many----------Health problems - Useful technique at organization level

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Counselling Technique Style / approaches in doing counselling 1. Counsellors – Centered (or) authoritarian style 2. Client centered (or) non directive style 1. Non authoritarian style

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Factors that help the Counsellor to conduct the sessions effectively Focus attensions : Win the confidence of client Show acceptance : Allow client to express freely Do not show Prejudice(or) interference Show empathy : Helps in understanding client problem Do Probing : To get more information from shy client (or) person hiding information Cont..

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Advising : Possible solution to the problem Paraphrasing : Repeat what client says client feels that his problem clearly understood by counsellor Summerising : List out the issues that helps in identifying the problems and plan possible solution

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COUNSELLING SKILLS - Good interviewing skills IPC - Eye contact - Approximate facial expression - Good body posture - Use verbal prompt - Easy language - Making right body movements

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DO’S AND DON’T OF COUNSELLING DO’S DON’TS Keep the surrounding neat and clean to make the client feel relaxed In dirty sourrending Make the client comfortable by being friendly Do not begin the counselling immediately Ensure your client is relaxed and has confidence in you Do not stop your client from talking Listen with attention Volume of your voice should not be high Try to understand the psychology of the patient Do not dress against the dressing code of your area Cont..

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DO’S DON’TS Speak in a clear and audible tone Do not use exaggerated gestures Speak in soft voice especially to children Do not ask close-end questions if you need more information Dress soberly Do not bring in personal biases in your views Use your non-verbal skills to communicate with empathy and understanding – remember it is not sympathy. It means that you are able to identify yourself with your client’s situation Do not forget to thank the client for sharing her /his problem

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Definition Counselling is a Helping process where one person explicitly & Purposefully gives her / his time, attention and skills to assist the client to explore their situation, identify and act upon solutions within the limitations of their given environment.

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Difference between counselling and other method of IEC like IPC Counselling Other method of IEC One to one (or) very small group Small group (or) larger group Initiated by client Initiated by Health provider Helping the client to make their own decision Dissemination of information and motivation Discuss both advantages and disadvantage Mainly discuss advantages Continuous May be one time

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Thanking you