counselling skills

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COUNSELLING SKILLS DR. Atta ur Rehman Clinical Dietitian KKH-NGHA


Objective Demonstrate counseling skills required in the clinical setting

What is counseling?:

What is counseling?

What is a Self ? :

What is a Self ? Private Public Spiritual

What is a Self ? :

What is a Self ? Thinking Feeling Sensing Intuition

Feelings Hurt Yourself ? :

Feelings Hurt Yourself ? Anger Fear Grief Embarrassment Joy/happiness Mood swings etc

Varieties of Counseling :

Varieties of Counseling Supportive counselling Informative counseling Educational counseling Crisis counseling Post trauma counseling Counseling in spiritual distress Counseling in emotional distress Confessional distress

Counseling interventions :

Counseling interventions Prescriptive Informative interventions Confronting interventions Cathartic interventions Catalytic interventions Supportive intervention

Outcome of Effective Counseling :

Outcome of Effective Counseling The person comes to see himself differently accepts himself and his feelings more fully becomes more self-confident and self directing becomes more flexible, less rigid in his perceptions. adopts more realistic goals for himself

Outcome of Effective Counseling:

Outcome of Effective Counseling behaves in a more mature fashion. becomes more acceptant of others. becomes more open to the evidence ,both to what is going on outside of himself and to what is going on inside of himself changes in his basic personality characteristics in constructive ways."

PowerPoint Presentation:

"It ’ s good to talk"

Counselor Must:

Counselor Must Listen Not judge Pay attention Accept the client's feelings Empathic Develop his/her thinking Feel safe and respected Know you care Know he/she is not being judged Know you are with him/her

Counselor may:

Counselor may Ask questions Summarize Ask the client to try new behavior in the counseling session Develop her/his own thinking Hear her/his thoughts and know she/he is understood. Release blocking emotion such as. unexpressed anger or sadness.

Counselor should not:

Counselor should not Argue Dwell on their own difficulties Solve the problem for the client Give advice Belittle the clients' concern Avoid painful areas Defensive Withdraw Dependant Dependant or hostile Withdraw or attack Be frustrated

The psychological approach to counseling :

The psychological approach to counseling Psychodynamic App Cognitive behaviour therapy Humanistic Transactional analysis Gestalt therapy Eclectic

The cognitive behavior therapy :

The cognitive behavior therapy The health professional who adopts the cognitive behavioral approach to counseling will tend to: Rely less on personal warmth and more on confrontation in counseling relationship Use a logical and rational approach to problem solving Encourage the client to develop a realistic and pragmatic outlook on life

Necessary personal qualities of the effective counselor :

Necessary personal qualities of the effective counselor Unconditional positive regard Empathic understanding Warmth and genuineness Concreteness Immediacy

An eight stage map of counseling relationship:

An eight stage map of counseling relationship Meeting the client Discussion of surface issues Revelation of deeper issue Ownership of feelings and possibly emotional releases Generation of insight future planning / problem solving Action by the client Disengagements from the counseling relationship by the client

Don’ts in the counselling :

Don ’ ts in the counselling Why Should and oughts Blame Don't compare client's experience and yours Don ’ t invalidate clients feelings

Counseling Skills :

Counseling Skills Skill-I Listening and attending Skill-II Client-centered skills Skill-III Helping with feelings

Counseling Skills-I Listening and attending:

Counseling Skills-I Listening and attending The best counseling is that which involves the counsellor solely listening to the other person Attending is the act of truly focusing on the other person There are 3 hypothetical zones of attention

Listening and attending Zones of attention:

Listening and attending Zones of attention ZONE ONE: Attention out The counselor listens to the client and paying attention to verbal and non verbal cues ZONE TWO: attention in The counsellor is caught up with his/her own thoughts and feelings. attention to client is partial ZONE THREE: attention focused on fantasy The counsellor is busy trying to work out theories about the client. Rather than giving full attention, he/she is interpreting what is going on.

Thank you:

Thank you

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