counselling-schizophrenia-

Download
Share  Add to  Flag Embed
Views:
 
Category: Education
     
 
License:   Some Rights Reserved

Presentation Description

Counselling schizophrenia

Comments

Presentation Transcript

Counseling in Schizophrenia : 

Counseling in Schizophrenia

Counseling on Schizophrenia….: 

Counseling on Schizophrenia …. Definition Counseling is a - goal directed - time bound - situation specific - problem oriented - behavioral intervention targeted to the alleviation of a specific emotional distress experienced by an individual in the situation of stress.

Definition Conti……….: 

Definition Conti………. Scientific process of assistance extended by the professional in a specific situation to a needy person.

Counselling in Psychoses: 

Counselling in Psychoses Not feasible for Schizophrenia….. Role of Rehabilitation Counselling Improves patient’s outcome/quality of life

Aims of Rehabilitation Counseling: 

Aims of Rehabilitation Counseling Reducing maladaptive reactions to environmental events. Developing awareness of symptoms of relapse. Accept themselves and their limitations and make use of their assets to their optimum level. Lower their expectations and become more realistic.

Aims Cont...….: 

Aims Cont...…. Strengthen their coping abilities. Understand patient’s attitude and reaction to the illness. Clarify and define problem to patient and help him to resolve it.

Fundamental work principles for the Counselor: 

Fundamental work principles for the Counselor Each individual should be considered as normal. The nature of problems varies to individual to individual. Counselling is a slow process. Establishing Rapport. Maintenance of Confidentiality.

Work Principles Cont…….: 

Work Principles Cont……. Good Listener. Acceptance. Alertness to the right and responsibilities of the counselee. Careful scheduling of interviews- - time for each interview - intervening time between two interviews

Work Principles Cont…….: 

Work Principles Cont……. Outcome Regular follow up Revision/Restructuring/ Recon ducting

Elements of Counseling: 

Elements of Counseling Principles Non judgmental attitude Unconditional positive regard Confidentiality Empathy Non emotional involvement Informed consent

Elements Cont…….: 

Elements Cont……. Form Limited no: of sessions Aimed at particular issue/ each session Content Reality Oriented /Problem Oriented Effects of stress Role and limitations of medications Avoidance of anxiety provoking situations To cope with external stress

MODELS USED: 

MODELS USED

Skills Model : 

Skills Model Intervene to eliminate any discrepancies between present and required level of skills Cut down into small steps Teaching the skill to the patient Allow him to perform each step Give feedback and differential reinforcement based on skill performance

SUPPORTIVE COUNSELLING: 

SUPPORTIVE COUNSELLING Individual Patient Family Members Group Gps of pts Gps of fly mem Supportive Counseling

Supportive Counselling…….: 

Supportive Counselling……. Suggestion Reassurance Reinforcement Environmental intervention and manipulation

INDIVIDUAL COUNSELLING: 

INDIVIDUAL COUNSELLING 1.Patient Motivation Drug Compliance Personal Relationships Self Esteem

INDIVIDUAL COUNSELLING: 

INDIVIDUAL COUNSELLING 2.Family Members Changes in attitude Coping Patterns Communication Problematic Behaviors Role of Medication

GROUP COUNSELLING: 

GROUP COUNSELLING Mutual Support Opportunity to learn from others who have had first hand experience

Goals for patient: 

Goals for patient Improved way to deal with illness. Better way to deal every day difficulties. To recognise relapse symptoms at an early stage.

Goals for family: 

Goals for family Decrease the feelings of guilt and helplessness. Increase the understanding of the patient and his illness related deficits. Reduce emotionally intensive family interactions. To improve family coping styles by increasing the families’ self help potential

Components for both the Group: 

Components for both the Group 1.Information about Schizophrenia. Etiology Symptoms Course of illness Prognosis Medication

Components…………….: 

Components……………. 2.Focusing on individual/family problems Current problems Communication and problem solving skills Long term strategy Re establishing social network

Components…………….: 

Components……………. 3.Preparation for eventual relapse Recognizing early warning signs Adequate ways to deal with re-admissions Adequate crisis interventions 4.Transition of self help groups

Different Groups : 

Different Groups Educative Insight General Sharing/Empathizing Problem solving/ Communication

DIFFERENT COUNSELLING: 

DIFFERENT COUNSELLING 1.Marital Counseling Sexual needs Personal space 2.Teens/Adolescence Counseling Coping skills Acceptance Self Esteem

DIFFERENT COUNSELLING: 

DIFFERENT COUNSELLING 3.What After Me? Involving other family members Pension Transfer Formation of Trust Assure financial security for the patient 4.Crisis Management Suicidal attempt Aggressive behaviour

Indications: 

Indications Comorbid conditions Negative symptoms/Manipulating the symptoms Low self esteem Family/work atmosphere

Not Indicated: 

Not Indicated Symptomatic Aggressive attempt to change patient’s behavior