what is counselling
- provides safe and supportive environment in which to talk through thoughts and problems and reflect on past and present events with non-judgemental professional
what does a counsellor do?
listens and helps you explore and make sense of your feelings and behaviour
what did carl rogers put forward
- person centred approach
- shift towards patient being expert
role of counsellor
to create safe and and accepting space for patient led exploration of issues/ideas
who was the attachment theory developed by and what did it state
- bowlby
- stated that poor childhood experience may render the child unable to express feelings
BACP
member of BRITISH ASSOCIATION for COUNSELLING and PSYCHOTHERAPY - qualified to do the job
what are the ethical principles set out by BACP in 2018
- autonomy
- trustworthy
- justice
- beneficence
- non maleficence
- self-respect
list some skills a counsellor needs
- establishment of trust
- listening with all our senses
- being able to emphathise
- culturally sensitve
- self aware + able to reflect
- accurate interpretation of all emotions expressed
- thinking> reacting
- never pity
why would people have counselling
- empowers clients to work out their problems
- PTSD
- change and loss
- following major trauma
core conditions of helping
- unconditional positive regard
- accurate empathy
- genuineness
the 3 stages of egan’s skilled helper model
- exploration - helping client examine thoughts and feelings
- insight - helping clients understand underlying reasons
- action - helping clients make change
describe stage 1 - getting the story
- explore clients reasons for counselling
- helps client identify and clarify problems
- keep checking you are on the right track
- should flow as naturally as possible
- set contract + objectives
describe stage 2 - possibilities for change
- elicit any ideas client may have had
- explore pros and cons of any ideas
- summarise various points
- clarify main issue
describe stage 3 - strategies for change
- summary of previous discussions
- agreeing action plan for next stage
- draw to definite close - avoid tendency for discussions to drift in wrong direction
what is egan’s SOLER aid for non verbal communication
S - face squarely
O - open posture
L - lean forward
E - eye contact
R - relax
examples of patient centred communication
- friendly intro
- smiles, warm voice tones etc
- explaining
- asking permission
- open communication
- maintain patients dignity
- respect
what is empathy
- being able to understand a person as if you were inside their world and communicating this to them
how to convey empathy
- careful listening
- attention to non-verbal cues
- allowing time
- respond appropriately
