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General Counseling skills


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name 5 stages of counseling
1. Introduction
2. Rapport
3. Sensory acuity
4. Calibration
5. representational Systems
barriers to counseling
1. personal bias
3. recovery experience
kinds of clients you will encounter
1. resistant
5.paranoid fearful
6. cooperative/engaging
how does a counselor function in a clients recovery?
1. advisor,
2. encourager
3. facilitator
4. unconditional acceptor
5. non-judgemental
6. provides positive response
What is empathy?
the ability to identify with a client, "walk a mile in someone elses shoes, to have "positive regard" for someones ability to recover
what is an example of an intrinsically motivated counselor?
one that helpspeople move toward awareness.
when a counselor gets "concrete" what does that mean?
counselor chooses 1 or 2 things only to work out a solution for.
How can confrontation be used by a counselor
you can be direct, challenge untrue statments, without threatening or defending your self
when helping a client is it better to focus on strenghts or limitations?
strength, most clients do not accept that they have any strenghts
what is "immediacy" when does it apply?
immediacy allows you to set realistic goals for that session ..right now.
Who sets the goals Client or Counselor
both, they must be mutual. It is their treatment plan
a client won't talk. what could you do?
try being comfortable in silence
try writing/drawing
divert attention to something off topic
What is Repoire?
establishing a connection, finding a common ground.
What are some ways to establish repoire?
1.find primary sorts--based on content of client responses you can pick out themes ie, groups,people,time,places etc.. ask the client to share their personal experiences/feeling about the general themes they share with you. slowly work in steps a client can take to gain a balanced perspective
what are neurolinguistic processing (NLP)representational systems?
information gathered by physical movements behavior
give some examples of representational systems
eye movements during a response can tell you how a person recieves information: auditory, visually or kinesthetically
representations to look for
2.breathing patterns-unusual
3. vocabulary-choices
4. posture-threatened,tense
how can a counselor use these representations
report back to the client what you see, and talk about it
What is calibration in regards to counseling?
readjusting to match the behavior of our client
What does calibration do for the counselor?
allows us to be accurate in assesment and observations
identify some visual acuity meanings
eyes looking to the right--means remembering something.
eyes up and to the left- means visual contructing something.
eyes looking level/down-auditory remembering/listening
do clients appreciate when ou point out or report back on their subtle physical activity?
yes, it builds connectedness
What is the maximum case load the state recommends for out patient
35 clients
caseload for inpatients
caseload for a half-way house
5-6 clients
What is one of the biggest causes of addiction?
most clients are: disconnected from, unaccepting of, their feelings and their ability to cope with what they feel
how can a counselor deal with a clients disconnect?
1.observe a disconnect back to client what you see about it
4.provide a new perspective
is anger an emotion
anger is an artificial emotion. its general goal is to distract
how can you look at a client who is/has demonstrated anger
this is a perfect opportunity to give them a new coping tool kit. remind the client they are safe, and you care to understand the underlying feelings behind the anger
What is active listening?
1.paraphrasing back what a client has said,
2.maintaining eye contact
3.physical acknowledgement, 4.listening for content, 5.asking for clarification
a client has trust issues, opposes having a counselor, what do you do?
validate feelings,acknowlege what is said,focus on client strengths. Asses where they are: pre-contemplation, contemplation,determination,active relapse. give client awareness of their belief and hopes as they see them
what stages should each session have
1. intro
2. fact finding
3.dialog about stuff beneath the issues
3 musts of group therapy
1. must be safe
2. must be consistent with rules and structure
3. you will be tested by the clients on the first two
According to Yalom. what are the objectives of Group therapy
1. imparting information
2. self understanding
3.identification with others
4. installation of hope
5. "universality"
6. family "reinactment"
7.interpersonal learning
8. existential factors- responsibility, ownership
9. catharsis
preparation for Group counseling according to Gerald Corey
Prepare ask yourself these questions? ready do i feel? i feeling emotionally available? enthusiastic am I?
4.How effective am I feeling in my life?
5.Am I feeling professionally confident? I believe in the process of group?
8 common group roles clients take
1. monopolist
2.silent patient
3. boring client
4. help rejecting client
5. psychotic client
6."borderline"characterlogically difficult
7.unstable/intense client
8identity disturbed
What is a "borderline" client
AXIS II clients?
narcisstic-all about them, no empathy for others,
schizoid-frantic avoidance of real or imagined abandonment
what are the different types of group therapies
coping/life skills
anger mgmt
What steps should take place in the initial formation of a group?
1. orientation-clarify purpose,expenctencey,rules,topics
2.determine a methode of achieving their task
3. attend to social relationships,create air of comfortableness
barriers clients will pose in group
1.client may be searching for rational of group therapy
2.confused to the relavence of group
3. question how is this helpful
4. sizing up of each other up can this help me?
what are the 3 stages a sucessful group moves through
1. inital stage
2.conflict stage
what characterizes the inital stage?
1. search for similarity
2. what do you want to get out of this?
3.stress "universality"
4.introduce problem areas
5. look at the possibilities
what characterizes the "conflict" stage of group
1 client has level of maturation
2. clients challenge each other. ie,recognize self defeating behaviors, BS,distractions
"forming","storming","norming", "performing"
what can the counselor expect to have to deal with in this conflict stage
1.struggle for control- inherent hostility toward the terapist. The clients actually turn their self-defeating behavoiors on you because they may be experinecing withdrawal, failure to cope--TRANSFERENCE
what characterizes the cohesive stage
common goals, group spirit,increase in group moral, trust , disclosure
what is the counselors chief concern in the "cohesive (3rd) stage of group
social intimacy and closeness, the client has been off drugs for a period of time and sensitivity to triggers present.
Counselor ensures "appropriateness of sharing", topics, disclosure
Basic keys to remember for GROUP
1. structure very important for safety
2. recognize when to lead vs active listen
3. realize the group is the client
4. group members will use transference
5. develop a habit of consistency in your presentation
6.never force client to remain
7.always be aware of time,but never let clents see the clock
8.recognize each client will select a role
9. don't hesitate to remove a disruptive client
10. nothing has to be solved everhtime. the goal is the process

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