Introduction to Counselling

Addiction Medicine Certificate Course by Muktaa Charitable Foundation
Course Material by Dr Narayan Perumal
Lecture conducted at Aga Khan Palace
More material on Fullnasha.com

1. Introduction to Counselling RITU PRADHAN Connecting Dr.Mahajan’s Clinic

2. What is psychology according to you?

3. Who charges you by the hour to listen to you complain

4. Psychoanalysis- Study of unconscious mind to find theories on treatment for mental disorder

5. What according to you is counselling?

6. Is it just talking and listening?

7. It is about paying attention….

8. And being Sherlock Holmes…

9. In any session….. Notice- Visual Cues – kempt, unkempt, ruffled clothes, pockets, shirt sleeves Non-Verbal Cues – body language, eye contact, expressions, hessitations Listen What’s being said What’s not being said, hesitations, silences, tones

10. What does being “Non Judgmental” mean?!!

11. Only God can Judge No preformed notion of ‘Good’ or ‘Bad’ Evaluate the situation but never judge Evaluate behavior objectively not subjectively Objective = Impartial – the whole picture Subjective = one’s own feeling Empathy not Sympathy Acceptance Open Mindedness

12. Why Counsel?

13. Few Types of Counselling Individual Counselling Group Counselling Career Counselling Relationship/ Couple Counselling Workplace Counselling Many many more…………….

14. How does it work in Addiction?

15. Does Personality determine the Addiction?

16. First Sign of Addiction is Denial

17. Everyone wants to quit from Tommorrow

18. Addiction is a Family Disease that affects even the neighbors

19. Addiction is powerful, progressive….

20. ……..cunning and baffling DISEASE

21. Like every Disease…..You fix problems by prioprity

22. Addiction Counselling involves Relationship Counselling Workplace Counselling/ Career Counselling Family Therapy Anger Management ………..almost Everything because Addiction affects everything

23. "We know what we are but not what we may be."  Ophelia in Hamlet

24. BASIC QUESTION – What is Counselling?

25. “Feelings are like waves, you can’t stop them from coming but you can choose which ones to surf” Therapeutic communication between a client and the therapist wherein the therapist help them resolve emotional, psychological and relationship issues. Therapist will listen , encourage , empathize and challenge to help them see their issues more clearly and in a different way. Not a friendly chat, Not about giving advice or opinions. Helps the clients to understand themselves better, to find their own solutions to cope with their situations

26. When is Counselling Necessary?

27. “Are you Okay?” Helps more lives than CPR Capacities for responding to demands of life is strained. Desired growth seems unattainable. Natural support systems are unavailable or in sufficient. Urged by third party – parent, spouse, teacher, etc – who believes the individual is failing to manage important aspect of life effectively. Trauma, mental illness, conflict-ridden relationship .

28. Not JUST talking, Not JUST listening

29. Individual Counselling = One-on-One Sessions Individual – the whole session is devoted to the single person’s concerns and goals . Helpful in coexisting issues (addiction and mental disorders that requires treatment ). Sound History taking is a must.

30. Always Consent to taking Notes. - “Do you mind if I write this down so I can review it later”

31. Group Counselling Support Group – group members help each other Group of people with mutual problems. structured, cover a particular topic of lesson or activity followed by discussion. emphasis on the relationship between group members with some goals for learning. Benefits - Provides support, motivation, promotes self awareness & social skills.

32. Group Counselling Can do it for any disease by forming a group in your clinic Always use like minded people Be supportive to their sharings Always remind them not to discuss other person’s sharing’s outside the room Can assign topics or games Process Group Therapy – When two or more group therapist talk to a group of 5-10 individuals by discussing issues Cognitive Processing Therapy (CPT) – where individuals are asked to address issues or topics which they avoid; encouragement is provided by group members Universality - An individual gains understanding that the problems is universal in the group and gain insight by group effort

33. Family Therapy Used to treat a family system or parties in relationship. Enables family members to express, explore difficult thoughts & emotions, understand troublesome differences safely. To understand & appreciate each others views and needs . Set Rules Draw Boundaries on what is acceptable behaviour Set plan on how to deal with unacceptable behaviour To build strength, make useful changes in their relationships and lives.

34. INTERVENTION Family, friends and relatives are brought together where they talk about the damage the person’s addictive behavior is causing in their lives to convince their loved one to undergo treatment.

35. How to do an Intervention Make a plan. A family member or friend proposes an intervention and forms a planning group . Try to use an Specialist/Interventionist to train all members Gather information on current job, financial, relationship situations Form the intervention team . Decide on specific treatment options Make notes on what to say . Hold the intervention meeting Follow up.

36. Types of Psychotherapy widely used….

37. Cognitive Behavioral Therapy (CBT)

38. Cognitive Behavioral Therapy (CBT)

39. CBT Based on the view that what people think about their situation / experience determines how they feel about the experience and their response towards the situation. Undesirable behavior can be changed by restructuring thought patterns. Focuses in current problem than past issues. Aims to change the way the client thinks to bring change in behavior and help them to deal with problems in a positive way.

40. Rationale Emotive Behavioral Therapy ( REBT)

41. Based on similar view as CBT – negative emotions and self defeating behavior are the result of irrational thoughts & beliefs. ABC Theory – A =activating event, B = thought about he event, C = emotional & behavioral reaction. Helps to identify these irrational thoughts and replace them with rational ones to promote change in behavior and well being. Focus is on “rational & irrational thoughts” and specific life events.

42. Arts Becomes Therapy (ABT)

43. Empty Chair Technique

44. A form of Gestalt Therapy

45. Person Centered Therapy

46. Person Centered Therapy Simplistic “What do you think?” Approach Self Directed Growth Nobel Peace Prize Nominated Unconditional acceptance of Of the client by the therapist

47. MINDFULNESS BASED COGNITIVE THERAPY

48. Tools for Effective Diagnosis

49. Psychometric Tests

50. Behavioral Questionaires

51. - Questionnaires are simple - have strong validity – Person has less chances of cheating - can have grading scale to measure severity

52. Pre Test and Post Test show if the therapy is working or needs change

53. Ethics of Counseling Principles to be followed by counselors to maintain the standard , reputation of profession and to avoid actions that could be harmful to others. Empathetic and non judgmental attitude. Maintain confidentiality . Follow non advisory approach and autonomy. Engage in self care , seek support & supervision to maintain the standard of work. Competence – maintain & update professional skills. Ability to examine ones thoughts, values & understand one’s limitations. Unconditional positive regard and respect for others. Maintain neutral professional relationship with the client.

54. Keep Learning…. Every Client is a new challenge

55. Thank You Ritu Pradhan 9869066616 pradhan ritus @yahoo.com