Thursday, July 1, 2021

The Counseling Process

In considering the counseling process, think of a beginning, middle and an end each with main areas of focus/tasks. Built upon a solid foundation of relationship, moving forward toward goals a blend of art and of science


Applies In All Theoretical Orientations

Five Stages

Relationship Building

Assessment And Diagnosis

Formulation of Counseling Goals

Intervention And Problem Solving

Termination and Follow Up

Stage One: Relationship Building

Tasks here include

Laying Foundations For Trust

Establishing The Structure And Form The Relationship Will Take

Informed Consent Process

Articulating Roles Of Counselor And Client Developing A Collaborative Working Alliance

Relationship Building

Consider how do we develop rapport, create relationship with our clients? What is it that we bring to the relationship that helps us create a foundation of trust and willingness to work collaboratively toward goals?

Core Conditions Necessary for Successful Counseling

Developed Rapport

Create Relationship With Clients

Bring To The Relationship That Helps Us Create A Foundation Of Trust And Willingness To Work Collaboratively Toward Goals That Are:

Empathetic Understanding

Unconditional Positive Regard

Congruence

Immediacy

Concreteness

Self disclosure

The Purpose Served

Empathy -> promotes rapport and relationship

Unconditional Positive Regard -> Client as person of worth separate from actions

Congruence -> Genuine self in client interaction

Respect -> Strength focus

Immediacy -> Here and Now

Confrontation -> Promotes realistic, accurate view

Concreteness -> Attention on what is practical

Self disclosure ->Promoting positive perception and appropriate focus in counseling relationship

Using Counseling Skills Effective Listening Early stages of the counseling relationship afford the chance to build Counselor understanding of client and issues faced. Using counseling skills to gather information, to begin to formulate impressions

Do…

Use Listening Skills And Attend To Nonverbal

Listen For The Underlying Communication

Don’t…

Be a Judgmental Counselor

Jump to Conclusions

Stage Two: Assessment and Diagnosis

Task of This Stage

Identifying

The Nature of the Presenting Problem What Kind of Change Is Sought

Seeing Problem In-Context to the Client’s Larger World

Keeping an Eye on Strengths and Resources

Counselor Builds Hypotheses during This Stage And Throughout

Assessment and Diagnosis

Gathering Information To Promote Understanding Of Client’s Situation

Use Standardized (Psychological) and Non Standardized (Clinical Interview) For Assessment

The Counseling Sessions Provide Useful Clues About the Nature of the Client’s Problem

Once Problem Areas Are Clearly Identified, The Counselor And Client Are Able To Establish The Goal Of The Counseling Process

Stage Three Formulation of Client Goals

The Client Articulates Where They Want Their Counseling Journey To Take Them

Client Role as One Of Driving The Bus

Enhances Sense Of Ownership And Motivation Factors Important In The Change Process

Well Identified Goals Help Create a Road map and Mean to Evaluate

Five Categories Counseling Goals

To change an unwanted or unwelcome behavior

To better cope

To make and implement decisions

To enhance relationships

To help client’s journey of growth toward achieving potential

Stage Four:   Intervention and Problem Solving

New perspectives on both the way clients have looked at the problem and ways they might approach:

Confrontation vs. Care Frontation

Self Disclosure as Appropriate

A clear, simple plan toward goals

Characteristics of a Good Treatment Plan

Goals are clearly defined and reachable

Plan able to be adapted with time

Positive and action-oriented focus

Stage Five: Termination

Counselor always mindful of avoiding fostering dependency and is aware of own needs preparation for termination begins long before Open door / plan for possibility of future need. Termination considered not just at end of successful relationship, but also is considered when it seems counseling is not being helpful.

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