COUNSELLING

Mr. karthikeya prasath M.Sc Nursing

Department of psychiatry

DEFINITION

Individual counselling in a face to face interview process in which the counsellor assists the counsellee in resolving his problems and earning

more adaptive behaviour.

Berdle (1952)

• Counselling as an interaction process that facilitates meaningful understanding of self and environment and result in the establishment and / or clarification of goals and values for future behaviour.

Need of counselling• To help the client to accept

actual changes that are resulting from stress.

• To foster cognitive, behavioral, developmental and emotional growth in clients.

• To encourage and develop special abilities and right attitudes.

• To assist the students in planning for educational and vocational choices.

• To help the student to work out a plan for solving his difficulties.

• To helps in the total development of the student.

• To motivate the students for self employment.

• The fresher will be helped to establish a proper identity.

Characteristics • Counselling involves two

individuals (counsellor and counsellee) • There should be a relationship

of mutual respect between the two individuals.

• It is aimed about desired changes and providing assistance to solve problems.

• The counsellor discovers the problems of the counsellee and help him..

• Providing and find out many alternatives

• The counsellee select independently for alternatives

• It helps individuals to grow up normally through guided learning.

• Counselling process is structured around the felt needs of the counselee.

Principles • Tailor made to the requirement of an individual’s problems

• Maintains relationship of trust

• Client’s needs is to be put first.

•Every one participating in the counselling •Clients/ family members must be included.

•Skills – warmth, friendliness, openness, empathy are ingredients of successful counselling.•Voluntary informed decision / counsellor listen attentively…….

Functional of counselling

ADJUSTMENTAL ORIENTATIONALDEVELOPMENTAL0

COUNSELLORS- characteristics

• IPR• Personal Adjustment • Scholastic potentialities

and Educational Background

• Health and Personal Appearance

• Leadership• Philosophy of life • Professional Dedication

Edward CRoeber

Levels of counselling

• 1. informal counselling

• 2. Non-specialist counselling by professional

• 3. Professional counselling

Counselling Approaches

Supportive

Insight Re educative

Reconstructive

Types

• Directive / Prescriptive / counsellor centered counselling

• Non Directive/ Client centered counselling

• Electic counselling

Steps • G- Greet the client• A -Ask clients about

themselves• T- Tell clients or give the

information of strategies of coping mechanisms

• H- Help the client to choose a method

• E- Explain how to use a method

• R- Return for follow - up

Steps • C- Clarify• L- Listen• E- Encourage • A- Acknowledge• R- Reflect and Repeat• Roles • R- Relax• O- Open and Approaches• L- Lean towards client• E- Eye contact• S- smile and sit comfortably

Areas

Phases

Appointment and

establishing relationship

Assessment

Diagnosis

Setting goals

Interventions

Termination and follow up

Assignment

Do’s and Don’ts in counselling process

Thank you