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    GUIDED BY

    Dr. N.K. Gandhi Maam

    HOD and Professor Dept Of Community Medicine

    &

    Dr. Meeta Jain Maam

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    DEFINITION

    Counselling is face to face

    communication by which you helpthe person to make decision or solvea problem.

    - SUNDERLAL

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    PEOPLE INVOLVED IN CONSELLING

    Counseller

    Client

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    Approach to counselling: GATHER

    G: Greet, the client and make comfortable

    A: Ask, the problems or reasons for coming

    T: Tell, the choices and options available

    H: Help, the client make voluntary decision

    E: Explain, fully the chosen decision

    R: Revisit, for follow-up

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    FACTORS AFFECTING COUNSELLING

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    FACTORS AFFECTING

    COUNSELLING

    Structure Setting

    Client qualities

    Counsellor qualities

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    Structure -

    Joint understanding between counselor andclient regarding the characteristics, conditions,

    procedures and parameters of counseling.

    Clients come to counselor with no idea ofwhat to expect

    Counsellor moves forward when client and

    counselor know boundaries of the relationshipand what is expected.

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    Setting -

    Counselling can occur in any place that provides:

    Privacy Confidentiality

    Quiet

    Comfort

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    Client Qualities -

    Three Rs:

    Readiness: Motivation of the client

    Reluctance: Seen in clients referred forhelp by third party. They are unmotivated

    Resistance: Seen in clients forced into

    counseling

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    Counsellor Qualities -

    SOLER

    S: Sit squarely. Show involvement

    O: Open posture

    L: Lean towards clientE: Maintain Eye contact

    R: Relax

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    The Effective Counselor

    The most important instrument you have is YOU

    Your living example, of who you are and how youstruggle to live up to your potential, is powerful

    Be authentic The stereotyped, professional role can be shed

    If you hide behind your role the client will also hide

    Be a therapeutic person and be clear about who you

    are Be willing to grow, to risk, to care, and to be involved

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    Personal Characteristics of Effective Counselors

    Have an identity

    Respect & appreciate themselves Able to recognize & accept own power

    Open to change

    Authentic, sincere & honest Have a sense of humor

    Make mistakes & admit them

    Live in the present

    Appreciate the influence of culture

    Sincere interest in welfare of others

    Maintain healthy boundaries

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    STAGES OF

    COUNSELLING

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    STAGES OF COUNSELLING

    Rapport and Relationship building

    Assessment/ Problem definition

    Goal Setting

    Initiating intervention

    Termination

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    Rapport And Relationship Building -

    Accurate Empathy

    Genuineness/Congruence

    Positive Regard/Respect

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    Assessment/ Problem Definition -

    Systematic way to obtain information about

    the clients problems, concerns, strengths,

    resources, and needs.

    Foundation for goal-setting and treatment

    planning.

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    Goal Setting -

    Define desired outcomes

    Give direction to the counseling process

    Specify what can and cannot beaccomplished in counseling

    Client motivation

    Evaluate effectiveness of counseling

    Measure client progress

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    Initiating intervention -

    Affective

    Cognitive

    Behavioral

    Interpersonal/Systemic

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    Termination -

    Clients own their problems and solutions

    Clients develop more useful insight into

    problems and issues

    Clients acquire new responses to old issues

    Clients learn to develop more effectiverelationships

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    COUNSELLINGSKILLS

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    A )Listen actively

    You have to listen actively. Attentive and active listening

    is essential. Some guidelines are:

    - Accept your client as they are. Treat him/her as an

    individual.

    - Listen to what your client says and how they say it- Keep silent sometimes. Give your client time to think,

    ask question and talk more at the clients speed

    - Listen to your client carefully instead of thinking

    what you are going to say next- Every now and then, repeat what you have heard

    - Sit comfortably. Avoid distracting movements

    - Show your interest and understanding at all times

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    B) Responding to clients feeling - Once you

    recognize client feeling, let them know in clear

    and simple words that you understand. It is

    known as reflecting feelings.

    C) Questioning - Asking question to understand

    clearly the clientss problem or worries and

    help client go deeper into his/her own

    awareness or insight.

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    D) Paraphrasing - Repeating in ones own words

    what the client has said to show one

    understands.

    E) Interpretation - Giving back to client the coreor basic issue he/she is talking around or

    hinting at. Picking up what the client is feeling

    but not saying.

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    OUTCOMES OF COUNSELLING