Principles of counselling

1
Principles of counselling

• Dr. Yonah Yaphe
• Department of Family Medicine
• Rabin Medical Centre and
• Sackler Faculty of Medicine
• Tel Aviv University

2
Objectives

• At the end of this presentation the participant
  will
• Know the principles of counselling for patients
• Value the counselling model for patients in the
  community

3
Assumptions

• All of us have potential for growth and change.
• The role of the counsellor is to enable the
  client to mobilize strengths in order to make
  appropriate decisions and act on them.

4
Stages of counselling

• Problem definition
• Assessment of previous solutions
• Assessment of resources
• Assessment of readiness to change
• Setting objectives
• Deciding on a course of action
• Arranging follow-up

5
Clients explanatory model (FIFE)

• F Fears and feelings
• I Ideas
• F Function
• E - Expectations

6
Stages of change (PROCHASKA)

• Pre-contemplative
• Contemplative
• Decision
• Action
• Follow-up

7
The "CARE model of counselling

• C - Connect with and contain Your problem is
  human and manageable.
• A Asssess and affirm Here are your strengths
  and they work for you.
• R Reorient and reaffirm Here is where you
  are and where you are going.
• E- Encourage and empower Youve got it, keep
  going.

8
Examples of counselling in clinic

• Nutrition
• Weight loss
• Smoking cessation
• Contraception
• Interpersonal relations
• Parenting problems

9
Summary

• The counselling approach allows for the
  possibility of strengthening our relationship
  with our patients and opens up a world of
  possibilities for change.