Integrating Skills for Effective Counseling

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• Integrating Skills for Effective Counseling
• Molly Kellogg, RD, LCSW

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THE CHANGE PROCESS

• Engaging
• Focusing
• Evoking
• Planning

Molly Kellogg, RD, LCSW
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Our Outline

• How to both engage AND focus
• Caring for ourselves to avoid burnout

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Fundamental Counseling Skills

• Open questions
• Affirm Efforts and Strengths
• Reflect
• Summarize

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Engagement skills

• Introduce yourself with eye contact
• Client-centered small talk
• Reflect
• Use your body language
• Discuss the goals and ask for input
• Open with open questions
• Roll with resistance

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When to move on to focus and planning

• You get me.
• Attend to body language including eye contact
• Has the client shared some of what matters and/or
  asked questions?

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Focusing

• Reflect any possible topics you hear and ask
  permission to discuss
• Looking back, what steps did it take?
• What might you work on in the next few weeks?
• If there were something you would do for your
  childs health, what would it be?

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When it too much has been evoked

• Affirm something
• Empathize and contain
• Offer choice
• Offer focused support

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Affirming

• Thanks for coming in today.
• Thats a great suggestion.
• You clearly want to do as much as you can for
  your health.
• You can be very persistent when you set your mind
  to something.
• I would find that difficult to deal with too.

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Empathize and contain

• youre really upset about your daughters father,
  and its making it hard to focus on her
  nutrition.
• Youre worried about your home situation. What
  part might we be able to problem-solve about
  today?

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Offer choice and support

• Menu of topics
• Suggest brief discussion
• Include not addressing nutrition as an option
• Offer support
• Offer referrals

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Definition of burnout

• Trying to change someone elses life and being
  attached to the results.

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Making sessions easier on you

• Watch the righting reflex
• Rolling with Resistance
• Use Elicit/Provide/Elicit when giving advice

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Roll with Resistance

• Express empathy
• Affirm something
• Reflect ambivalence
• Acknowledge resistance
• Support choice

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When its time to provide advice

• Elicit What client already knows and wants to
  know
• Provide information in neutral manner
• Elicit clients response to, interpretation of
  the information

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Take care of yourself

• Remind yourself you are doing your best
• Find ways to vent (without disrespect)
• Ask for support from colleagues
• Take breaks, breathe
• Leave work at work
• Self-care at home

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