170 likes | 186 Views
Integrating Skills for Effective Counseling Molly Kellogg, RD, LCSW. THE CHANGE PROCESS. Molly Kellogg, RD, LCSW. Engaging Focusing Evoking Planning. Our Outline. How to both engage AND focus Caring for ourselves to avoid burnout. Fundamental Counseling Skills. O pen questions
E N D
Integrating Skills for Effective Counseling Molly Kellogg, RD, LCSW
THE CHANGE PROCESS Molly Kellogg, RD, LCSW Engaging Focusing Evoking Planning
Our Outline • How to both engage AND focus • Caring for ourselves to avoid burnout Molly Kellogg, RD, LCSW
Fundamental Counseling Skills • Open questions • Affirm Efforts and Strengths • Reflect • Summarize Molly Kellogg, RD, LCSW
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 Molly Kellogg, RD, LCSW
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? Molly Kellogg, RD, LCSW
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 child’s health, what would it be? Molly Kellogg, RD, LCSW
When it too much has been evoked • Affirm something • Empathize and contain • Offer choice • Offer focused support Molly Kellogg, RD, LCSW
Affirming • Thanks for coming in today. • That’s 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. Molly Kellogg, RD, LCSW
Empathize and contain • you’re really upset about your daughter’s father, and it’s making it hard to focus on her nutrition. • You’re worried about your home situation. What part might we be able to problem-solve about today? Molly Kellogg, RD, LCSW
Offer choice and support • Menu of topics • Suggest brief discussion • Include not addressing nutrition as an option • Offer support • Offer referrals Molly Kellogg, RD, LCSW
Definition of burnout Trying to change someone else’s life and being attached to the results. Molly Kellogg, RD, LCSW
Making sessions easier on you • Watch the “righting reflex” • Rolling with Resistance • Use Elicit/Provide/Elicit when giving advice Molly Kellogg, RD, LCSW
Roll with Resistance • Express empathy • Affirm something • Reflect ambivalence • Acknowledge resistance • Support choice Molly Kellogg, RD, LCSW
When it’s time to provide advice • Elicit What client already knows and wants to know • Provide information in neutral manner • Elicit client’s response to, interpretation of the information Molly Kellogg, RD, LCSW
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 Molly Kellogg, RD, LCSW