Podcast
Questions and Answers
What is one important aspect of counselling that clients should be made aware of?
What is one important aspect of counselling that clients should be made aware of?
- Counsellor's social life
- Counsellor's personal opinions on therapy
- Counsellor's favorite book
- Financial terms related to counselling services (correct)
Which of the following is NOT a recommended practice for counsellors?
Which of the following is NOT a recommended practice for counsellors?
- Maintaining confidentiality
- Being inconsistent about financial arrangements (correct)
- Providing clear details about payment methods
- Consulting clients before terminating counselling
Why is establishing a contract between client and counsellor important?
Why is establishing a contract between client and counsellor important?
- To document the client's personal background
- To limit the time clients can spend in therapy
- To clarify the nature of the counselling relationship (correct)
- To ensure the counsellor can charge what they want
What should a counsellor inform the client about regarding session management?
What should a counsellor inform the client about regarding session management?
What is a potential area of abuse within counselling?
What is a potential area of abuse within counselling?
Which of the following should NOT be included in a counselling contract?
Which of the following should NOT be included in a counselling contract?
What might indicate a failure in counselling supervision?
What might indicate a failure in counselling supervision?
What aspect of confidentiality should a counsellor handle meticulously?
What aspect of confidentiality should a counsellor handle meticulously?
Which factor is NOT typically considered an underlying cause of suicidal feelings?
Which factor is NOT typically considered an underlying cause of suicidal feelings?
What is a common reaction of clients expressing negative feelings during counseling?
What is a common reaction of clients expressing negative feelings during counseling?
What is typically the best approach for clients who express threats of violence towards others?
What is typically the best approach for clients who express threats of violence towards others?
What contributes to the relief of pressure experienced by clients in crisis?
What contributes to the relief of pressure experienced by clients in crisis?
Which of the following is NOT an indication of countertransference reactions experienced by counsellors?
Which of the following is NOT an indication of countertransference reactions experienced by counsellors?
Which of the following may NOT be a factor in the history of a client at risk of suicide?
Which of the following may NOT be a factor in the history of a client at risk of suicide?
What is one way counsellors can monitor their countertransference feelings?
What is one way counsellors can monitor their countertransference feelings?
What should counsellors do when a client threatens violence to others?
What should counsellors do when a client threatens violence to others?
Which factor can contribute to the potential for exploitation in the counselling relationship?
Which factor can contribute to the potential for exploitation in the counselling relationship?
Which feeling might indicate a countertransference reaction in a counsellor?
Which feeling might indicate a countertransference reaction in a counsellor?
Which of the following is NOT a concern related to a client's family background?
Which of the following is NOT a concern related to a client's family background?
Why is confidentiality considered a fundamental aspect of the counselling relationship?
Why is confidentiality considered a fundamental aspect of the counselling relationship?
What kind of feelings can increase the risk of countertransference?
What kind of feelings can increase the risk of countertransference?
What role does supervision play in addressing problematic issues in counseling?
What role does supervision play in addressing problematic issues in counseling?
Why might a counsellor experience strong sexual feelings towards a client?
Why might a counsellor experience strong sexual feelings towards a client?
What is the initial response of many clients before fully trusting a counsellor?
What is the initial response of many clients before fully trusting a counsellor?
When should the topic of confidentiality ideally be addressed in a counselling session?
When should the topic of confidentiality ideally be addressed in a counselling session?
How can less obvious forms of exploitation occur in counselling?
How can less obvious forms of exploitation occur in counselling?
Which question can help in identifying countertransference feelings?
Which question can help in identifying countertransference feelings?
Which scenario typically does NOT require breaching confidentiality?
Which scenario typically does NOT require breaching confidentiality?
What does establishing an atmosphere of trust in counselling facilitate?
What does establishing an atmosphere of trust in counselling facilitate?
Why might clients take time to reveal personal information to a counsellor?
Why might clients take time to reveal personal information to a counsellor?
In which situation is it critical for a counsellor to breach confidentiality?
In which situation is it critical for a counsellor to breach confidentiality?
What can happen if clients feel their confidentiality is not respected?
What can happen if clients feel their confidentiality is not respected?
What might cause a client to feel resentment regarding the referral process?
What might cause a client to feel resentment regarding the referral process?
Which of the following is NOT a factor that might impede a helper's ability to assist clients?
Which of the following is NOT a factor that might impede a helper's ability to assist clients?
Why is it crucial to communicate the possibility of referral early in the counselling process?
Why is it crucial to communicate the possibility of referral early in the counselling process?
Which factor might lead a counsellor to refer a client to a specialist?
Which factor might lead a counsellor to refer a client to a specialist?
What might indicate that a client is in crisis?
What might indicate that a client is in crisis?
How can a difficult relationship between a client and a counsellor affect the referral process?
How can a difficult relationship between a client and a counsellor affect the referral process?
What emotional impact should counsellors consider when clients express intentions of self-harm?
What emotional impact should counsellors consider when clients express intentions of self-harm?
Which of the following statements is true regarding clients' feelings about referrals?
Which of the following statements is true regarding clients' feelings about referrals?
Why is it crucial for clients to receive help with low risk of exacerbating their existing problems?
Why is it crucial for clients to receive help with low risk of exacerbating their existing problems?
What is a common misconception clients may have about their counsellors?
What is a common misconception clients may have about their counsellors?
What does excessive trust in a counsellor potentially hinder in a client's therapy?
What does excessive trust in a counsellor potentially hinder in a client's therapy?
What role does transference play in the counselling relationship?
What role does transference play in the counselling relationship?
Which of the following might lead clients to seek counselling?
Which of the following might lead clients to seek counselling?
How can counsellors help clients develop autonomy over time?
How can counsellors help clients develop autonomy over time?
What is a potential risk when clients over-estimate a counsellor's capabilities?
What is a potential risk when clients over-estimate a counsellor's capabilities?
The emotional responses in transference are primarily rooted in which of the following?
The emotional responses in transference are primarily rooted in which of the following?
Flashcards
Confidentiality in Counselling
Confidentiality in Counselling
The protection and secrecy of information shared within a counselling relationship, ensuring that private thoughts, feelings, and desires are kept confidential.
Initial Reticence in Counselling
Initial Reticence in Counselling
A client's initial hesitation to fully disclose information, often due to a lack of trust or fear of being judged.
Establishing Trust in Counselling
Establishing Trust in Counselling
The process of building trust and rapport with a client, allowing them to feel safe to share their experiences.
Exceptions to Confidentiality
Exceptions to Confidentiality
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Threatening Injury
Threatening Injury
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Disclosure of Child Abuse
Disclosure of Child Abuse
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Suicidal Tendencies
Suicidal Tendencies
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Severe Mental Illness
Severe Mental Illness
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Transference
Transference
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Counseling Relationship
Counseling Relationship
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Client's Initial State
Client's Initial State
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Client's Perception of Counselor's Expertise
Client's Perception of Counselor's Expertise
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Counselor's Awareness of Client Expectations
Counselor's Awareness of Client Expectations
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Client Autonomy
Client Autonomy
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Counseling Process
Counseling Process
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Key Elements of Counseling Relationship
Key Elements of Counseling Relationship
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Informed Consent
Informed Consent
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Financial Transparency
Financial Transparency
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Counselling Contract
Counselling Contract
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Therapist Supervision
Therapist Supervision
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Counsellor's Orientation
Counsellor's Orientation
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Counselling Session Details
Counselling Session Details
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Counselling Abuse
Counselling Abuse
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Countertransference
Countertransference
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Countertransference Reactions
Countertransference Reactions
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Exploitation in Counseling
Exploitation in Counseling
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Taking Care of Therapist Needs
Taking Care of Therapist Needs
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Power Imbalance in Counseling
Power Imbalance in Counseling
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Unintentional Exploitation
Unintentional Exploitation
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Monitoring Countertransference
Monitoring Countertransference
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History of legal trouble with alcohol or substance abuse
History of legal trouble with alcohol or substance abuse
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Family history of alcohol or substance abuse
Family history of alcohol or substance abuse
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Mental illness or family history of mental illness
Mental illness or family history of mental illness
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Family history of suicide
Family history of suicide
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Family violence or sexual abuse
Family violence or sexual abuse
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Conflict due to sexual orientation
Conflict due to sexual orientation
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Experience of being bullied
Experience of being bullied
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Loneliness, isolation, or loss of relationship
Loneliness, isolation, or loss of relationship
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Client Reluctance to Refer
Client Reluctance to Refer
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Importance of Early Referral
Importance of Early Referral
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Counsellor Factors Influencing Referral
Counsellor Factors Influencing Referral
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Clients in Crisis
Clients in Crisis
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Confidentiality in Crisis Situations
Confidentiality in Crisis Situations
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Counsellor's Emotional Impact in Crisis
Counsellor's Emotional Impact in Crisis
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Reasons for Referral
Reasons for Referral
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Client Communication & Referral
Client Communication & Referral
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Study Notes
Ethical Considerations
- Confidentiality: A crucial aspect of counselling, clients trust counsellors with sensitive information.
- Client Perspective: Clients often disclose very personal information that may have never been shared. Trust and confidentiality are essential in establishing a counselling relationship.
- Guidance Guidelines: Certain situations necessitate breaching confidentiality, e.g., threats of harm to others, child abuse disclosure, or suicidal tendencies.
- Counselling Relationship: Clients often face emotional distress when seeking counselling; counsellors should be aware of this vulnerability.
- Client Expectations: Clients often overestimate a counsellor's capabilities, and it's essential for counsellors to manage client expectations.
- Counsellor Responsibility: Counsellors need to be prepared to work with clients, while also taking care of their own well-being and recognizing their limitations.
- Referral: It's necessary for counsellors to be aware of their own limitations in case they need to refer clients for specialized support. This is especially true when clients are in crisis or experiencing extreme distress.
Transference and Counselling Relationship
- Transference: Clients' emotional responses to counsellors, derived from past relationships, especially with parents. It's unrealistic since it originates from past experiences.
- Countertransference: Counsellors' emotional reactions to clients' transference; it can stem from issues they haven't dealt with in their own past. Counsellors should recognize and address potential countertransference feelings.
- Objectivity: Important for counsellors to avoid letting countertransference influence their perspective.
- Client Perspectives: Clients may disclose personal and private emotions during counselling that may potentially benefit the client's recovery process.
- Counselling Dynamics: Recognising transference and countertransference as potential aspects affecting counsellor-client interactions is crucial for a safe environment.
- Client Needs: Recognising client circumstances and circumstances regarding their current emotional and mental state will help to address needs.
- Potential Exploitation: Exploiting clients regarding abuse (sexual, financial) are more obvious forms and counsellors should be aware of this in their professional practice and take necessary measures. Less obvious interactions should also be noted.
Ending Counselling
- Termination: Counselling relationships are meant to end, which can be challenging for clients and counsellors.
- Client Feelings: Clients may experience various emotional responses (e.g., fear, grief) related to the end of therapy. Recognizing and coping with potential emotional reactions on both sides is critical.
- Planning: A counselling relationship, in many instances, requires planning between both the counsellor and the client to help both transition to normal life circumstances.
- Referral: Counsellors must be prepared to refer clients if needed given specific areas of expertise or if clients experience unique circumstances.
- Ending Safely: This can encompass the identification of issues within the relationship at any point and discussing with both sides the reason for the relationship ending.
Supervision
- Importance of Supervision: Provides support, guidance, and feedback to counsellors and promotes objective perspectives.
- Benefits: Includes developing better approaches with clients, improving therapeutic techniques, and addressing personal issues in a safe and controlled environment.
- Limitations: It's important to recognize the differences and unique training for each counsellor in order to understand what specific problems require professional help.
Referral
- Referral Considerations: Counsellors need to consider their expertise and client needs when deciding whether a referral is necessary.
- Client Needs: Assessing clients' circumstances and emotional needs during referrals is critical, often reflecting complex circumstances and individual factors.
- Reasons for Referral: This may be needed for various reasons, including client relocation, needed support with an issue outside a counsellor's expertise or in certain situations where clients are in crises.
Clients in Crisis
- Crisis Intervention: Recognizing and managing suicidal and violent tendencies is essential, and understanding client feelings and perspectives is crucial.
- Client Wellbeing: Addressing and promoting client care in crisis situations and understanding the dynamics involved, especially within crisis situations.
- Confidentiality: Identifying and distinguishing between clients who are serious about harming themselves versus clients who are expressing their feelings out of distress is critical.
- Action Steps: Counselling needs to be responsive to helping clients in crisis.
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