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Private Practice

How much should you reveal of yourself in counselling?

Self-disclosure The degree to which a counsellor includes any self-disclosure, i.e., details about themselves, their lives, or their personal experiences and even extending to whether they should have any personal items in the counselling room remain contentious issues. The traditional notion, steeped in the origins of psychoanalysis, is of the therapist as a separate and […]

Counselling and intimate relationships with clients

Simply put, sexual/romantic relationships between clients and counsellors/therapists across the spectrum of psychological helpers is seen as universally unacceptable. Despite this fact, according to recent research (Vessentini et al, 2022) over 70% of mental health professionals report emotional feelings and sexual attraction to their clients and 27% fantasized about having sexual contact with their clients, […]

Incorporating Rational Emotive Behaviour Therapy (REBT) into your Counselling

REBT was developed by American psychologist Albert Ellis in the 1950’s and although it is clearly a close relative of CBT, was developed prior to the most popular form of therapy delivered today. It is in fact the first cognitive behaviour therapy developed. Ellis’s theory suggests that humans have both rational (constructive, meaningful, socially promoting) […]

Can traumatic memories literally be re-parented?

This article describes the practical experience of an imagery rescript from schema therapy, and also discusses some of the evidence for this approach in treating trauma or schemas which originated in childhood. A great deal of the problems people seek therapy for are the deep-seated type problems; the problems people feel they have always had. Problems with […]

Counselling with Equipoise

Naturally when clients attend for counselling sessions, there should be some thought given to any vested interest we, the counsellor, have in the outcome. If, for example, the sign on the door has ‘Smoking cessation counsellor’ written upon it, we can, to some extent, assume the work is focussed on actually altering that behaviour and […]

Strategies for Career Counselling

As a counsellor, you will likely encounter clients who are anxious about career-related concerns. They may be kids, teenagers, or adults, and may come from any number of social or economic strata; vocational pressure effects people of all demographics, and there is a robust literature that suggests strategies that counsellors can use to attend to […]

Grounding for anxiety: evidence based practice and practice-based evidence

Clients can, and often do, present for counselling in a mildly, or even highly anxious state and counsellors frequently use ‘grounding techniques’ for the alleviation of both acute and chronic anxiety. Here, we explore the techniques seen as most effective from an evidence-based point of view but additionally consider the thoughts of counsellors in practice […]

How does being a counsellor affect your mental health?

Compassion Fatigue (CF), Secondary Traumatic Stress (STS) and Vicarious Trauma (VT) have all been highlighted in the research literature as risks for counsellors, psychologists, and other mental health professionals (Sutton, et al, 2022). In the current post-pandemic era, burnout amongst mental health workers is a subject more prevalent than ever and subsequently has been studied […]

An Introduction to Case Management

Many clients who access counselling have multiple services assisting them with their ongoing living, health, and social needs. In some cases, clients are supported by a case manager (or a case management service) who coordinates these services to make sure that clients’ needs and goals are met in an efficient and effective manner (Summers, 2016).

Expectations and Goals in Clinical Supervision

What are your expectations about what will happen in your clinical supervision, and what you will get from it? Are you able to identify your greatest needs to meet in the process? How do you name the short-, medium-, and long-range goals that you will attempt to achieve in supervision? These questions are important to […]