KAREN MARCH M.Soc.Sc.(Counselling), MACA(Professional)
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Explaining the different counselling approaches
I do not subscribe to a "one size fits all" approach and prefer to draw upon a number of
therapy options. The direction of counselling sessions is decided through consultation with you the client.
This page provides an easy to understand explanation of the counselling methods and approaches I may use, depending on the individual
client and the nature of the issue.
Narrative Therapy
All of us have personal stories based on our life experiences. These stories guide how we act, think, feel and make sense
of the world. Our stories tend to organise and interpret what we have experienced. For some people, the stories they have
absorbed or constructed are causing them difficulty and are an integral part of the problem they are experiencing.
The stories that people have about themselves can be likened to using the lens of a camera. Like photos, we often
filter our experiences, choosing what information gets focused in or out. In other words, we choose
what elements of a personal experience are significant, and ignore or forget other elements we feel are
unimportant or irrelevant. The story shapes personal identity and for some people it is this story that is keeping them
enmeshed in their problem.
Narrative therapy proposes that "the person is never the problem; the problem is the problem". This counselling approach is interested
in the stories that the client is living by, that they carry with them about who they are and what is important to them.
Sessions provide an opportunity to identify these stories, understand them and unearth the hidden and ignored elements of a
story.
In doing so, it is possible for the client to open up other possibilities for themselves that they had not previously seen.
Cognitive Behaviour Therapy (CBT)
CBT help clients understand how their thoughts and feelings directly influence their behaviour. During the course of treatment,
clients learn how to identify and change unhelpful or destructive thought patterns that are perpetuating unwanted
behaviours. This type of therapy is highly structured and generally short term. It is particularly useful for very specific
problems.
PhotoTherapy
PhotoTherapy uses client's photos, either taken by themselves or others, and can be incorporated with other counselling approaches.
People often choose to take photos or keep pictures without really pausing to think about why. However, these personal
snapshots or kept pictures are often associated with emotions, values and beliefs that are unconsciously embedded within
them. Personal photos or valued pictures can act as catalysts to deepen insight and open up communication in counselling
sessions, in ways that may not be possible with just talking.
Mindfulness and Meditation
Mindfulness and Meditation techniques are learned skills that can be used to consciously relax the body and calm the mind.
This enables you to be free from emotional conflict and turmoil and be at ease with yourself. There is no religious or philosophical
context attached to these techniques. They have been adapted for use in our Australian lifestyle and provide a means to gaining significant personal insight, growth and healing.
The Mindfulness techniques taught can be easily incorporated into our daily life and short "Spot Meditations" can be
learnt and used in any situation at will, particularly where feelings of stress, anxiety and anger are involved.
Mindfulness techniques can also combine effectively with Cognitive Behavioural Therapy, as they promote awareness of the
here and now rather than automatic pilot mode. It is then more possible to weaken and change
ingrained and automatic unhelpful thinking and open the way to develop more functional ways of thinking and responding.
Walk and talk
This modality is available only for individual client sessions and provides an alternative to the traditional sitting,
face-to-face counselling arrangement. The hour-long consultation takes place while walking outdoors, usually in a relaxed and
tranquil environmental setting which permits easy walking.
The positive effect of physical activity on psychological well-being is widely acknowledged and there is increasing evidence,
the latest being a 2014 Stanford University research study, that there is a clear link between walking and improved cognitive
processes.
Walk and talk has many potential benefits: the mood-improving effect of physical activity and a natural setting
can encourage deeper thinking and insight, an enhancement of spirit, greater ease with communicating, and a side-by-side interaction
with the counsellor which may feel easier than a face-on communication.
There are currently three locations that I use for Walk and Talk which can be discussed when booking the initial consultation.
Naturally, the availability of the Walk and Talk option will be subject to weather conditions and client preference.
Frequently asked questions
How many sessions will I need to fix my problem?
The number of sessions needed varies from client to client and is largely dependent on the nature of the problem, the client's readiness to work through
the issue and the type of therapy used. Counselling is a process of gradual unfolding, learning and understanding and it is
therefore not possible to place a time constraint on it.
Most clients know when they have had sufficient counselling to now move along their preferred path and so instigate a
natural conclusion of sessions themselves. They may discover that they want another session down the track and that is perfectly normal.
Others will have enough to go on with their lives in a way that is less problematic than before, and hopefully much more
fulfilling and happy.
A set number of sessions can be suggested for Cognitive Behaviour Therapy, but there will need to be additional time
for understanding the problem before CBT can commence, and periodic follow-up/maintenance sessions after the program has been
completed.
As the client, you are entitled, for whatever reason, to leave or recommence counselling if you wish. As your counsellor, I will
recommend continued sessions or I may refer you to another practitioner if necessary, but it is your prerogative as to what
you choose to do.
How often do I need to have sessions?
Most clients have weekly or fortnightly sessions. Weekly appointments are common when the client has just started counselling
as they may have a great deal to talk about and work through, and require regular support at this time. Subsequently, they may shift to
fortnightly appointments so that they have time in between sessions to process what was discussed or to try out new strategies
and see how they work.
For the majority of issues, I would not recommend longer gaps between appointments as momentum gained in a session can be lost
if there is too long a break.
However, once a client has had time to work through their problem in counselling, and has developed some insights and strategies to go on with,
they may only require sessions once a month or once a quarter.
Previous counselling hasn't worked for me. Is it worth seeing yet another counsellor?
All counsellors vary in personality and style, and may use different methods and therapies in their work with clients. It is
important for you to find a counsellor with whom you feel you connect and who conveys empathy, understanding and
is free of judgement about what you may say in the session. Also, not all counselling approaches work for all clients
so you may need to seek a counsellor who uses a therapy approach that suits you.
There were probably good reasons why the previous counsellor you saw may not have worked for you.
In the same way that you may prefer to see a particular GP over another one, you will perhaps find that you will feel
more comfortable with a particular counsellor.
My partner/family member refuses to come to counselling. How can I make them come?
This scenario is not uncommon. Sometimes, a client's partner or family member believes they are not the one with the problem, so
do not need to go to counselling. However, relationships always involve more than one person and so all parties have an
influence on how the relationship functions.
That said, if your partner or family member is strongly against attending counselling despite your coercion, it is probably
best to let them be for a time. Alternatively, I see many clients who then attend on their own. This can still be beneficial
as it allows the person an opportunity to voice the concerns that they have been unable to express to their partner/family
member. They can also identify alternative ways to cope with the problem they are experiencing.
In order to resolve relationship issues, it is of course preferential to have both parties attend counselling, but nothing
can be achieved if there is one person present who is resistant to the process. Counselling only works if the client is open to
receiving help.
Karen March Aldinga Medical Surgery 17 Old Coach Road, Aldinga SA 5173
Mobile: 0409169115
ABN 51440 722 091
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