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    Counselling Tutor Podcast

    CPD, supervision and specialist training for counsellors

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    Latest Episodes:
    264 – Counselling a Client You Don’t Like May 13, 2023
    Show notes

    Phenomenology in Philosophy and Counselling - NCS Campaigns In Episode 264 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week's three topics: Up first in 'Theory in Practice', we look at the philosophy of phenomenology and counselling. Then in 'Practice Today', Rory and Ken speak about counselling a client you don't like as a person. And lastly in 'Practice Matters', Rory is once again speaking with Meg Moss, head of policy and public affairs at the National Counselling Society (soon to be the National Counselling and Psychotherapy Society) about some of the campaigns the society is currently involved in. Phenomenology in Philosophy and Counselling [starts at 02:34 mins] Some people may find phenomenology as hard to understand as it is to pronounce, but in this section, Rory and Ken attempt to break it down and discuss how it applies to the therapy room: Phenomenology is the structure of consciousness, how we perceive ourselves in the world. This is something unique to you. The challenge of counselling is suspending your own frame of reference, putting it aside, and looking at things from the clients' point of view. How does the client see things? Ask clarifying questions - what might be a happy occasion for some, may not be for others (e.g. a pregnancy or holiday such as Christmas). During therapy, you are helping the client make sense of their reality and place within the world (their phenomenology). 'Dasein' - your being in the world, as a counsellor your aim is to understand this. Personal Development - think about what you view as your own being in the world. Counselling a Client You Don't Like [starts at 18:51 mins] You may find that one day you have a client that you don't like or struggle to view with an unconditional positive regard. In this section, Rory and Ken discuss what you might do in this situation. Take these feelings to supervision - try and find out why you are having these feelings. Think about transference - does the client remind you of someone? Are you projecting the feelings you had towards someone from your past onto the client? Are you getting nervous before a particular client comes in? Or feeling unusually excited? Is the client using harsh language that clashes with your personal values? Do they have opposing political views to you? When counselling a client you don't like, think about how you will go about separating your personal values. A client has come to you to explore or heal some sort of pain. It's sometimes possible that these strong views are a defense mechanism for something that is internalised for them. Another way to work with a client you don't like in therapy is to reframe. Imagine yourself and this person in a different situation - how would you interact? NCS Campaigns [starts at 31:21 mins] In this week's 'Practice Matters', Rory speaks with Meg Moss from the NCS, soon to be NCPS, on the campaigning they take part in as a society. The key points of this discussion include: The society is currently aiming to highlight the role of counselling and psychotherapy in mental health provision to help stop the move into digitalisation and low impact assistance. We are seeing an increase in funding for crisis services, but this alienates the people in the middle. People that low impact help isn't enough for, but aren't yet at the point of needing crisis services are left without support. The NCS is not only looking at sharing this information with the current government and MPs, but looking at educating possible future government too. They are attempting to spread this information and raise awareness widely. There is the opportunity to utilise fully qualified private practitioners with far shorter waiting lists. There seems to be an increasing lack of humanity in an area that is so human centered. Hoping for an increase in patient-led treatment - being able to choose their own therapist who they feel they can build a good and successful therapeutic relationship with is likely to increase the success rate of the client's counselling. Links and Resources NCS Campaigns Counselling Skills Academy Advanced Certificate in Counselling Supervision Basic Counselling Skills: A Student Guide Counsellor CPD Counselling Study Resource Counselling Theory in Practice: A Student Guide Counselling Tutor Shop Facebook group Website Online and Telephone Counselling: A Practitioner's Guide Online and Telephone Counselling Course


    263 – NCS Membership Benefits May 06, 2023
    Show notes

    Passing Your Recorded Skills Session - Breaking Confidentiality in Counselling In Episode 263 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly are back with this week's three topics: Firstly in 'Theory in Practice' we look at passing your recorded or observed skills session. Then in 'Practice Today', Rory and Ken take us through what happens if you have to break confidentiality. And lastly in 'Practice Matters', Rory speaks with Camilla Hyland, the head of member services, and Kate Mahoney, head of professional standards from the National Counselling Society about the NCS's membership benefits. Passing Your Recorded Skills Session [starts at 02:47 mins] Being assessed is a stressful time for any student, but in this section, Rory and Ken offer some tips that might help to take some of the pressure off: Remember that it's natural to be nervous, it's a challenging experience. The secret is practice. If it's your first experience with recording it'll make it more nerve-racking - try practicing with recording beforehand. Start recording and listening back to your skills practice. Meet up with peers and colleagues over Zoom and record your practice. Evaluate your own skills sessions. Welcome feedback and mistakes, you can learn a lot from them. Try out a number of different skills. The more you understand what happens when you apply a skill and understand what the skill asks of you, the easier you will find it to apply that skill. The more you know, the less you fear. Try working with people you don't know that well - this gives practice of being observed. Look at the criteria of what they'll be looking for in the session - checking your endings etc. If you're recording anything - see about using college equipment so that data can be disposed of correctly. Know how many skills you need to demonstrate - using one skill won't be enough, even if you use it very well, and using too many may make the session feel disjointed and counsellor-led. Work in a triad (a listener, a speaker, and an observer) - make sure you get the speakers feedback first to prevent it being tainted by the observers. Take note of the skills you use and their purpose, make note of its role within the actual practice session, what affect did it have? Breaking Confidentiality in Counselling [starts at 23:45 mins] It's likely that at least once during your practice you will be required to break confidentiality, and it's important that you are prepared for this. The key moments of this section include: Deciding to break confidentiality requires clear thinking. Look into what your contract says, legally you're required to break confidentiality in the event of terrorism, drug trafficking and money laundering, and harm to self and/or others. It's important that you make your exceptions to confidentiality clear in your contract and in your first session with your client - make sure they understand the contract they are signing. The Caldicott Principles are an example of the steps you should take when breaking confidentiality. You should only use information that is required, sharing the absolute minimum. Harm to self - when it comes to self-harm, it is up to you to decide where you draw the line and at what point you should share this information. You may just question the client to ensure they are doing this safely (using clean instruments etc.), you should also consider why the client is telling you this. Is it possible that they want you to tell someone? The aftermath of breaking confidentiality: you will need to rebuild your therapeutic relationship. Be honest - let them know it was out of concern for them. Does your agency have requirements on breaking confidentiality that are different to your personal ones? Make sure you add these to your contract. Ensure you're writing in your notes if you have broken confidentiality, detailing why you chose to do so etc. The damage of not sharing can be worse than the damage of breaking confidentiality. NCS Membership Benefits [starts at 42:22 mins] In this week's 'Practice Matters', Rory speaks with Camilla Hyland and Kate Mahoney from the NCS (soon to be the NCPS) about the benefits of becoming an NCS member. The main points of this discussion include: To get on the NCS's accredited register (AR), you need a level 4 Ofqual qualification (or equivalent), a placement of at least 100 hrs, have been full-time for over a year or across 2 yrs part time, and you must've been taught in the room with a tutor. Why is face-to-face training important? It will help when you come to building that therapeutic relationship with a client - evolving skills such as active listening and empathy. It's important to have trained tutors on hand to give you really good support and feedback as you work on these skills. It's easier to develop clinical judgement and respond to non-verbal queues. You can work on your self-awareness and self-reflection skills. You can meet peers, colleagues and supervisors who are a rich source of development. When applying to be a member of the NCS AR, student memberships are usually dealt with quite quickly - they just need to check you are on an appropriate course. Applying as a newly qualified counsellor may take longer (approx. 6 weeks) - your application needs to be individually assessed in terms of public protection. If you're already a member of another membership body, the process can be quicker as you would've already been vetted. It is estimated to take anywhere between 2-6 weeks. What are the NCS membership benefits? Being on an accredited register means potential clients know your practice is safe and ethical. Access to exclusive CPD e.g. live events run by experts. Professional support e.g. with ethical queries. Reduced fees for students on supervision and personal counselling. A regular magazine. Online resources. You can apply for a Totum card to receive discounts. You can apply for enhanced DBS. If you earned your qualification overseas or many years ago, you can still apply. However, your application may require more attention. If you earned your qualification overseas, it will be checked to see where that lands in relation to a UK qualification, and whether this matches the criteria of the NCS's AR. This process is similar with those who earned their qualification a long time ago. As new safeguarding and requirements may have been brought in since you earned your qualification, the NCS will look into evidence of your practice and how you have been using your qualification since it was earned. Each application is looked into individually. Links and Resources Caldicott Principles Counselling Skills Academy Advanced Certificate in Counselling Supervision Basic Counselling Skills: A Student Guide Counsellor CPD Counselling Study Resource Counselling Theory in Practice: A Student Guide Counselling Tutor Shop Facebook group Website Online and Telephone Counselling: A Practitioner's Guide Online and Telephone Counselling Course


    262 – Integrative and Pluralistic Counselling Difference Apr 29, 2023
    Show notes

    The Importance of Psychological Education for Clients - NCS Organisational Membership In Episode 262 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week's three topics: Up first in 'Theory in Practice' Rory and Ken take us through the differences between eclectic, integrative and pluralistic counselling. Then in 'Practice Today', we look at the importance of psychological education for our clients. And lastly in 'Practice Matters', Rory speaks with Faye Blackwell, Head of Engagement and Development at the NCS (soon to be NCPS) about organisational membership and development. Eclectic, Integrative and Pluralistic Counselling Differences [starts at 02:20 mins] When it comes to your practice, you want to be using your knowledge and your CPD to help your client. How you go about putting these into practice determines whether you're using eclectic, integrative, or pluralistic therapy. The key points of the discussion on the differences between eclectic, integrative and pluralistic counselling include: Integrative counselling - when you seamlessly integrate 2 or more modalities into your practice. These should be blended so that you can't see where one modality ends and another begins. In order to use this method, you should have a very good grounding/understanding of the theories that you're blending together. This means that during your practice, it doesn't feel like lots of different things, and the client won't be given the impression that nothing is working and that multiple different things have to be tried. It should just feel like a part of the process - like a well-choreographed dance. Eclectic counselling - this is when the theories are kept separate as opposed to blending them together. However, this can sometimes risk feeling disjointed. Pluralistic counselling - looking at the client's preferences and deciding what is the best fit for them. Is there a particular method that they feel works better for them? Not all modalities will fit together. What is the client presenting with? What modality will best fit with that? Most counsellors are integrative on some level - it can come from using information learnt during CPD. After all this discussion on the differences between eclectic, integrative and pluralistic counselling, have a think. What are you blending in your practice? Is it seamless? Discuss it in supervision and/or with your peers. The Importance of Psychological Education for Clients [starts at 17:01 mins] Helping the client to understand the reason behind their actions can lift an enormous weight for them. The main points of this discussion include: It can be important to help the client to understand their own processes. Negative Automatic Thoughts - not everyone realises that these are normal, everyone has nonsense thoughts and they shouldn't have to be a source of guilt. Sometimes the brain takes executive control (e.g. fight, flight or freeze response) - if the client knows they have no control over this reaction, it can be a great relief to them. Having this psychological knowledge can free a person. In order to have this knowledge and share it with a client, you'll need to do some CPD, learning more about the biological condition and why these things happen. If the client dwells on their actions in these scenarios, it can create trauma. Trauma doesn't have to be one big event. NCS Organisational Membership [starts at 28:32 mins] In this week’s ‘Practice Matters’, Rory continues our NCS series by speaking with Faye Blackwell, Head of Engagement and Development, about organisational membership and development. Some key elements of Faye’s work at the NCS includes: Facilitating means of support – especially where it hasn’t yet been seen. Listening to members’ ideas and concerns, and adapting these into the organisation’s ethos and values. Being adaptable and flexible. Creating CPD opportunities for certain – and possibly overlooked – communities. Listening to real experiences and feedback. Offering counselling or creating spaces that offer support for groups that as of yet don’t have this kind of support. A department that focuses not only on organisations that provide counselling, but organisations that still align with the NCS’s values, offering support to the community in alternative ways. Listening to various ideas and suggestions and working on making them into reality. Flexibility in creative thinking – thinking about what can we do to support you? Links and Resources Counselling Skills Academy Advanced Certificate in Counselling Supervision Basic Counselling Skills: A Student Guide Counsellor CPD Counselling Study Resource Counselling Theory in Practice: A Student Guide Counselling Tutor Shop Facebook group Website Online and Telephone Counselling: A Practitioner's Guide Online and Telephone Counselling Course


    261 – Professional Conduct Procedures for Counsellors Apr 22, 2023
    Show notes

    Assessment in Counselling - DIY versus Professionally Built Websites In Episode 261 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly are back with this week's three topics: First in 'Theory in Practice', we look closer at assessment in counselling. Then in 'Practice Today', we have Daragh Mac Loughlin from Web Healer speaking about the differences between a DIY website and a professionally built one. And lastly in 'Practice Matters', Rory continues the series by speaking with Rachel King, Professional Conduct Officer, and Meg Moss, Head of Policy and Public Affairs at the NCS (soon to be the NCPS), about professional conduct procedures for counsellors. Assessment in Counselling [starts in 02:40 mins] When it comes to your first meeting with your client, you're going to need to get a sense of what they're here for, and where they are. One of the ways to do this is through assessment. The key points on assessment in this section include: For assessment, you can use forms such as CORE-10 and PHQ-9. These questionnaires aren't just for showing that a client has progressed, but when used correctly, they can help you to identity exactly what your clients issue might be. These forms need to be interpreted, not set aside. Examples of the info you can gather from holistic assessment includes: Presenting issues. Personal history of a client. Any personal relationships you need to know about - what support they have outside of counselling. Health and lifestyle. Any issues or challenges they may be facing. Any medical or psychiatric history that may effect counselling. Ethnicity, sexuality, and/or disabilities. Previous experience of therapy. The clients' goals. The clients risk profile. Remember that assessment isn't diagnosis Do your competence levels match what the client's expectations are? You can use assessment to help build rapport - showing unconditional positive regard, engaging in dialogue rather than being cold and clinical. Allows client and counsellor to track progress. Gives insight into life of client, anything that influences who they are. Keep in mind that the answers the client is giving you may not be honest ones - trust has not yet been built. DIY versus Professionally Built Websites [starts at 20:02 mins] In this week's 'Practice Today', we have Daragh Mac Loughlin from Web Healer discussing website building. The main points of this discussion: A good designer can translate you and your practice into a website that is appealing, easy to digest, and easy to navigate. It is a visual representation of your practice. A website should be working with you to make your practice that bit easier, rather than being something extra you have to think and possibly worry about. You want your website working to the best of its ability to help your potential clients get to know you and your practice, and to get in touch. You can customise tools to fit you. SEO (search engine optimization) is an essential part of getting your website seen, you want people who know how to get your website as high as possible on Google searches. Consider how long it would take you to built your own website and weigh up whether it is worth your hourly rate, when a professional may be able to do it in a shorter time. Professional Conduct Procedures for Counsellors [starts at 40:30 mins] In this week's 'Practice Matters', Rory speaks again with the NCS (soon to be NCPS). This week he discusses professional conduct procedures for counsellors such as the complaints process with Rachel King and Meg Moss. Some key points of this discussion on how to be best prepared for, or hopefully avoid the event of a complaint include: Having a complaints process is essential for public protection and helps to make counselling a more trustworthy profession. If you're working in a specialist area - make sure you've done the correct and necessary specialist training for this. Have a supervisor and use them if there is anything you are unsure about - ensure that your supervisor is competent in your area, they should be seeing even further than you and be able to give you things to think about and consider, e.g. they should have more experience etc. Part of upholding a professional conduct as a counsellor is ensuring you're working within your own competencies. Make sure you have insurance - you can go to them with any legal related questions you might have. Consensual Disposal - this is a process that removes any unnecessary lengthening of the complaints process and minimizes stress for both the client who made the complaint, and the counsellor it has been made against. Links and Resources Counselling Skills Academy Advanced Certificate in Counselling Supervision Basic Counselling Skills: A Student Guide Counsellor CPD Counselling Study Resource Counselling Theory in Practice: A Student Guide Counselling Tutor Shop Facebook group Website Online and Telephone Counselling: A Practitioner's Guide Online and Telephone Counselling Course


    260 – NCS Accreditation Apr 15, 2023
    Show notes

    Preparing for Your Research Project - Building Your Ethical Framework into Your Supervision In Episode 260 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week's three topics: Firstly in 'Theory in Practice', Rory and Ken go through some things to think about when preparing for a research project. Then in 'Practice Today', we look at building your ethical framework into your supervision sessions. And lastly in 'Practice Matters', Rory speaks with Kate Mahoney from the National Counselling Society (soon to be the National Counselling and Psychotherapy Society) on the NCS accreditation and course recognition process. Preparing for Your Research Project [starts at 02:30 mins] When it comes to your counselling training, you will be required to do a research project at some point - listen as Rory and Ken go through some things you may want to consider when approaching research: Make sure you choose an area where you can find data points - ensure you will be able to cite existing data as evidence to support your opinion/argument. Your research may open new doors away from your original hypothesis, and this is okay. It's good to be able to develop and discover during your research. You will need to provide both qualitative and quantitative research - evidence of both experience and numbers. Peer reviews - allow other people to read over your research with fresh eyes, they may be able to poke holes in your argument or identify areas you need to revisit. Research is what helps to make you more open-minded - this is a quality much needed in this profession. Research indicates where funding goes - having the skill to understand research may help when it comes to finding employment. Building Your Ethical Framework into Your Supervision [starts at 20:56 mins] It's important that you understand your ethical framework and by bringing it to supervision and discussing it, you will help yourself and your practice. Some of the key points of this section include: It's important to build your ethical framework into your decision making instead of using it as an after thought. Your ethical framework is a valid subject of discussion in supervision - it's not there to only talk about your clients. Knowing your ethical framework will help with tricky situations and making difficult decisions. Don't let your ethical framework be something that you only go to when something goes wrong. Every action you take with a client as a therapist has an ethical aspect. NCS Accreditation and Course Recognition [starts at 32:39 mins] In this week’s ‘Practice Matters’, listen as Rory speaks with Kate Mahoney, Head of Training Services and Professional Standards at the NCS (soon to be NCPS). The key points of this discussion on NCS accreditation include: The NCS aims to thoroughly reaccredit their services every 5yrs, with general checks happening annually. Accreditation ensures that everyone is on the same page when it comes to meeting standards and criteria. It’s simply training with a ‘stamp of approval’. Includes blended learning – online training mixed with face-to-face contact. However, it’s still key that core training does have that face-to-face contact and support so that it’s not 100% online. There are some benefits available when choosing an NCS accredited course such as discounted books, access to reduced fee supervision, etc. Doing an accredited training course will help with getting yourself on an accredited register after you graduate. If you’re unsure whether a course meets the criteria, it should have a minimum of 300 hours of guided learning – that could either be just in person, or blended with real-time online lessons (e.g. Zoom). You should have access to support and feedback from an experienced counsellor/tutor. The course you do doesn’t have to be an NCS accredited course to get on the NCS accredited register, it will just take more time and require some extra details about your training while the NCS look into and accredit it. Links and Resources Counselling Skills Academy Advanced Certificate in Counselling Supervision Basic Counselling Skills: A Student Guide Counsellor CPD Counselling Study Resource Counselling Theory in Practice: A Student Guide Counselling Tutor Shop Facebook group Website Online and Telephone Counselling: A Practitioner's Guide Online and Telephone Counselling Course


    Special Edition: NCS Accredited Register Programme Apr 01, 2023
    Show notes

    This week we have a special episode of the Counselling Tutor Podcast with Rory speaking to Meg Moss, head of policy and public affairs at the National Counselling Society (NCS) - soon to be the National Counselling and Psychotherapy Society. Listen as Rory and Meg discuss the NCS Accredited Register Programme: The programme was set up in 2012 by the Department of Health (now the Department of Health and Social Care). It was set up to provide protection around services related to health care such as counselling, psychotherapy, acupuncture, etc. The programme was administered by the Professional Standards Authority (PSA). Counselling is not a regulated profession/protected title. The PSA looks at public safety in relation to standards of training and practitioners - it's about safety and transparency. Within the NCS Accredited Register Programme, you can trust the complaints process has been under the scrutiny of the PSA and complaints are handled properly and reviewed annually. Robust level of oversight - extra safety and security. Practitioners who have had a complaint held against them and been sanctioned and removed from an accredited register, can't simply rejoin or 'hop' to a new accredited register. This allows the public to feel more assured when choosing a practitioner from the accredited register. You can be assured by the knowledge that the society/ethical body you're with is held to meet certain standards - the management of the register is checked regularly. As a counsellor, you'll know you've met the standards necessary to be on the register, and you can share this with clients and prospective clients. Because the register is required to meet high standards, it will offer improved quality. You know that complaints will be dealt with fairly and thoroughly - support is also offered to the counsellor. Links and Resources National Counselling Society - What is the Accredited Register Mates in Mind Professional Standards Counselling Skills Academy Advanced Certificate in Counselling Supervision Basic Counselling Skills: A Student Guide Counsellor CPD Counselling Study Resource Counselling Theory in Practice: A Student Guide Counselling Tutor Shop Facebook group Website Online and Telephone Counselling: A Practitioner's Guide Online and Telephone Counselling Course


    259 – Counselling Cult Survivors Mar 25, 2023
    Show notes

    Preparing Clients for Breaks - Understanding Ethical Bodies' Complaints Procedures In Episode 259 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly are back with this week's three topics: Firstly in 'Theory in Practice' we look at preparing your clients for breaks. Then in 'Practice Today', Rory and Ken discuss understanding your ethical body's complaints procedures. And lastly in 'Practice Matters', Rory speaks with Claire Alison Hams on counselling cult survivors. Preparing Clients for Breaks [starts at 03:25 mins] Taking breaks are an important part of your practice and self-care, listen as Rory and Ken mention some things to consider when it comes to taking your well-earned break: The quality of the therapeutic relationship is an indicator of positive outcome for the client - unexpected breaks risk damaging this relationship. How much notice should you give the client? You may want to do this as soon as you yourself know you're going to be taking a break, alternatively, you should let the client know a week in advance for every month you've been working with them e.g. if you've been working with a client for three months, try to let them know about your break three weeks in advance. If your client is high risk, you may need a support plan in place e.g. having them see another counsellor in your absence. Reinforce your boundaries, don't give out your phone number. If you decide to continue your counselling online during your break - speak to your supervisor, this is a decision that needs to be well thought out. Look out for some signs of dependency - is there building anxiety in the client as it gets closer to your break? Is the client bringing more and/or heavier material? Are their presentations escalating or are they showing signs of projection/transference? Acknowledge this - ask if this behaviour is due to your upcoming break and work through that with them. You may want to do some support mapping with your client. If you're in placement and something like this happens - speak to your practice manager. Understanding Ethical Bodies' Complaints Procedures [starts at 21:01 mins] Looking into and understanding your ethical bodies complaint procedure is always a good idea - for both you and your client. The main points of this section include: You'll want to look into your ethical bodies complaint procedure so you can understand the mechanism of how a complaint is dealt with and the part you play in that. The more you know, the less you fear. Ethical bodies aren't looking to punish when a complaint is received - they're looking to mediate, hear what is to be said on both sides, understand, look at your contract, etc. You might be able to use complaints to improve an area of your practice - take them as things you might work on. During the initial contracting with the client, give the client info on how they would go about making a complaint - this balances out the power right from beginning. Counselling Cult Survivors [starts at 35:45 mins] In this week's 'Practice Matters', Rory speaks with Claire Alison Hams about counselling former cult members. The key points of this discussion include: A characteristic of a cult might be a power imbalance within the community and coercive control - these create a sort of cultic dynamic that you might be able to recognise. Individuals should feel that they can leave safely - if there is fear either because they will lose a sense of community, their friends and family or if they fear for their safety, this is also an indicator of a cult or cult-like organization. When counselling cult survivors, the therapist should avoid using certain terminology with the client (such as cult) as this may be met with resistance. It's important to be aware of the complexity of the control a client may be under. Gently help them to come to the conclusion for themselves, and support them through that. It can be painful and challenging for a client. The process is sometimes likened to waking up - being physically in/out and mentally in/out are both different things for the client and can feel like a huge loss. Clients who are cult survivors may struggle with freedom - finding their own identity. There may have been a pushing down of self, and they must now grow that. Links and Resources Counselling Skills Academy Advanced Certificate in Counselling Supervision Basic Counselling Skills: A Student Guide Counsellor CPD Counselling Study Resource Counselling Theory in Practice: A Student Guide Counselling Tutor Shop Facebook group Website Online and Telephone Counselling: A Practitioner's Guide Online and Telephone Counselling Course


    258 – Touch in Therapy Mar 18, 2023
    Show notes

    Psychological Contact - Managing Risk in Counselling In Episode 258 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly are back with this week's three topics: Firstly in 'Theory in Practice', we look at psychological contact. Then in 'Practice Today', Rory and Ken share their thoughts on touch in therapy. And finally in 'Practice Matters', Rory speaks with Sally-Anne Armitage on managing risk. Psychological Contact [starts at 02:30 mins] Psychological contact was recognised by Carl Rogers as an important condition of person-centered therapy. In this section, Rory and Ken discuss psychological contact, and the things that may stand in its way: It's important that the client understands where they are and what they're there for - do they know what process they're going in for? The client needs to want to be there. A client understanding of what they are there for may be impaired by things such as Alzheimer's/dementia, medication, alcohol, or a language barrier. You may require cultural awareness when it comes to forming a psychological connection with your client - whether it be religious, class, sexuality or gender-related. Without this you could miss the client, it's important to meet the client where they're at. The psychological contact can be broken at any point during the arc of therapy - a misstep may lead to the client switching off. If this happens, it will need to be built back up. Alternatively, if you feel you aren't a fit for this client, a referral might be best. Touch in Therapy [starts at 16:27 mins] Touch in counselling is something that can differ from practitioner to practitioner. In this section, Rory and Ken share their own thoughts on touch in therapy, and some things you may want to consider: If you are working with children and young people - touch is not to be used under any circumstances (with exception to CPR etc.) When working with adult clients in therapy, it may be tempting to offer a gentle touch to the hand/arm, or even a hug to let the client know someone is there - any touch in the therapy room should be heavily thought about and considered. If you do choose to offer a reassuring touch to your client, this should be written in your notes and taken to supervision. If a client asks for a hug, informed consent has been given and this is completely fine. You may want to write physical touch into your counselling contract (either for or against), just to make the possibility clearer to the client, or allow them to share what they're comfortable with. Physical touch can sometimes pull the client from what they're feeling, and this may not always be beneficial for the process of the session. If you feel like you want to hug the client - think about why that is. Is it possible you are experiencing transference? Do you see yourself in the client? If the hug is more for yourself than the client, this is something you will want to take to supervision, and maybe consider looking at in some counselling of your own. No matter what, using touch in therapy should never be a spur of the moment impulse - it should be carefully contemplated and considered. Managing Risk in Counselling [starts at 28:52 mins] In this week's 'Practice Matters', Rory speaks with a close friend of Counselling Tutor, Sally-Anne Armitage on managing risk. The key points of this discussion include: When it comes to having concerns about a client, it's okay to communicate this concern with a client - it can be important to have these difficult conversations, free of judgement. Talking about suicide doesn't make it more likely. Be transparent about risk - this is the space to talk about it, make it known to the client that it's okay to speak about. If suicide is something a client speaks about often - make sure you're still checking in from time to time, assess whether the situation has worsened. People who self-harm are not always suicidal. Ask the client if they have a plan - this allows you to assess intention and the urgency/height of the risk. If the client has made previous attempts to take their own life, they sit at higher risk. The risk for children and young people is generally higher. When working with children and young people, you will need to think extra carefully about disclosure and confidentiality - and when this may need to be broken. Links and Resources Counselling Skills Academy Advanced Certificate in Counselling Supervision Basic Counselling Skills: A Student Guide Counsellor CPD Counselling Study Resource Counselling Theory in Practice: A Student Guide Counselling Tutor Shop Facebook group Website Online and Telephone Counselling: A Practitioner's Guide Online and Telephone Counselling Course


    SCoPEd: Summary of Views and Perspectives Mar 16, 2023
    Show notes

    SCoPEd: Summary of Views and Perspectives Background Scope of Practice and Education (SCoPEd) is a framework that sets out the core training requirements and practice standards for counsellors and psychotherapists working with adult clients. It has been developed by six professional bodies that hold registers accredited by the Professional Standards Authority (PSA): Association of Christians in Counselling and Linked Professions(ACC) British Association for Counselling and Psychotherapy(BACP) British Psychoanalytic Council(BPC) Human Givens Institute(HGI) National Counselling Society(NCS - shortly to change its name to the national Counselling & Psychotherapy Society: NCPS) UK Council for Psychotherapy(UKCP). The SCoPEd framework categorises practitioners into three columns - A, B and C - which are shown in the image below. Source: https://www.bacp.co.uk/media/14435/scoped-framework-january-2022.pdf Questions The SCoPEd project and resulting framework have led to much debate and many questions among student and qualified counsellors and psychotherapists. Key questions posed in the Counselling Tutor Facebook group include the following: By accepting this framework, are professional bodies saying there is a difference between counselling and psychotherapy? Should students who are studying at Level 3 consider moving on to Level 7 if they can, rather than to Level 4? What impact will SCoPEd have on my Level 4 qualification? Will the Level 4 route to qualification be phased out? How do Level 5 courses fit into the SCoPEd framework? Will awarding bodies make it clear which column their training sits in? Will the professional bodies tell practitioners where different client presentations fit within the columns (for example, whether a practitioner in Column A can work with depression)? How do you move from Column A to Columns B and C? Can a purely person-centred practitioner enter Column C? If so, how? How will SCoPEd impact those who are accredited or senior accredited by their professional body? Does SCoPEd imply that therapists with Level 7 qualifications should be paid more than those with Level 4 qualifications? Will practitioners in employment with Level 4 qualifications currently working with clients in Column C lose their jobs? We asked two professional bodies (the BACP and the NCS) and an awarding body (CPCAB) for their views on these issues. We also asked two individual practitioners - one who is in favour of SCoPEd and one who is against it - about their perspectives. We share all the results in this summary. Answers By accepting this framework, are professional bodies saying that there is a difference between counselling and psychotherapy? Because the counselling and psychotherapy professions are not regulated (relying instead on voluntary registration via the PSA), practitioners are in effect free to choose their professional title. There are some differences between training paths that are typically associated with the titles 'counsellor' and 'psychotherapist'. These differences relate to various factors, for example the length of training and the academic level - plus the requirements for research, client hours, supervision and personal therapy. Some people who have done psychotherapy training may choose to call themselves 'counsellor', and vice versa. It may be that psychotherapy training is likely to place practitioners in Columns B and C, but people who have undergone counselling training are likely to appear in any of the three columns. While the first iteration of SCoPEd mapped the title 'psychotherapist' onto Column C, the final version does not define the difference between the two titles. Should students who are studying at Level 3 consider moving on to Level 7 if they can rather than to Level 4? Each student is of course be free to choose which course they feel will be right for them in terms of their career goals and personal journey. It will be possible to move through the SCoPEd columns without a Level 7 qualification, since professional competences relate not purely to academic qualifications, but rather encompass a more holistic view of practitioners' growth, including practice experience and learning gained through continuing professional development (CPD). If you intended to study Level 4 before and were happy with that option, the SCoPEd changes don't require you to change that decision. This route is likely to suit you if you want to qualify via a vocational training route, part-time over two years at local colleges or independent training centres whilst gaining practice experience on placement in a counselling agency. If you are genuinely interested in alternative routes (e.g. an undergraduate degree or postgraduate study), have the relevant entry qualifications, and feel this mode of study would fit your personal circumstances (including budget and time), then choose a programme that provides all the elements you are looking for, including practice (as this is required for becoming a practicing counsellor at the end of it). What impact will SCoPEd have on my Level 4 qualification? SCoPEd fully acknowledges the range of competences gained on CPCAB's Level 4 Diploma in Therapeutic Counselling, and shows that these are what is being asked for from a qualified counsellor. Completing this diploma should therefore give you at least the competences you need to work safely and ethically as a qualified practitioner. Will the Level 4 route to qualification be phased out? CPCAB has no plans to phase out its Level 4 Diploma in Therapeutic Counselling, as SCoPEd does not affect the relevance or value of this qualification. This diploma allows students to become qualified to practise, and to join a wide range of professional bodies recognised by the PSA, including those in the SCoPEd partnership. The competences specified by SCoPEd to enter Column A have been directly drawn from existing qualifications, including the Level 4 Diploma. This is evidence that the diploma provides what employers and professional bodies are looking for in a competent counsellor. How do Level 5 courses fit into the SCoPEd framework? CPCAB offers a range of Level 5 qualifications, including three qualifications that build on the initial competences gained in the Level 4 Diploma. These additional competences fit within the SCoPEd framework. For example, the Level 5 Diploma in Psychotherapeutic Counselling assesses in depth the use of a coherent client assessment strategy, which aligns with Column B competences. This may therefore help practitioners in Column A to work towards moving to Column B, if they wish to do so. As SCoPEd was designed to reflect competences for working with adults, it does not represent CPCAB's Level 5 Diploma in Counselling Children and Young People. However, this new CPCAB qualification was fully mapped, at design stage, to the existing competence frameworks for working with young people published by both the BACP and the NCS. Will awarding bodies make it clear which column their training sits in? In its annual review of its documentation this year, CPCAB will make reference to the SCoPEd framework and give indications of where the framework represents CPCAB qualification competences. The vocational training qualifications from CPCAB map seamlessly to the framework, and are not lacking in any of the competence areas that you will need to be a counsellor. When choosing a course, do ensure that you first read through the SCoPEd framework in detail, so that you have the facts - rather than letting misunderstandings or rumours affect your decision on what training is right for you. If you have any questions, do contact your centre, tutors or CPCAB. Will the professional bodies tell practitioners where different client presentations fit within the columns (for example, whether a practitioner in Column A can work with depression)? The framework does not categorise the range of client presentations into the columns, and the BACP and the NCS will both continue to trust their members to work ethically within their skills, knowledge and training - getting supervisor support or referring on when needed. This is in line with both bodies' ethical frameworks. How do you move from Column A to Columns B and C? The SCoPEd partners are currently working to agree the mechanisms for moving between membership categories. There will be a set of mechanisms that will apply during the transition period, and then other mechanisms and routes will be added later. For example, the BACP plans to add new accreditation schemes that will open new routes to move between columns. This means that it will be possible to move to Column C without holding a master's degree. Indeed, practice experience and CPD will be key to progression. The SCoPEd partners will initially align their existing membership categories to the SCoPEd columns (rather than deciding which column each individual member sits in). So to move between the columns, you'll need to look at your professional body's criteria for changing membership categories and work towards that. Many practitioners have been concerned that if they're in the 'wrong column', they won't be able to practise in a certain way or will have to stop seeing certain kinds of clients. This is not true: regardless of which column you are in, you will still be able to practise competences in other columns, providing you have the skills, knowledge and experience to do so. The ethical frameworks of the professional bodies will continue to focus on the necessity of therapists working within their skills and competences rather than moving to a model based purely on the SCoPEd columns. Can a purely person-centred practitioner enter Column C? If so, how? The process of moving to a different professional-body membership c


    257 – Counselling Muslim Clients Mar 11, 2023
    Show notes

    Locus of Evaluation - Meeting a Client in a Social Setting In Episode 257 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week's three topics: First up in 'Theory in Practice' we look at Locus of Evaluation. Then in 'Practice Today', we think about what you might do when meeting a client in a social setting. And lastly in 'Practice Matters', Rory speaks with Tayba Azim on counselling Muslim clients and supporting them with their mental health. Locus of Evaluation [starts at 02:52 mins] Locus of evaluation is all about view of self - figuring out who we are and finding our real selves. Listen as Rory and Ken discuss the different types of locus of evaluation, and how this might present in a client: Internal locus of evaluation: trusting our own inner feelings to make right decisions and present as we truly are within an interaction or circumstance. External locus of evaluation: acting in a way to please others, appear better, impress, or be accepted - no longer acting from who we really are internally. You may see external locus of evaluation with a client who doesn't trust their own feelings, decisions, ways of acting/interacting. They may be trying to be what they perceive others want them to be. It takes an act of courage to act out your internal locus of evaluation. An area of personal development - finding who you are, being more of yourself and less of who you think people want you to be. If a client says they've come to therapy because a partner/someone close to them suggested it - this is an example of external locus of evaluation. You may offer a soft challenge to this - asking, "how do you feel about that?" Does their answer stay in the external? Be asking the client how do you feel, what do you think. Be accepting - be there for the client as they find themselves and come to accept it. Think about where in your own life you might be operating in your internal/external locus of evaluation. Meeting a Client in a Social Setting [starts at 29:59 mins] There is always the chance, regardless of how slim, that you may bump into a client outside of sessions. It's important for both you and your client that you know how you will tackle this situation. The key points of this section include: When beginning your profession as a counsellor, you will need to tell those closest to you that there are now things you can't speak to them about when it comes to your practice. Add boundaries to the contract - asking the client what they're comfortable with. You may write into your contract that you will only acknowledge a client in public if they are the first to acknowledge you. Explain the reasoning behind this e.g. the client may be with someone they don't want to explain where they know you from to, it may put them in a position where they feel they have to lie. If you happen to run into a client outside of sessions - put this in your notes, along with a short summary of the encounter. This could serve as evidence in the unlikely event that a client makes a complaint about you e.g. being unprofessional outside of sessions. Bring up the meeting in supervision - work through whether it has, or how it might, shift your relationship with the client. This is a reality of being a human being outside of your practice. Have you considered social media in your contract - what actions will you take if sent a friend request online from a client? Counselling Muslim Clients [starts at 47:43 mins] In this week's 'Practice Matters', Rory speaks with Tayba Azim about counselling Muslim clients and supporting them with their mental health. The main points of this discussion include: Islam is a way of living and being - having that understanding is crucial to the client being understood. Having a general, basic knowledge of Islam - e.g. the 5 pillars, is an important starting point. Every client is an individual within their faith - it is important not to stereotype or assume. It's important that counsellors understand that Muslim women do have rights, they are empowered - this has possibly been misinterpreted and affected by culture and/or the patriarchy over time. An understanding of this could allow you to empower and support the client; you will be able to explore that with them. When counselling Muslims, be aware of your own prejudices, where do you fall short in that therapeutic space? Have an understanding of colonialism and its impact. Understanding that there is more to Islam and being a Muslim than what the media portrays - acknowledging any subconscious bias you may have. Links and Resources Counselling Skills Academy Advanced Certificate in Counselling Supervision Basic Counselling Skills: A Student Guide Counsellor CPD Counselling Study Resource Counselling Theory in Practice: A Student Guide Counselling Tutor Shop Facebook group Website Online and Telephone Counselling: A Practitioner's Guide Online and Telephone Counselling Course


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