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Learn fundamental counseling skills such as open questions, reflection, and summarization. Discover how to engage clients with eye contact, body language, and goal-setting techniques. Enhance your counseling sessions by focusing on client needs, providing choices, and offering empathetic support. Prevent burnout by practicing self-care strategies and seeking support when needed.
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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