Psychological Tips [40]: How do psychological counselors deal with the problems that arise in consultation?

Q: Su Xin, I have encountered many problems in consultation, and sometimes I am very helpless. What should I do?

Xiaolin, a consultant, wanted to improve his consulting skills and came to consult.

@ Su Xin Life Design: In cognitive behavioral therapy, psychological counselors will encounter such problems in the treatment of almost every visitor.

The reasonable goal is not to avoid problems, but to learn how to find and concretize problems, how to conceptualize problems, and how to design solutions to correct them.

It is very helpful to improve the conceptualization of cases by taking problems or thorny puzzles as opportunities. Sometimes the problems in consultation not only reflect the personality of the visitors, but also reflect the weaknesses of the consultants.

In actual consultation, consultants can find problems in many ways:

First, listen to the feedback from visitors.

Second, whether the visitor provides verbal or non-verbal signals of the problem, seek feedback from the visitor directly.

Third, review the consultation records alone or with the supervisor, and complete the cognitive therapy rating scale according to the records.

Fourth, follow up the progress of treatment according to the test of the subject, the subjective report of the visitor and the remission of symptoms.

Consultants often encounter these problems:

When visitors will indirectly imply that they think these methods are ineffective in completing the task, you should further determine whether the problem really exists and determine the dimension of the problem.

At this point, if you stick to the standard structure of conversation, you can find the problems of visitors. You can find the problems by regularly detecting the depth of understanding of visitors during the conversation, or triggering their automatic thinking when you notice the emotional changes during the conversation.

At this time, visitors need to make more summaries themselves, so as to really find the problems of visitors.

If the counselor is not aware of the problem or it is difficult to point it out clearly, he can ask the visitor to allow him to record the treatment process, and then review the treatment process with his supervisor to help him find the problem.

If the visitor's function or emotional state has not improved or regressed, we can discuss the lack of progress as a problem and plan a more effective treatment plan with the visitor.

Finally, counselors need to constantly try to look at the world in their eyes from the perspective of visitors and reveal the obstacles that prevent them from taking more effective methods to solve difficulties.

I am deeply touched by this. I often find myself having some questions and puzzles in consultation after working with visitors for a period of time. If psychological supervision is carried out next, there will be an epiphany, and the second pulse of Ren Du will be suddenly enlightened.

For example, in a psychological supervision, I found a more effective way to deal with anxious visitors. At that moment, I suddenly had a sense of mobility.

I think what we often say to visitors, "You are not fighting alone", actually applies to the consultant himself. On the road of consultation, we may eventually face our loneliness, but we are not alone. As long as we learn to ask for help, we will also find many peers or guides.

I hope today's psychological tips can help you.

Tips:

Today's sharing comes from Cognitive Therapy: Fundamentals and Applications, written by Dr. Judy S. Baker, the daughter of Allen Baker, the founder of cognitive therapy.

Allen Baker, an American psychiatrist, clinical psychologist and founder of cognitive behavioral therapy, died at the age of 1 1 this year.

As the daughter of Allen Baker, Dr. Judy S. Baker is also an associate professor of clinical psychology in psychiatry at the University of Pennsylvania School of Medicine and the director of Baker Institute of Cognitive Behavioral Therapy. She also wrote this book, which provided a solid foundation for the practice of cognitive behavioral therapy.

# Psychological Toolkit # 40

Su Xin, psychological/career counselor: national second-level psychological counselor, career planner, American active parenting lecturer, sandplay therapist, interpersonal relationship counselor, and British mind map tutor.

Case duration 1000 hours, 10 years+management, 5 years+psychology, result-oriented, accompany you to play around the workplace, feel happy at home, design life to be yourself, live simply and enjoy happiness!

This skill comes from Judy S. Baker's "The Basis and Application of Cognitive Therapy" (second edition), and I would like to thank you.