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What happens in Psychotherapy/Counselling?
In psychotherapy/counselling you are helped to explore your emotional difficulties and concerns. You are
also assisted to develop more satisfying, creative and resourceful ways of being yourself and living your
life. My philosophy is that you are the best judge of your own life and my role is to use my knowledge,
skills and experience to help you in your process to find the answers/solutions that are best for you.
What is the difference between Psychotherapy and Counselling?
There is some overlap between the two and similar skills are used in both approaches. However, a great
deal depends on the training, knowledge and experience of different counsellors and psychotherapists and
what they and the clients hope to achieve when working together.
In general, psychotherapy is usually a longer process and involves greater and deeper
exploration of someone's past experiences in order to make sense of their present life. Psychotherapy is
working with unconscious material (not initially apparent) and often we say that we are working with "then
and there" material (past). Counselling is often used to resolve specific problems or concerns and
may take a shorter period. Counselling usually stays with the “here and now” issues, but not always.
I offer both short and long term counselling and psychotherapy (which is usually for a
longer period of time). The approach used depends much on the client and their presenting needs.
How do I know if counselling is helping?
Generally, you will feel better for talking with someone. Initially, it may be hard to do so, but in
time, you should feel quite comfortable. Sometimes, in the early stages, some clients may experience an
intensification of feelings/symptoms before things begin to improve. The sessions can help you: to clarify
issues; learn better coping strategies; make healthy decisions and take positive steps towards creating a
happier and more satisfying life.
How confidential is my information?
Confidentiality is assured. The exception to confidentiality is when there is a danger to the client
or to others. If I have concerns about the client’s safety, l would discuss these with the client and
support the client to take appropriate steps to maintain their own or, the safety of others. If the client
is unwilling or unable to take these steps, then I would inform the client of the actions that I would
need to take.
Do you take notes?
Notes are taken during sessions for keeping track of the sessions and for reviewing the work. The
client is entitled to read the notes or ask for a copy at any stage. They are stored in a locked filing
cabinet. No other person has access to these notes.
Do you tape the sessions?
At times I might tape a session. The purpose of taping is to offer the client an opportunity to review
the session. Sometimes, I use the tape to review the work done or for supervision purposes (professional
feedback of my work). Taping is only done with express permission of the client. All taping is wiped after
use. Under no circumstances is your identity revealed.
Do we have contact between the sessions?
Contact between sessions is discouraged, unless you have a crisis or you wants to change an
appointment time. For alternative assistance you can contact Emergency Services on 111, Lifeline Telephone
Counselling phone 577-8668 or, the Adult Mental Health Service Phone 520-9907, 520-9999 After Hours.
To protect your confidentiality, it is not advisable to have any ongoing social contact
between sessions or after the counselling is completed. However, if I see you at a public place or at a
social event (where there are other people), I wouldn’t usually acknowledge you unless you make contact
with me first
What do I do if I am not satisfied with your service?
In the first instance, I would invite you to discuss your concerns with me directly. You could also
contact my professional supervisor who monitors my work. If you are referred to me through an agency, you
could communicate your concerns through the relevant authorities, e.g., SMART, WINZ or ACC. If you still
feel concerned about any aspect of my work, you can also forward your concerns to the professional bodies
to which I am affiliated, e.g., NZAP or NZAC.
What is Direct Reductive Analysis?
A psychodynamically oriented insight therapy based on the work practiced and developed by Suttie,
Hadfield, Jung, Adler and others who had studied with Sigmund Freud, the originator and "father" of
psychoanalysis.
What is T.A.?
Transactional Analysis, or TA as it is commonly called, was devised by Eric Berne. His theory recognized
the three alter ego states: parent, adult and child, and how we can move from state to state in all our
interactions.
What is Client Centred Counselling?
Carl Rogers developed the theory of Client Centred Counselling. His principle theory holds that the
therapist must have an unconditional positive regard for the client and that conditions are created in
order that the client may experience optimum empowerment.
What is Rational Emotive Therapy?
Developed by Albert Ellis, Rational Emotive Therapy (RET) is a psychotherapeutic approach that proposes
that unrealistic and irrational beliefs cause many emotional problems. RET is a form of
cognitive-behavioral therapy. |