Counselling Theory & Practice

A Healthy Heart is Both Physical and Emotional

We all know that we should exercise, eat sensibly, and generally take care of ourselves for good heart health. What might not be as clear is how good emotional health yields good health for the physical heart. With February being Heart Research month, it’s a great time to take a fresh look at how that happens. »

The Efficacy of CBT Treatment for Depression

The plethora of studies evaluating the efficacy and effectiveness of CBT (Cognitive Behaviour Therapy) over the last few decades has shown generally solid results for CBT as a treatment for depression (and many other disorders) with different groups, in different modes of delivery, and in manifold settings. There is no controversy on one fundamental finding: there is a vast amount of evidence show... »

User-friendly Therapeutic Strategies for Intellectual Disability

What can a therapist do in session to make any therapy more intellectually attainable, or user-friendly, to someone who has at least cognitive limitations, but who also may be struggling with communicative deficits, sensory impairment, and/or psychological conditions? Morasky (2007) proposes a series of dimensions along which strategies can be evolved to adapt counselling and therapy (and he says,... »

Principles and Techniques of Motivational Interviewing

If you have even a small track record of helping people change, you are familiar with the dynamics regarding change: client presents with problem (often precipitated by a crisis), becomes aware of compelling reasons to adopt a healthier lifestyle or cease harmful behaviours, and then hems and haws, straddling the fence with incomprehensible ambivalence. Persuading the client with logic, browbea... »

Interpersonal Therapy: History and Theoretical Background

Interpersonal psychotherapy has been defined as a time-limited, dynamically-informed psychotherapy which aims to alleviate clients’ suffering while improving their interpersonal functioning. It is concerned with the interpersonal context: the relational factors that predispose, precipitate, and perpetuate the client’s distress. It is widely, but not exclusively, used to treat mood disorders. Rathe... »

Hard-wired to connect: Mirror neurons and empathy

Many people have suspected for a long time that we human beings are designed to be able to experience things happening for another person: in good times or in bad. So we see a stranger clumsily bump their head on a low-hanging branch at the park, and we flinch, too. We hear that a friend has gotten some good news about a medical diagnosis, and we are genuinely happier. Yet although we have suspect... »

Caring for others: Ethical considerations

In two previous articles we discussed the process of providing emotional and psychological (or social) support to others – including the reasons why we help; the traps we can fall into as we attempt to help others; and the typical needs and motivations behind supporting others. In this article, we delve into key ethical considerations when providing social support, including the adoption of a code... »

Counselling Dilemma: An Aggressive Partner

Kaya and Mark have been in a relationship for a little over a year now and are attending couples counselling. Halfway through the session, the therapist asks for more information about the fights they are having. Kaya reports that Mark recently pushed her into a wall, and that he sometimes viciously pulls things like her phone, the TV remote amongst others out of her hand. Mark admits to this, and... »

Caring for Others: Avoiding Common Traps

In the first article in this series we highlighted needs and motivations behind providing emotional and psychological support to others, touching on the “shadow” side of helping: trying to meet personal needs through the helping relationship. Both professional and non-professional helpers can unwittingly do this, even when they are meticulous, highly ethical helpers, so it is crucial to gain an un... »

Caring for others: Why do we do it?

When a friend is going through a hard time, we often think about how we can lend a hand and provide emotional support. But are we always aware of the reasons why we want to help? Is it because we feel obliged? Or perhaps because we just want to help – to be there for someone who has been around for us when we needed? We’d like to say, “It doesn’t matter what unresolved issues are hiding in your... »

Emotion in Motion

If you look at the Oxford Dictionary entry for the word ‘emotion’, you will find it is a noun, a thing, described as follows: »

Book Review: Introduction to Counseling

Kottler, Jeffrey, A., and Shepard, David, S. (2015). Introduction to Counseling: Voices from the Field. (8th ed). Stamford, USA: Cengage Learning. »

Counselling and the Brain: Five Major Processes

The research in neuroscience is highly supportive of counselling’s emphasis on deep listening, empathic understanding, strength building, and wellness (Ivey, Ivey, Zalaquett, & Quirk, 2011). Counselling is shown to change the organisation of the brain: a learning process as the brain responds to stimuli and creates neural pathways to accommodate new information (Ivey, 2009). “Information” includes... »

Treating Anxiety with CBT: The Evidence

Generally considered a short-term therapy, Cognitive Behavioural Therapy (CBT) often consists of about 8 to 12 sessions in which client and therapist work collaboratively to identify problem thoughts and behaviours (click here to learn more about CBT’s principles and practices). CBT is considered the gold standard in the psychotherapeutic treatment of anxiety disorders and several meta-analyses (i... »

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