The beginning stage of the talks
1. Introduction to CBTh
·Before formal psychological counseling, it is necessary for the counselor to introduce to the client that we will use cognitive behavioral therapy to provide psychological counseling services for them. The counselor should explain the characteristics and advantages of CBT
"Next, we will use cognitive behavioral therapy to provide you with consulting services. For most psychological problems, it is the preferred therapy and its consultation course Shorter, it can also save you consultation costs. "
2. Introduction to the nature of this meeting
·Before the talks, the consultant should adjust the client's expectations for consultation so that they understand the nature and tasks of this meeting: Psychological consultation is a process of problem solving, and it needs to go through stages such as assessment talks, consultative talks and consolidation talks
" Just like when you go to the hospital for treatment, cognitive behavioral therapy consultation has a rigorous workflow. We need to diagnose the disease first before we can carry out The meeting is an assessment meeting. The main task is to understand your problem and other related situations and make a judgment on your problem. From the next meeting, we will start to solve your problem."
3. Explain the procedures and contents of this meeting
·Next, the consultant can explain the procedures and contents of this meeting, that is, explain the arrangements of this meeting to the visitors
·Next, I will first listen to you that there is currently What are the problems that bother you; then, I will ask questions around your questions so that I can understand the relevant information
·In order to have a comprehensive and accurate understanding of the problems you are facing, I will also understand all aspects of your current life. Although some aspects may not be related to the current problems in your opinion, I will understand these aspects’ judgments on your problems and the development of consultations
·If time allows, I also want to understand your growth experience
·In the last part of this meeting, I will feedback you to the preliminary results of the meeting. For example, whether your problem can be solved through psychological counseling, what is the consultation goal, how long it takes, how to arrange the psychological counseling plan, etc.
4, explain common situations in advance
·In order to avoid misunderstandings from clients, the consultant needs to explain or explain in advance the common situations during the consultation meeting, such as the consultant needs to make records, interrupt the client's conversation, how to deal with the client's dissatisfaction with the counselor's words and behaviors, etc.
·In the meeting, you will find that I take notes. The purpose of doing this is to remember your exclusive information and not be confused with the information of other clients. Don't worry, I will follow the principle of confidentiality and properly keep this information
· During the talks, you may find that I interrupt you. The purpose of doing this is to save time in the talks and spend time talking about important information. If you are unhappy, I sincerely ask you to tell me. If some of my words or actions make you uncomfortable, please tell me.
·In the meeting, if you think of some content that may be related to the topic of the meeting, you can also raise it. Let's decide whether we need to discuss this content together.
5. Ask the client what questions
·Some clients have preconceived ideas about psychological counseling, and they (especially those who have not done psychological counseling, as well as those who have received other psychological counseling therapy) may have doubts about the way cognitive behavioral therapy is carried out
"Are you any questions about today's meeting or do you need additional explanation?"
talk end stage
1, confirmation list of questions
· Through assessment talks, the client's active lectures and the consultant's targeted questions, the consultant can have some understanding of the client's problems
· Finally, the consultant needs to confirm the problems collected in the talks with the client and see if they have any missed the client's problems
·The description of the client's problems should be in authentic language, and try not to change them in professional terms.For example, if a client says he has poor sleep and often cannot sleep at night, the consultant should not describe it as " sleep disorder ", because the client will find it difficult to understand "sleep disorder" and is not sure whether what the consultant said is the same as what he said
"Through the talks, I learned that you are facing such problems... In addition, I also want to know if you need to add something to it, and whether the problems I collected are missing?"
2. Clarify the consultation target
·In cognitive behavioral therapy, a clear consultation target is very important. It plays a role in guiding the direction of the talks and helps in the construction of the consulting alliance. If the client's expectations can be achieved through psychological counseling, the counselor can directly use it as the psychological counseling goal
"Let's talk about the counseling goal. The counseling goal is the result that is expected to be achieved through consultation. How about we determine the counseling goal as this?"
3. Develop a consultation plan
·After clarifying the consultation goal, the client naturally wants to know how many meetings it needs, how long it takes to be held, and the time of each meeting, etc. This information is an important condition for the client to decide whether to continue consultation. If the time period takes too long to solve the problem or the consultation fee exceeds your ability to bear, the visitor may no longer continue to consult
·We see you once a week. If you improve, we can appropriately extend the interval, such as seeing you once a couple of weeks. Then we will discuss
. It is difficult for me to give an accurate number of consultations now. I initially estimate that it will take xx to xx times. The specific number of times depends on the progress of the consultation and whether there are other problems during the consultation process.
· Even if we finish the consultation, we will recommend that you do it again in a few months. Just like you need a review after surgery in the hospital, you also need to consolidate the effectiveness of the consultation
4, consultation payment method
·About consultation payment, some people like to pay per view, while others like to pay per course. In order to ensure the effectiveness of the consultation, it is recommended that the client pay according to the course of treatment. Therefore, the consultant needs to inform the client of the payment rules and resolve the differences in payment methods
·Cognitive behavioral therapy consultation, like consultation in many schools, is paid according to the course, so you need to pay a course in advance, and then we will arrange the consultation time. You can come directly to consult without paying additional
·If the fee you paid at the end of the consultation still has a balance, we will refund it to you when the case is closed; if the course is over, you still need to continue Continue consultation, please consider whether you need to pay the next course of treatment
·The main reasons why visitors want to pay per view are as follows: First, decide on advance and retreat based on the results of the consultation. Once the consultation effect is not ideal, you can terminate the consultation at any time; Second, it is difficult to spend on consultation costs, and you may not be able to pay the cost of one course of treatment
·If the problem is not serious to the surgical stage and you are just taking the medicine, you will find that the medication has a significant effect, and some medicines have been used three or four times (1 ~ 2 days) will be effective; while some medicines need to be used more than 20 times (more than 1 week) to be effective. Therefore, you must be patient and
. The same is true for psychological counseling. For some simple psychological problems, we can see the initial results after about four meetings; for some serious psychological problems, it takes longer to see the results. In order to maintain a stable consulting relationship, formal CBT consulting agencies pay for
5, meeting feedback
·At the end of the meeting, the consultant needs to know whether the visitor is satisfied with today's talk, whether he is confused or dissatisfied.If the client is confused or dissatisfied, the consultant can take measures to eliminate it. This will help maintain the consulting relationship and enable psychological counseling to continue
·Do you have any questions about today's talks?
·Is there anything that makes you confused or uncomfortable in today's talks?
6, make an appointment for the next talks
·Confirm during the talks Setting the next meeting time can maximize the guarantee that psychological counseling will be conducted regularly. The ideal consultation time is the same time next week
. "We are still at the same time next time, is it OK?"
7. About contact information
·Some clients want to get the contact information of the counselor. They think that if there is a contact information of the counselor, the emotional connection between the two will be closer. If the consultant is willing to give the other party personal contact information, it is best to inform the other party in advance. The purpose of the contact information is limited to appointment consultation or handling appointment rescheduling to avoid disappointing the visitor (Note: This statement in the book is worth discussing. You must be very cautious in actual implementation and must strictly follow the regulations of the consulting agency in reality!)
