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    Crisis Counselling

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    Pooja varma
    This document provides information about crisis counseling. It begins with a brief introduction to crisis intervention. It then discusses some common crisis situations people may face, such as family issues, social stigma, abuse, relationship problems, mental health issues, work-life imbalance, and pessimism. The next sections discuss myths about crisis intervention and the attitude and skills of an effective counselor. The document concludes by outlining the ABCDE model of crisis counseling, which involves achieving rapport, boiling down the problem, challenging the individual to action, developing an ongoing action plan, and evaluating results.

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    Crisis Counselling

    Uploaded by

    Pooja varma
    283 views28 pages
    This document provides information about crisis counseling. It begins with a brief introduction to crisis intervention. It then discusses some common crisis situations people may face, such as family issues, social stigma, abuse, relationship problems, mental health issues, work-life imbalance, and pessimism. The next sections discuss myths about crisis intervention and the attitude and skills of an effective counselor. The document concludes by outlining the ABCDE model of crisis counseling, which involves achieving rapport, boiling down the problem, challenging the individual to action, developing an ongoing action plan, and evaluating results.

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    This document provides information about crisis counseling. It begins with a brief introduction to crisis intervention. It then discusses some common crisis situations people may face, such as family issues, social stigma, abuse, relationship problems, mental health issues, work-life imbalance, and pessimism. The next sections discuss myths about crisis intervention and the attitude and skills of an effective counselor. The document concludes by outlining the ABCDE model of crisis counseling, which involves achieving rapport, boiling down the problem, challenging the individual to action, developing an ongoing action plan, and evaluating results.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    283 views28 pages

    Crisis Counselling

    Uploaded by

    Pooja varma
    This document provides information about crisis counseling. It begins with a brief introduction to crisis intervention. It then discusses some common crisis situations people may face, such as family issues, social stigma, abuse, relationship problems, mental health issues, work-life imbalance, and pessimism. The next sections discuss myths about crisis intervention and the attitude and skills of an effective counselor. The document concludes by outlining the ABCDE model of crisis counseling, which involves achieving rapport, boiling down the problem, challenging the individual to action, developing an ongoing action plan, and evaluating results.

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    © All Rights Reserved
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    of 28

    Crisis Counselling

    M Sc – Psychology

    By - Dr Nanaiah Pattada
    You are already counsellors

    We all have our models that work

    If the only tool you have Love


    You will treat all problems with Compassion

    Add Empathy, and you will see a new direction, meaning and results
    necessary to deal with many a dire situation.

    Wish you all the very best


    Areas of Counselling

    Criminal
    Industrial
    Clinical
    Some Crisis Situations

    1. Family History – ‘which is rarely addressed in India’ ………


    2. Social Stigma – ‘Aiyoh, if neighbors get to know’ ……..
    3. Abusive parents – (physical or mental) – rampant, with parents expectation rarely matching child’s
    aspirations, choice and capabilities. ……….
    4. ‘Daughter’ eloped
    5. Constant squabbles at home
    6. Mother-in-law issues – husband not supporting wife etc
    7. Drunken husband
    8. Families displaced due to calamity
    9. Not able to cope with work-life-balance, harassment, lecher boss etc
    10. Pessimism
    11. Youth taking extreme steps for presumed failures(most of them due to non-availability of a counsellor)
    Crisis Intervention

    The focus on resolution of an Immediate problem


    Through use of
    Personal
    Social &
    Environmental resources
    Myths
    1: People in crisis suffer from a form of
    mental illness

    Fact
    People in Crisis may have had chronic emotional
    or mental disturbance before the crisis. Likewise, a
    negative resolution of Crisis may result in
    emotional or mental breakdown
    But Most People Are Not Mentally Ill
    2: People in Crisis Cannot Help
    Themselves

    Fact
    There is basic human need for self-mastery.

    Activity, helping people to take Control on their


    own is needed for Positive Crisis Resolution
    3: Only psychiatrists or highly trained professionals
    can effectively help people in crisis

    Fact
    Crisis work has been done by
    Lay Volunteers,
    Police Officers,
    Ministers(Church) and
    other Front-Line Workers
    4: Crisis Intervention is a mere bandaid, a necessary
    preliminary, but trivial in comparison to real treatment
    carried out by professional psychotherapists

    Fact
    The Effectiveness and Economy of the Crisis
    Approach to helping distressing people is being
    recognized by
    Health Professionals
    5: Crisis Intervention is a form of
    Psychotherapy!

    Fact
    Techniques such as Active listening are used by
    Crisis Intervention workers, but it is not the same as
    psychotheraphy
    Crisis intervention avoids probing into deep-
    seated psychological problems
    The Attitude of a Counsellor
    Review of Active Learning
    1. Attitudes

    a. Empathy

    b. Unconditional Positive Regard

    a. Congruence – agreement, staying away from


    Conflicting Views
    Attending Skills

    LOVERS

    Intimacy
    Passion
    Committment
    Leading Skills

     Direct Lead
     Indirect Lead
    Reflecting Content
     Paraphrasing
     Perception checking
     Focusing
    Reflecting Feeling
    Probing

     Not “Objective type”


     Should be Open-ended
     HDTMYF
    The ABCDE Model of Crisis Counselling
    Context of Crisis Counselling

    1. NOT during the acute disaster

    2. The intervention takes place AFTER the basic survival


    needs have been attended to already

    1. There is still a crisis, but one of getting on with life rather


    than just surviving
    the way forward

    A – Achieve – a relationship of trust and caring


    B – Boil – down the problem to its major parts
    C – Challenge – the individual to action
    D – Develop – an Ongoing plan
    E – Evaluate – the results

    Ideal example – The Covid Lockdown


    ex: young youth

    Event Feelings Physio rxns thoughts action

    Breakup Devastated Insomnia No one will Slash Wrist


    love me
    A : Achieve a Relationship of Trust and
    Caring
     Develop rapport.
     Use the active listening skills to ventilate emnotions and diagnose
    perceptions
     What happened?
     What did you feel (emotions/Physologic rxns)/
     What did you think?
     What did you do?
     Tabulate above (key words only/large font) and show it to the counselee.
    Show the connections
     Normalize the feeling and thoughts.
    Table

    event feelings physiorxns thoughts actions

    breakup devasatated insomnia Non one will Slash wrist


    love me
    B – Boil down the problem to its major
    parts

     List down on paper the problems identified by the patient and show it to the
    patient
     “Is this list complete? Would you want to add to the list?”
     “Which problems are within your control? Whish are not? Start with what you
    can control.”
     Which would you like to handle first? Which are Priority? (focus on what is
    immediately actionable)
    C- Challenge the Individual to Action

     What solutions have you tried and what happened? (some may have
    already been mentioned)
     What other things can you try?
     Suggest solutions if necessary.
     Examine each option: What might happen if you did this?
     Prioritize which to do: Which one would you want to try now?
     Reflect the strengths: What are the things going for you right now?
    D – Develop an on-going action plan

     Make a plan with small achievable goals: How do you want to accomplish
    this?
     Explore obstacles: What is stopping you from carrying out this option?
     What can you do about these obstacles?
     When do you want to start?
     Provide assurance of availability and support
     Connect them with resources
     Set up regular appointments and phone contacts
    About giving advice

    It is better if the solutions come from them.


    Limit your advice to where you are expert
    Time the advice:
    AFTER they feel listened to.
    AFTER you have gone through their solutions
    E – Evaluate the Results

     Review
     Evaluate
     Revise
     Encourage
    Exercise

    Think of a problematic situation for


    you

    Take turns practicing the model on


    each other.

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