Crisis Intervention Counseling

Challenging and Encouraging Clients in Counseling

Posted on by Dominick Flarey

To help transform a person to change, attending, listening and responding are key, but the skilled counselor needs to be able to help instigate change or water the seeds of the healing process within a client.  Whether loss and grief, or merely more daily stressors or emotional issues that are holding the client back from living life productively, the counselor needs to know how to coach the client and help the client find that preferred outcome.  This involves not only identifying the goals and actively pushing towards them but also motivating and challenging them.  Like a coach who is able to abstract the best out of their players on the field, a counselor needs to be able to encourage and challenge his/her clients to produce meaningful change.  Some clients respond better, others may be still facing inner turmoil and self esteem issues.  Some clients may be more resilient naturally, while others may need more prodding and gentle and empathetic guidance.  Each client is unique and different but the general ideas within this short blog complement the previous blogs on attending the client and responding to the client.

Challenging and encouraging a client to change is much like a coach trying to get the best of a player on the field

 

Some clients may have zero motivation to be challenged.  They may possess some world view or bias that prevents this change.  Some may be forced to attend counseling and feel no need to change.  This can occur with state mandated counseling or clients forced to attend because of family or spouses.  Some clients may feel motivated simply because of guilt and look to foster a positive change.  Some may simply have an interest in the counseling process and wish to see what happens.  In the best case, one will find a client who understands the critical importance of counseling and the changes that need made.  Regardless of the clients motivation level, it is the purpose of the counselor to help bring the best out of the client. This can be easier said then done.

 

 

 

The Counselor as Coach?

Life coaching in itself is a newer field within the Human Service Field.  It is not clinical or requiring of various licensing but it does promote the idea of healthy change and life styles.  It involves a professional who is trained to motivate, direct and help clients meet end goals.  This involves both encouraging and challenging the client.  Whether it is a weight goal, training goal, dieting goal, or health and life style change, life coaches are inherently trained to help produce change through motivation, encouragement and challenging of their clients.  Counselors, whether pastoral or clinical, working in grief counseling or other mental counseling disciplines, through empathetic listening and responding, should have a vested interest in helping their clients meet change, but some may lack the skills to help motivate the client to change.  As counselors, the client is directed and given options, but is never commanded or forced to change, instead, the client is invited to change through an array of options.  Many times, clients need motivated and encouraged and even challenged to push forward through these options. Many times they may fall and need help getting up.  Again, like a coach in sports, it is the counselor’s profession to not only direct, but also to help the client emotionally and mentally push towards that direction.

Challenging for New Behaviors

According to Egan, it is important to challenge clients to change.  He states,

“Help clients, challenge themselves to change ways of thinking, expressing emotions, and acting them mired in problem situations and prevent them from identifying and developing opportunities…become partners with your clients in helping them challenge themselves to find opportunities in their problems, to discover unused strengths and resources, both internal and external, and to commit themselves to the actions needed to make opportunity development happen (2019, p. 190).

In challenging, Egan emphasizes the importance of the counselor and client relationship which is based on trust and partnership.  A counselor, in the eyes of the client, needs to earn the right to challenge.  Once this is established, the counselor needs to ensure that challenges are presented tentatively but not apologetically, with a balance between not being too harsh but not also too passive.  In addition, counselors need to ensure the challenges are clear and specific.  Challenges also should not make demands or be forceful in nature but provide a structural system of choices.  As the term challenge indicates, it is never easy, so help clients utilize unused strengths to help meet the challenges and the ability to build on successful challenges to meet new ones (2019, p. 220-225).  As Egan points out, the counselor should be a “catalyst for a better future (2019, p. 190)”.

Many times, a counselor has to identify what is preventing the person from being able to face a challenge in life

In challenging clients, many times, they have many inherent issues that are already hampering them with the problem and maybe life in general.  To help clients become more resilient and able to create new behaviors, counselors sometimes need to identify blocks and issues within the client.  Egan lists a variety of target areas that negatively affect a client’s ability to respond to challenges and delay productive and healthy change.  Through attending, listening and responding, a counselor is able to identify certain issues that may restrict the ability of a client to respond effectively to challenges.

The first issue Egan lists are what he refers to as self defeating mindsets that include “assumptions, attitudes, beliefs, values, bias, convictions, inclinations, norms, points of view, perceptions of self and the world, preconceptions and prejudices (2019, p. 190-191)”.   Albert Ellis looked at facing irrational beliefs head on with interventions that would challenge irrational mindsets.  According to Ellis, many individuals have flawed misconceptions on life.  Egan lists a few of these ideals.

  • I must only be liked and loved in life
  • I must always be in control in life
  • I must always have my things done my way or no way
  • I should never have any problems
  • I am a victim and not responsible for any of my issues
  • I will avoid things that are difficult
  • I believe my past dictates what I do in the future
  • I do not need happiness in anything or anyone else

(Egan, 2019, p.191)

Ellis considered these mindsets as impediments to change because when something did happen that was bad, the person would tend to “catastrophize” it and become unable to adjust to the problem or even be remotely open to challenges to face it.  In addition to these mindsets, Egan points out that some individuals embrace in four fallacies that hamper change, as according to Sternberg.  Among those listed by Sternberg were egocentrism and taking into account only one’s own interests, omniscience and thinking one knows everything about the issue, omnipotence and feeling one can do whatever one desires and invulnerability and one will never face true consequences (2019, p.192).  Obviously these four fallacies are undesirable characteristics and whether naive or part of a greater personality disorder, they are issues that can prevent true change in the client.

In addition to mindsets, some individuals may have self defeating emotions and feelings that prevent them from achieving goals.  They may possess low self esteem or poor self image.  They may have fears that prevent them doing greater things.  Others may possess various dysfunctional behaviors that are external in nature.  In essence, the person cannot get out of their own way in life.  Their behavior, unknown to them sometimes, continues to create the issues they are trying to escape. Others may possess discrepancies in what they feel and think in regards to what they say and do and how they view themselves versus how they are truly viewed by others. Other times, individuals can be hampered in making true change or answering challenges because of unused strengths or resources (Egan, 2019, p. 194-197).

Other “Blind Spots” within the client preventing and hampering change can include various levels of unawareness.  This can include being blind to one’s own talents and strengths seen by others but not perceived by the self.   Some individuals may be unaware due to self deception itself, or choosing ignorance.  Some individuals will avoid issues and problems because they simply would rather not know because the truth may be too terrifying.  In helping clients challenge themselves to new behaviors, counselors can open clients to new areas of awareness with simple self questions.

  • What problem am I avoiding?
  • What opportunities am I ignoring?
  • What am I overlooking?
  • What do I refuse to see?
  • How am I being dishonest with myself?

(Egan, 2019, p. 204)

As the counselor, but also a coach, it is important to help clients identify these issues and understand why they are unable to move forward.

Helping Clients Identify These Issues and Healthy Challenging

Carl Rogers promoted a empathetic approach. In helping others face hard realities, a fact based empathetic approach is key.  Showing patience and empathy and carefully presenting the issue with assertiveness but compassion is key in helping the client awaken to certain issues.  Of course, timing, tone, and words all play a key role in helping the client become acceptive.  The counselor cannot come across as afraid to address issues but not confrontational.  Sometimes, certain words, may offset a client or labels, and the counselor will need to navigate why and how to discuss the issue.  Also within this process, the counselor cannot simply give a set of directions but present options.  Finally, again, the counselor needs to present the new awareness and challenge to the client without judgment but in a way that creates self awareness and pushes forward change.

Counselors help motivate clients to change through empathy and supplying the client with appropriate level challenges and options to meet

When discovering hindering blind spots and issues, the counselor needs to become a detective in some respects before he/she can truly become a coach.  What is the client truly trying to say, or hinting at, or half saying (Egan, 2019, p.206)?  Counselors need to help clients understand their implicit thoughts and words and make them become more explicit.  In doing so, counselors can help clients understand themes in their stories, make connections with what may be missing and share educated hunches in feedback (Egan, 2019, p. 207-210).  Counselors can through their hunches, help clients see the bigger picture, dig deeper in the story, draw conclusions, open up more, see overlooked aspects, or even own their own story (Egan, 2019, p. 210-211).

 

 

Of course how these opinions and disclosures are presented to the client are critical.  They are part of the art of counseling and also the product of good coaching. A good coach is able to present a deficiency in a player’s form or approach and help turn into change and better performance.  This however involves not tearing down the player, but building the player up and giving the player the tools necessary to improve.  As an teacher and encourager, a coach is able to transform the problem and help the player have success on the field.  Likewise, an counselor needs to be able to coach his/her client through approaching a weakness and being able to challenge the person to overcome it and make it a strength in the field of life.  Strength Based Therapies as proposed by Pattoni, (2012) help clients label their strengths and identify them and utilize them in variety of goal setting environments. The process looks to expand hope but also create autonomy in facing issues.

When providing factful information and options to a client, a counselor needs to remain empathetic and tactful in delivering the news.  Some news can be shocking to a client and the client may need time or understanding in the process (Egan, 2019, p. 213).  Hence Egan recommends sometimes sharing one’s disclosures and challenges, but he recommends it to be used with caution.  He recommends being sure to use it sparingly, appropriately and culturally aware.  Timing can be key.  One does not wish to have one’s own disclosure to become a distraction (2019, p.215).

As a counselor and coach, how one gives suggestions and recommendations for better improvements are critical.  Inspired first with empathy and secondly aware of internal issues of the client, a counselor needs to approach and challenge the client without confronting but at the same time presenting clear and factual options to promote change.  These challenges are not easy, so like a good coach, a counselor needs to find ways to provide encouragement during the change process.  Counselors should invite clients to challenge themselves and help them identify specific challenges that will make the best changes.  Like a sports coach, while identifying any issue, the counselor needs to encourage and identify strengths to overcome a particular challenge.  Furthermore, the challenge needs to be evaluated as not to be too intense to be self-demeaning to the client.  Sometimes, success is built upon.  So when identifying challenges, the counselor needs to present them in a fashion that leads to success (Egan, 2019, p. 220).

As a counselor-coach, a counselor identifies changes that are essential and helps the client identify change.  Some clients are more resistant to change.  In another blog, we discuss the Client Change Scale which lists the levels of difficulty for a client to accept change or implement it based on their stage.  It is the counselor’s job to help the client see the necessity of change and help the client find it through encouragement and help.  Some changes will be first order, or deal with the current situation, or others may be second order and more long term or permanent.  This depends on the nature of the issue and the needs of the client.  The counselor like a coach, helps the client implement goals, strategies and plans to implement the change.   The counselor helps the client see his/her possible self, delve into creativity,  and think differently (Egan, 2019, p. 315-318).  In essence, the counselor helps the client see a better future, set goals to attain it and help them put it into action (Egan, 2019, p. 314).

 

Conclusion

Counselors are like coaches.  They need to challenge their clients by identifying weaknesses and help clients overcome them with appropriate challenges.  This involves active attending and responding to the client and understanding the inner challenges the client faces.  The counselor then is able to better become a catalyst of change in the clients life with setting appropriate challenges to make the client a better person in the field of life.

Please also review AIHCP’s multiple counseling certifications in Grief Counseling, Christian Counseling, Life Coaching, Anger Management, Stress Management and Crisis Intervention Counseling

Please also review AIHCP’s Grief Counseling Certification, as well as its Christian Counseling Certification.  Other mental health certifications for both pastoral and clinical counselors, or those engaged in the Human Service Fields, include Stress Management, Life Coaching, Anger Management, and Crisis Intervention. The programs are online and self study and open to qualified professionals seeking a four year certification in any of these fields.

 

 

 

 

 

 

 

Reference

Egan, G. & Reese. R. (2019).”The Skilled Helper: A Problem Management and Opportunity-Development Approach to Helping” (11th Ed). Cengage

Additional Resources

Sutton, J. (2022). “Motivation in Counseling: 9 Steps to Engage Your Clients”. Positive Psychology.  Access here

Sutton, J. (2022). “How to Perform Strengths-Based Therapy and Counseling”. Positive Psychology. Access here

“The Skill of Challenge in Counselling”(2019). Counseling Tutor. Access here

Voitilainen, L. et, al. (2018). “Empathy, Challenge, and Psychophysiological Activation in Therapist–Client Interaction”. Front Psychol. 2018; 9: 530. National Library of Medicine. Access here

 

Responding Skills in Counseling

Posted on by Dominick Flarey

In the previous blog, we discussed listening skills and observing skills of the client.  Good listening and observation set the stage for proper responses.  In this blog, we will shortly review core concepts in turning listening into positive and productive  counselor responses that help the client through the counseling process.  Attending skills are essential in any type of counseling, especially grief counseling.  When these basic skills are absent, the client can feel neglected or misunderstood.  Good grief counselors, whether licensed clinical counselors or non-clinical counselors, are able to incorporate these skills to enhance the therapeutic nature of counseling and keep the client as an active and on going participant in his/her mental health.  Bear in mind, good responses are not necessarily saying the most profound or theory correct statement, but the particular response that is best for the particular stage of counseling and needed comment.  Sometimes the responses may be short or longer, statements or questions, informative or probing, but they all have a particular reason and are the tools of the trade in discovering issues and helping clients find better outcomes.

Identifying Emotions in Counseling

Grief Counselors need to identify emotions when preparing a response or prompt to help the client’s story proceed smoothly

In the last blog, we spoke about the vital importance of observation and how a grief counselor needs to identify verbal but as well as non-verbal cues in a client that can illustrate a particular issue or feeling.  In formulating therapeutic responses, grief counselors and other counselors need to identify the particular emotion of an attending client.  This involves identifying the words associated with the emotion, implicit and unspoken emotions, and any non-verbal cues of the emotion expressed (Ivey, 2018, p., 170).   Based from the core universal feelings across cultures, a counselor should watch for sad, mad, glad and scared (Ivey, 2018. p., 171).   These are root words for all emotions and a grief counselor can build from these words to more complex emotions.

It is crucial to employ empathetic responses.  Like the previous blog, which emphasized empathetic listening, again, the word empathy appears in counseling.  The grave importance of empathy allows the counselor to become involved in the client’s state of being in a true and understanding way that helps the counselor produce productive and positive change.  Empathetic responses help the client feel understood and not judged, or admonished.  Hence, responses to emotions need to be empathetic and caring in nature.   Egan reports three important types of empathy in responding from the work of Arthur Clark.  He first lists subjective empathy, which puts the counselor literally in the client’s life and helps the counselor understand the emotional state of the client.  Second, he lists the term objective empathy which ties to the studies of the counselor and the counselor’s own personal experience in counseling.  Tying these together is a third type of empathy referred to as interpersonal empathy, which ties together the client’s feelings and the way the counselor is able to communicate it as well as any needed information (Egan, 2019, p. 132-133).

Interpersonal empathy involves the ability to perceive the issues, the know how to state it and the assertiveness when to input it (Egan, 2019, p. 134-137).  Grief Counselors need to perceive the emotion on display, the ability to articulate it and the assertiveness to sometimes address it when uncomfortable.  It is important to report what is said back with empathetic accuracy (Egan, 2019., p. 137).  Ivey also emphasizes the importance of accuracy in naming particular emotions.  He points out that counselors should use the words to describe the emotion by the client and also attempt to articulate the emotion with name and when only seen non-verbally as close as possible to what the client is experiencing (2018, p. 171).  Egan continues that is important when naming emotions to remain sensitive when naming them, as well as to not over-emphasize or under emphasize them.  He also encourages counselors to be aware of cultural sensitivities as well when naming particular emotions (2019, p. 139-142).

 

Prompts in Counseling

Some clients may speak openly about issues of loss, trauma or everyday issues.  They are a flood of information.  Other clients may be more shy, untrusting, or quiet in how they detail their issues.  Obviously, building trust is key within the therapeutic relationship and plays a large role in receiving vital information during the listening phases. However, sometimes it takes various prompts, nudges, or encouragements to help a client discuss difficult issues.  The art of counseling involves keeping a steady dialogue and flow between client and counselor and this falls upon the counselor’s shoulders to ensure this productive process.  According to Egan, probes are extremely beneficial in helping clients engage more fully, especially with more reluctant clients, in identifying experiences, feelings and behaviors.  They further help clients open to other areas of discussion and engage in conversation with more clarity and specifics.  They can also help clients remain on target and on important issues (2019, p. 177).

There are a variety of ways to help a client continue the story through prompts such as paraphrasing, summarizing, or open ended questioning

Some encouragers can be as simple as “uh huh” or a simple phrase of understanding which serves as a bridge for the client to continue speaking (Ivey, 2018, p. 148).  Sometimes, as simple, as saying “I see” or “okay” or “please continue” are strong enough phrases to encourage the client to continue the story. Sometimes the counselor can merely restate the emotion in a particular tone expressed by a client which further facilitates further discussion.  These simple prods can break silence and encourage the client to continue with the story.  Others can be simple non verbal movements, as a nod of the head, a particular look or leaning forward (Egan, 2019, p.161).  Prompts, probes or nudges can also take the form in longer responses.  Counselors can make statements, requests, or ask particular types of questions to better understand the story and also to properly push it forward.

Questions in particular have high value in counseling.  They help the counselor not only understand and clarify points, but they also show the client a sincere interest on the part of the counselor and sometimes can push the client to delve deeper into an issue and find more self discovery.  Questioning, however, for the pure purpose of questioning can be counter-productive and make the client feel they are being interrogated, so questions need to be utilized sparingly and effectively (Egan, 2019, p. 163).   Ivey points out that there are types of questions that are open and closed (2018, p. 124).  Both have their purpose and time but need to be utilized properly in order for the question to be effective.   Open ended questions, as a rule, should be utilized most.  These types of questions do not end with a simple response of “yes” or “no” by the client but look to abstract more information and input from the client.  According to Ivey, most open questions begin with the words “how”, “what”, “where”, “when” or “could” (2018, p. 124). Close ended questions look for a particular concise answer and have value but usually are used when the counselor is looking for a particular answer while the counselor is primarily talking during the session.   Another great question is the “what else question”.  This question looks for any additive elements to the story or if the counselor is missing anything (Ivey, 2018, p. 125).  Remember, if the counselor does not understand something, then questions or statement looking for greater clarity are better than pretending to understand.

Another important prompt involves paraphrasing.  Paraphrasing is a useful tool utilized in responses by counselors to help keep the conversation going or to help the client hear reflectively what the client has stated.  Sometimes the mere power of hearing something back has immense value.  When a counselor paraphrases, the counselor usually states the emotion in a sentence and then concludes with a “because” phrase.  For instance, a counselor may paraphrase to a depressed client by stating, “you are depressed because you no longer feel any energy”.  This paraphrase can illicit additional information or continue the conversation, much in the same fashion as a simple nod, or phrase.  Ivey points out that paraphrasing is not repetition but also adding some of the counselor’s own words (2018,p. 148).  It is important to note that when paraphrasing, if something is worded incorrectly, the counselor should apologize and ask for deeper clarification.  Sometimes, hearing certain things back can trigger an individual, or if worded differently, and the client is not ready to hear the interpretation, the client may respond quickly, or begin to close up.  Cultural issues can sometimes play a key in this.

Finally, Summaries are a critical promoting tool in responding to a client. Summaries are more detailed paraphrases that adds more depth to the conversation.  They are usually utilized to begin an interview to help bridge the previous meeting, or to conclude a meeting, but they have other purposes as well during the session (Ivey, 2018, p. 148).  Egan points out that sometimes a more detailed summary can help during a session when the discussion is not going anywhere.  They can also be utilized to help the client see a new perspective (2019, p. 178-179).   A counselor utilizing a summary for purposes of illustrating a new perspective can state “I’d like to get the bigger picture… or “I’d like to put a few things together” (Egan, 2019, p. 179).   According to Egan, it is also important to help clients create summaries.  The counselor can ask the client to put together the major points or concerns of the issue and to articulate them Egan, 2019, p. 180).

Carl Rogers saw the importance of these ways to respond.  In this Basic Listening Sequence BLS, he saw the skills of the counselor in how he/she responds to be most crucial.  The utilization of open/closed questions, encouraging, reflecting feelings, paraphrasing and summarizing were all critical elements in the empathetic relationship and understanding the story (Ivey, 2019,p.194).

Pitfalls to Avoid When Responding

Responses while helpful can also be detrimental when not properly utilized by the counselor during a session.  A counselor needs to avoid certain responses that derail the process or make the client uncomfortable.  Not responding or asking too many questions are two extremes to avoid.  Not responding can remove merit from a statement or display disinterest to the conversation.  While sometimes silence can be powerful, not saying anything or responding is usually non productive to the counseling session (Egan, 2019.p. 155).  It is also a dis-service merely to respond for the sole purpose of it.  Counselors should avoid parroting or repeating without context  Parroting dismisses any empathetic response (Egan, 2019, P. 156)

Counselors need to avoid distracting questions when working with clients

In addition to not responding, some counselors misuse questioning.  They can either over utilize it and make the session appear as an interrogation, or ask distracting questions that inflame rather than heal.  For instance, instead of responding with empathy, some counselors can ask inflaming and distracting questions that upset the client.  Instead of focusing on the client’s feelings, the question looks at how the client may have responded. “Did you confront him” or ” Did you do anything at all” or “Are you positive you cannot resolve this” (Egan, 2019., p. 155).  These questions again distract from the story and the emotion and can cause irritation in the client as he/she focuses on a personal injustice or slight.

Cliches are another responses that should be avoided.  In grief counseling,  cliches are counter-productive.  In general counseling, they are also counter-productive.  Cliches can minimize the conversation and cheapen it.  They attempt to replace understanding and empathy with a more generic and impersonal response (Egan, 2019, p. 155).  Clients can hear cliches from the next door neighbor, they do not need to hear them from trained professionals that are their to help assist them in resolving issues.

Another pitfall is how counselors advise clients.  In the counselor-client model, most people expect advise from a counselor.  Other cultures may demand it.  However, in counseling, the counselor does not exist to advice a course of action, but presents a host of options for the client to choose. The client is in control and the counseling relationship is one of teamwork and collaboration.  When the client is told what to do, then the counseling relationship strips the client of self discovery and self healing.  The client is not looking for a family member to give un-wanted advice, but a set of options.  Instead of saying what to do, instead utilize “if I was in your situation, here are a few options that I might look into” (Egan, 2019, 156).

Interpretations based on theories and models are also tempting responses that have a time and place but usually not in responses.  A counselor may have a wealth of knowledge to share, but when interpretations and labeling of an client’s state of mind overtake empathetic responses, then the process of counseling can become derailed.  Instead of giving a moralistic interpretation based on past study, respond to the client’s feelings (Egan, 2019. p. 155).

Counselors need to be also honest in their responses to a client.  Pretending to respond with ingenuine “Uh huh” or “Ok” can lead to later issues when the counselor is expected to remember or understand something previously stated by the client.  Hence if, one loses sight, or track of a story, it is far better not to pretend to understand but to ask for clarification.  This is not only polite and professional but it also shows genuine interest and also pushes the client to better explain the issue which alone may be beneficial (Egan, 2019, p. 157).

Finally, a counselor’s response should not be sympathetic and agreeing for the sake of being so.  Empathy is far different than sympathy.  Many times sympathy can drown logic and allow one to lose focus on the facts.  An empathetic counselor while caring remains grounded.  The counselor response is not overtly sympathetic or judgmental but one that addresses emotion and the issue in a caring way.  The client is looking for help beyond a shoulder to cry on (Egan, 2019, p. 157).

Conclusion

A grief counselor’s response to a client is key in helping the client tell the story.  The response is tied to good observation of the client’s emotions.   Good responses are helpful in transitioning the story, moving it forward, but also in in proper feedback about the story.  Empathy is the guiding force in responding.  Grief Counselors can utilize nudges or prompts with verbal and non-verbal responses. Some verbal responses can be one word or a phrase, while some may include paraphrasing or summaries.  Good counselors utilize responses like an artist and interweave them throughout the counseling process.

Please review AIHCP’s multiple mental health certifications including Grief Counseling and Christian Counseling

Please also review AIHCP’s numerous mental health certifications that involve counseling skills.  AIHCP offers a Grief Counseling Certification, as well as a Christian Counseling Certification.  Other topics include crisis counseling, stress management and anger management.  All of the programs are online and independent study and open to qualified professionals seeking a four year certification.

 

 

 

 

 

 

References

Egan, G & Reese. R. (2019). “The Skilled Helper: A Problem-Management and Opportunity-Development Approach to Helping” (11th Ed). Cengage

Ivey, A. et, al. (2019). “Intentional Interviewing and Counseling: Facilitating Client Development6 in a Multicultural Society” (9th Ed.) Cengage

 

 

 

 

Additional Resources

Bennett, T. “Empathic responding (or active listening) in counseling: A basic, yet essential response for counselors to master in their practice”. Thriveworks.  Access here

Sutton, J. (2022). “Communication Skills in Counseling & Therapy: 17 Techniques”. Positive Psychology. Access here

“ENCOURAGERS, PARAPHRASING AND SUMMARISING”. Counseling Connection.  Access here

“What Are The Benefits Of Paraphrasing In Counseling”. Processing Therapy.  Access here

 

 

 

The Problem Management Helping Model in Grief and Counseling

Posted on by Dominick Flarey

Helping individuals from one point of need to the final point of self resilience and healing is the process of counseling itself, however, many times counselors helping others with grief, issues of loss, or problems in life become loss in the process.  Maintaining a sense of direction when helping is key.  While there is a partnership in the counseling relationship, the counselor still nonetheless is the guider within the partnership.  The counselor directs the process and guides it to its eventual end point.   Whatever counseling philosophy or model one incorporates, it is still essential to have a template of how to help resolve a particular issue.  Problem Management is a key arrow and guiding modality to help counselors and clients stay on track and have a sense of direction.  It is essentially the compass or navigation control in the counseling session.  Good counselors understand its use and properly utilize it during counseling.  In this short blog, we will review its essential nature in counseling and how to properly incorporate it with a client.

We will also note how Problem Management lays the foundation and structure for a counseling session and compare it to the 5 Stage Model of Carl Rogers.

Counselors help clients identify problems, offer solutions, and incorporate goals and ways to achieve them

 

Problem Management: Four Questions

When a client attends counseling, he/she is looking for guidance in a particular struggle.  Whether it is more complex trauma or loss, or instead a simpler issue revolving around a decision to find a job or not, clients are seeking guidance.  While the clients ultimately determine the outcome, they seek guidance with options and how to accomplish a given thing.  Counselors can help guide clients through Problem Management and its four questions.  The process involves the current picture, preferred picture, a way forward and action itself.

First, the counselor will ask questions about the current problem and current picture..  According to Egan, one should ask a client, what his/her issues or concerns pertain to (2019, p. 45)?   Within this first stage of helping the client, the counselor can help the client discover and identify the issue.  The first task involves the story itself.  What is the primary problem and main concerns (Egan, 2019, p. 48)?  When discussing the story, the counselor should help the client possibly see new perspectives to the problem and what may be really going on beyond the client’s initial story.  Finally, the counselor should be able to direct the client to the right story and what  he/she should be working on.  This process leads to first listening, but then helping the client identify beyond his/her perceptions and find the right story and the keys surrounding it (Egan, 2019, p. 48).  For example, a person who is obese may discuss multiple issues revolving around self image and poor diet/health.  Discussing the primary problem and identifying perceptions of self image and directing the person to the core of the problem is important.  Leading the client to the right story and issue sometimes takes time, but is essential.

After helping the client identify the right issue at hand, the counselor needs to help the client look beyond the current picture and propose a preferred picture.  The primary question should include what does a better picture look like? Within this phase, according to Egan, the counselor helps the client determine problem managing outcomes and set goals (2019, p. 48).   What are the possibilities for a better outcome entail?  What goals and outcomes are truly the most critical and important?  Finally, what is the client willing to do to achieve these outcomes (2019, p.48). Ultimately, these better outcomes and preferred pictures involve effort.  In this phase, again the example of the obese client will see a preferred picture of weight loss, better health and higher self esteem.

Following the preferred picture, the counselor looks to guide the client forward.  The counseling sessions look to help the person move forward with a plan.  The client and counselor should brain storm with possible ideas and strategies to resolve a particular issue.  The counselor will help narrow down the best fit strategies for the particular client and then help the client organize a way to accomplish these goals (Egan, 2019, P. 48).  In the case and example of the obese client, the counselor will discuss diet and exercise strategies and then see which particular strategies fit best with the client’s work and life schedule.  The counselor will then help coordinate first steps and possible times to put things into action.

These three phases of identifying problems, seeking better outcomes and making plans all lead to a call to action.  How well will this call to action being implemented depends on many subjective factors within the client.

Clients and Change

Human beings, despite perfect plans, usually fail to accomplish goals the first time. This requires patient and flexibility by the counselor to help facilitate lasting change and resiliency within the client

Counselors can only direct, they cannot force a client to change.  Hence it is important to help facilitate change but not to expect perfection.  Change takes time.  Some clients may be more resilient to let downs, or more focused in accomplishing a task.   It is important to expect a back and forth wavering between stages.  Clients when they finally become aware of a problem enter into various phases to push forward in change.  According to Egan, individuals looking for change after initial awareness of a problem, will still waver, until the awareness leads to a heightened level (2019, p. 56). This leads to preliminary actions and a search for remedies.  Within this, individuals estimate costs and weigh those costs of a change.  They soon turn to more rational decision that is not only rational but tied to emotional change.  This leads to serious action.  However, these actions still require maintenance and the reality that relapse can occur (Egan, 2019, p.57-58).

It is the counselors job to help nurture positive change and guide clients through pitfalls.  Those facing addiction issues, or in our example, one facing weight loss challenges, will wish to change but may sometimes not be emotionally tied to the rational decision enough to take the serious action.  Others may do well for a few months and not be able to maintain what is demanded, or worst, yet relapse into addiction, or fall off their diet.  Counselors are there to help guide in those cases and foster resilience.  This may involve returning to the Problem Management model at an earlier stage to again find grounding and direction.

This is why counselors must ever remain flexible in their approach.  Somethings may work for one client but not another.  Counselors need to constantly “mine” various approaches or counseling philosophies that will help a particular client (Egan, 2019, p. 58).   The counselor then organizes what works best, evaluates it and incorporates it into the various phases of the Problem Management Model (2019, p, 58-59)

Pitfalls to Avoid in Problem Management

When helping clients identify issues, outcomes and plans of action, there are some pitfalls that counselors need to avoid.  Counselors need to avoid a lack of plan in their work.  Some helpers go session by session without a uniform plan set into play.  Others on the contrary attempt to implement to many plans at once.  While there are many good models, not all models fit for a particular person, so each model and stage of helping, needs to be tailored to the individual client.  Avoiding rigidness and being flexible in approach is key with an understanding that one can go back and forth between stages.  It is also important to include the client in the process.  Since counseling is a partnership, then it is essential to share the helping models with the client.  This is an element of psycho-educational healing.  A client who is part of the process understands the points of reference and can better track oneself in the healing and change process (Egan, 2019, p. 60-61).  Finally, while important as it is to utilize flexibility, a good counselor can recognize lack of progress on part of the client and when to help the client push forward (Egan, 2019, p52).

Hence the process while simple in theory is more difficult when people become involved.  People are complex and no one person is the same.  This leads to the need of flexibility, testing and feedback, and trying other things within the parameters of the Problem Management model.  Some clients may process the issue quicker, others may take longer.  Some my engage in a certain stage a different way than another, while others will regress or progress.   This is why counseling while a science is also an art.  The individual talents of a counselor go well beyond the models and theories but also helping others implement what needs to be done through a variety of skills that involve evaluation and guidance.

Problem Management and Carl Roger’s 5 Stage Model

The great Humanist counselor, Carl Rogers, understood the importance of structure in helping clients find direction.  At the source, he also made his care patient based and utilized empathy to help individuals find healing.  In previous blogs, we discuss the Humanistic Approach.

In regards to Carl Rogers, the Problem Management Model shares many similarities with the 5 Stage Model.  Carl Rogers listed 5 important stages within any counseling relationship that are essential in directing an individual towards healing.  The first stage involves an empathetic relationship.  Within this first stage, the counselor looks to build rapport with the client through empathy, trust building and establishing a goals and direction (Ivey, 2018, p. 194).  This stage is so critical because many counselor/client relationships end because of a disconnect.  Whether due to insensitivity or indifference that is purposeful or perceived, the relationship is never able to grow.  The client does not feel the counselor cares or truly invests in the problem.  Furthermore, in our previous blogs, it can be due to multicultural issues that are perceived by the client.  The client may feel a young woman may not understand himself, an older man, or a black woman, feeling a white middle class counselor will not understand her issues of social injustice.

Rogers second stage includes understanding the story. Stage two is labeled Story and Strengths and focuses on the story itself.  Collecting data, drawing out the story and establishing early goals are essential (Ivey, 2018, p., 194).  Of course this stage demands good attending of the client.  It involves active listening and good responding skills that emphasize reflecting feelings, paraphrasing and summarizing as needed to have a full understanding of the story.  It involves empathetic understanding of the client and identifying strengths and weaknesses, truth and discrepancies, and helping to build up with the client.

Stage three involves in identifying and establishing goals that best fit the needs of the client.  It is a collaborative effort where as a team, the counselor and client identify the best goals and options (Ivey, 2019, p. 194).  This stage is very similar to the Problem Management Model, where after feelings are identified, then the client is asked beyond the current picture, what is the preferred picture?  Hence, the similarities show a concrete plan in helping the client from one point to another and helping the counseling sessions move forward with purpose and direction.

Rogers’ stage four continues align with the Problem Management Model in continuing to identify the preferred picture.  Within this stage, the Restory stage, the client is asked to identify alternative goals, confront issues and rewrite the narrative (Ivey, 2018, p. 194).  It is the completion of the preferred picture and implementation of a plan.

Finally, the final stage, looks at action and how to achieve it and also deal with set backs (Ivey, 2018, p. 194).  Hence one can see the similarities but also see a common art and science that should guide a counselor in helping individuals through problems.  There is a common theme and way to do things.  There is a general current that one should allow counseling sessions to flow.  The flow may be different at certain times, but the general direction is essential.

 

 

Conclusion

It is essential to have a plan.  Counseling is structured while also flexible.  It has a purpose and a plan to reach a goal.  The flexibility is how to reach that goal not the goal itself.  Problem Management helps the counseling relationship stay structured in regards to the issue.  It helps identify the issue, state the better outcome and help give the tools and plans to accomplish it.  Counselors need to work their clients to the desired change but while doing so understand the nature of change within the human person and the need to keep trying when results do not appear.  The counselor not only guides the client to facilitate positive change but also helps the client get up when the client falls.

Please also review AIHCP’s numerous mental health programs, including its Grief Counseling and Christian Counseling Certification Programs

 

Please also review AIHCP’s Grief Counseling Certification as well as its Christian Counseling Program.  AIHCP also offers Spiritual Counseling, Stress Management, Crisis Intervention and Anger Management programs to help train professionals in facilitating positive changes in clients.  Utilization of a Problem Management paradigm is essential in all of these models.  AIHCP’s programs are all independent study and online.

Reference

Egan, G & Reese, R. (2019). “The Skilled Helper: A Problem Management and Opportunity-Development Approach to Helping” (11th Ed.) Cengage.

Additional Resources

“Problem-Solving Models: What They Are and How To Use Them”. (2023). Indeed Editorial Staff. Indeed.  Access here

Cuncic, A. (2024). “What Is Problem-Solving Therapy?”. Very Well Mind.  Access here

Antonatos, L. (2023). “Problem-Solving Therapy: How It Works & What to Expect”. Choosing Therapy.  Access here

 

 

 

 

 

Conflict Resolution Video Blog

Posted on by Dominick Flarey

Conflict resolution is key is every aspect of human interaction.  Since human beings are social beings there is bound to be communication and needs that lead to conflict.  How one manages one’s emotions is key to conflict resolution.  Whether as a regular person, officer, diplomat, or politician, it is essential to know how to de-escalate, control emotion, and resolve conflict.  Anger Management and Crisis Intervention are key ingredients to managing conflict.

Please also review AIHCP’s Crisis Intervention Program as well as AIHCP’s Anger Management Specialist Program and see if they match your academic and professional goals. The programs are online and independent study and open to qualified professionals seeking a four year certification.

What is Dissociation?

Posted on by Dominick Flarey

Exploring the Mind: Understanding the Phenomenon of Dissociation

Dissociation is a complex psychological phenomenon that involves a disconnection from reality, often as a coping mechanism for overwhelming stress or trauma. This article explores the various aspects of dissociation, including its impact on the mind-body connection, spiritual awakening, and healing. By delving into the spiritual aspect of dissociation and its linkages to personal growth, we aim to gain a deeper understanding of this intriguing phenomenon.
Key Takeaways
Dissociation is a mental response to triggers of past trauma. It reacts as a self defense mechanism but can be dangerous and cause injury if in public.

 

  • Dissociation is a coping mechanism for overwhelming stress or trauma, leading to disconnection from reality.
  • Dissociation can act as a catalyst for spiritual awakening, prompting individuals to question their reality and seek answers beyond the physical world.
  • Dissociation can create an opportunity for individuals to release past traumas and access a deeper sense of self.
  • There is a complex and intricate link between dissociation and spiritual insights, leading to personal growth and transformation.

Understanding Dissociation

What Is Dissociation?

Dissociation is a psychological coping mechanism that activates when an individual is faced with overwhelming stress or trauma. It represents a disconnection from reality, often resulting in disruptions to memory, emotions, and identity.

Common symptoms of dissociation include:

  • Feeling as though one is in a trance or daydream
  • Memory loss or difficulty with recall
  • A sense of detachment from oneself or the environment
  • Emotional numbness or being overwhelmed
  • Loss of control over emotions
  • Sensory disconnection, such as impaired touch or vision

Dissociation serves as a protective barrier, allowing individuals to distance themselves from distressing experiences. While it can be a temporary refuge, persistent dissociative states may require professional intervention to address underlying issues and restore a sense of reality.

Grounding Oneself

One who experiences dissociation may sometimes try to calm oneself due to the manifested trigger.  There are multiple ways one can seek grounding techniques to keep oneself from dissociating from reality.  Part of grounding can include touching something in the present moment, such as the soft side of a chair, or rubbing one’s feet against the carpet.   This type of physical grounding is only one strategy, others also include mental grounding where one utilizes mentally stimulating thoughts such as counting, recalling memories, or other visual affects.  Emotional grounding can also be employed with breathing exercises.

It is important to try to ground oneself when dissociation occurs. While it can help one deal with triggers, it can be very dangerous if in an active area. One could fall or hurt, or cause an accident.

 

It is sometimes extremely important to be able to ground oneself because sometimes if one dissociates, one can harm oneself or others due to lack of attention to driving, or moving around in public.  This can lead to accidents, falling, or injuring oneself.

If experiencing these types of issues, contact a mental health professional.

Manifestation of Dissociation

Dissociation is a complex phenomenon that presents itself in various forms, often as a psychological defense mechanism in response to trauma. Symptoms can range from mild detachment to severe disconnection from reality, impacting an individual’s daily functioning and sense of self.

  • Feeling as though one is in a trance or daydream
  • Experiencing memory loss or difficulty with recall
  • Sensing a detachment from oneself or surroundings
  • Encountering overwhelming emotions or emotional numbness
  • Challenges in controlling emotions
  • Disconnection from sensory experiences, such as touch or sight

Dissociation serves as a coping strategy, allowing individuals to distance themselves from extreme stress or traumatic events. This disconnection can be both protective and disruptive, altering one’s perception of reality and interaction with the world.

While the manifestations of dissociation are diverse, they often signal an underlying need for healing and support. Recognizing these signs is the first step towards understanding and addressing the root causes of dissociative experiences.

In addition, the manifestation of this state can lead to isolation, addictions and other ways to help cope with it.  It is important to recognize it and seek counseling and help to prevent it from possibly harming oneself.

Types of Dissociative States

Dissociative states are complex phenomena that can be categorized into three primary types: depersonalization, derealization, and dissociative amnesia. Depersonalization involves a sense of detachment from oneself, often described as feeling like an outside observer of one’s own body or thoughts. Derealization is characterized by a feeling of unreality or detachment from the environment, making the world seem foggy or dreamlike. Lastly, dissociative amnesia pertains to gaps in memory for personal information, sometimes specific to traumatic events.

  • Depersonalization: Detachment from self
  • Derealization: Detachment from environment
  • Dissociative Amnesia: Memory gaps

Each type of dissociative state represents a unique way in which the mind copes with stress or trauma. While they can be unsettling, understanding these states is crucial for effective treatment and personal growth.

It’s important to recognize that these states can occur independently or concurrently, and their manifestation can vary greatly among individuals. The experience of dissociation can be transient or part of a more chronic condition, such as dissociative identity disorder. Identifying the type of dissociative state is a critical step in addressing the underlying issues and moving towards healing.

Dissociative states can include according to the DSM-5 various levels of severity.  It can include an amnesia state that is simple to complex, a de-attachment state from self or environment or multiple personalities in its most severe form.

Dissociation and the Mind-Body Connection

Impact on Consciousness

Dissociation profoundly affects the landscape of consciousness, often leading to a disruption in the normal integration of thoughts, feelings, and experiences. The alteration in consciousness can range from mild detachment to a more severe disconnection from reality.

  • The default mode network, often associated with self-referential thoughts, is impacted during dissociative states.
  • Studies using fMRI have shown changes in the prefrontal parietal network, which is crucial for attention and working memory.
  • Consciousness supporting networks, including the anterior and posterior cortex, exhibit distinct patterns during dissociative episodes.

Dissociation challenges our understanding of consciousness, revealing the intricate workings of the mind and the delicate balance that sustains our sense of self and reality.

The neural correlates of consciousness, such as the default mode network and the prefrontal parietal network, are key areas of study to unravel the mysteries of dissociation. By examining the changes in these networks, researchers can gain insights into the mechanisms that underlie altered states of consciousness.

Spiritual Awakening

Spiritual awakening is often described as a profound shift in consciousness, where one experiences a deep connection with the essence of being and a recognition of a more expansive reality. It is a transformative journey that can lead to a profound understanding of oneself and the universe.

  • A shift in one’s perspective on life
  • Detachment from material possessions and ego
  • Increased compassion and empathy towards others
  • A feeling of oneness with the universe
  • A deepened sense of intuition and spiritual connection

While the path to spiritual awakening can be enlightening, it may also bring about challenges such as feelings of alienation or difficulty integrating experiences into everyday life. Nonetheless, the journey is often seen as a pivotal moment in personal growth and self-discovery.

The process of awakening can be spontaneous or induced by practices like meditation. It is marked by a series of internal changes:

  1. A reevaluation of personal values and beliefs
  2. An enhanced awareness of life’s interconnectedness
  3. A pursuit of deeper meaning and purpose beyond the self

The concept of dissociation, often perceived as a detachment from reality, can paradoxically serve as a bridge to personal growth. Dissociation provides a unique space for reflection and self-exploration, allowing individuals to step back from the immediacy of their experiences and view their lives from a new perspective. This detachment can lead to a deeper understanding of one’s self and the challenges faced, fostering a sense of competence and efficacy.

In the realm of personal development, dissociation can be a catalyst for change, offering an opportunity to reassess one’s goals and values without the interference of external pressures.

The process of personal growth through dissociation can be outlined in the following steps:

  • Recognizing the occurrence of dissociative states.
  • Understanding the triggers and underlying emotions.
  • Utilizing the reflective space provided by dissociation to gain insights.
  • Integrating these insights into daily life to foster resilience and adaptability.

This transformative journey can lead to an increase in intrinsic motivation, self-directed learning, and ultimately, a more profound sense of self-realization.

Healing and Transformation

Releasing Past Traumas

Dissociation can awaken us to deeper issues that are not healed. Please also review AIHCP’s Mental Health Certifications for qualified professionals

 

Dissociation offers a unique pathway for individuals to confront and release past traumas, paving the way to rediscover a more authentic self. This process often involves delving into the unconscious mind, where unresolved emotions and memories reside. By accessing these hidden parts of the psyche, one can begin the journey of healing and transformation.

Dissociation can serve as a bridge to personal growth, allowing for a re-examination of beliefs and identity. It is in this introspective space that many find the strength to let go of the pain that has held them back.

To facilitate this healing, certain practices can be adopted:

  • Breathwork: Engage in breathing exercises to help regulate emotions and achieve a sense of calm.
  • Creative expression: Utilize art, music, or writing as outlets for emotional release and self-discovery.
  • Mindfulness: Practice being present in the moment to reconnect with oneself and the environment.

While the journey through dissociation can be disorienting, it ultimately can lead to a profound spiritual awakening and a renewed search for meaning and purpose in life.

Accessing Deeper Self

In the journey of healing and transformation, dissociation can serve as a gateway to accessing deeper levels of the self. This process often involves delving into the unconscious mind, where dormant emotions and memories reside. By confronting and releasing these suppressed elements, individuals may experience a profound shift in their sense of identity and consciousness.

  • Exploration of beliefs and identity questioning
  • Release of past traumas
  • Unlocking of unconscious pathways
  • Potential for spiritual awakening

The act of accessing one’s deeper self is not just about self-discovery; it’s about reconstructing the very fabric of one’s being from the inside out.

As individuals navigate through this transformative phase, they may find themselves on the precipice of a spiritual awakening. The sense of emptiness that once pervaded their existence begins to fill with a newfound purpose and connection to something greater. This spiritual dimension adds a rich layer to the healing process, offering a sense of wholeness that transcends the individual experience.

Treatment

While coping involves grounding exercises, the best way to overcome and limit the dissociation is facing the trauma and understanding the triggers.  Treatments include medications such as anti-psychotics, anxiety reducing medications, anti depressants and sleep aids.  Counseling can also help. Individuals can go through cognitive behavioral therapy to better understand and react to the issue when it occurs.  One can also better learn to manage emotional reactions to triggers.  EDMR can also help de-sensitive individuals to the triggers by discussing and visualizing them in a safe place with a trained mental health professional.

Conclusion

In conclusion, the phenomenon of dissociation is a complex and multifaceted coping mechanism that the brain initiates in response to overwhelming stress or trauma. It manifests in various forms, affecting memory, emotions, and identity. The three types of dissociative states, depersonalization, derealization, and dissociative amnesia, present unique challenges for individuals experiencing dissociation. Additionally, dissociation may trigger spiritual awakening, leading individuals to question their reality and seek answers beyond the physical world. This exploration of dissociation and its potential connection to spiritual awakening provides valuable insights into the intricate workings of the human mind and the profound impact of coping mechanisms on personal growth and transformation. It is also important to understand ways to cope with it but also treat it to prevent serious injury or further pathological onset.  While it can help us identify past trauma, it must also be identified and worked on to prevent further issues.

Please also review AIHCP’s Mental Health Certifications for qualified professionals.

 

Please also review AIHCP’s Grief Counseling, Crisis Intervention and other mental health certification programs.  Licensed professional counselors or human service professionals can enhance their professional expertise with AIHCP’s certifications.  The programs are online and independent study and open to qualified professionals.

Frequently Asked Questions

What is dissociation and how does it manifest?

Dissociation refers to a coping mechanism that the brain initiates when dealing with overwhelming stress or anxiety, leading to disconnection from reality. It can manifest in various forms, such as problems with memory, emotions, and identity.

What are the types of dissociative states?

There are three types of dissociative states, including depersonalization, derealization, and dissociative amnesia. Depersonalization: A person feels disconnected from themselves, as if they are watching themselves from a distance.

How does dissociation impact consciousness?

Dissociation causes a split between an individual’s mind and body. In a dissociative episode, an individual might feel like they are watching themselves from a distance, leading to a sense of detachment from their surroundings.

Is dissociation linked to spiritual awakening?

Yes, dissociation can act as a catalyst for spiritual awakening, prompting individuals to question their reality and seek answers that extend beyond the physical world.

How can dissociation lead to personal growth?

Dissociation can create an opportunity for individuals to explore their beliefs and question their identity. This self-reflection can lead to a spiritual awakening as the individual begins to search for meaning and purpose.

What is the relationship between dissociation and reality?

Dissociation is often a response to traumatic experiences, leading individuals to disconnect from reality as a coping mechanism. It can be characterized by feelings of being detached or disoriented and can lead to conditions like dissociative identity disorder.

How can spiritual insights help heal trauma-induced dissociation?

Spiritual insights can broaden one’s consciousness and deepen one’s understanding of life’s interconnectedness, potentially aiding in the healing of trauma-induced dissociation.

What are ways to practice spiritual growth while dissociating?

Embracing spiritual awakening, seeking meaning and purpose, and accessing deeper levels of consciousness are ways to practice spiritual growth while dissociating.

Additional Resources

“How to Stop Dissociating | 17 Grounding & Coping Strategies”. Access here

“What Happens When You Dissociate?”. Pugle, M. (2023).  Very Well Health.  Access here

“Dissociation”. Psychology Today.  Access here

“What Is Dissociation?”. Wiginton, K.  (2023). WebMD.  Access here

“Dissociative Disorders”. Mayo Clinic.  Access here

Crisis Intervention and Policing De-Escalation Video

Posted on by Dominick Flarey

The sacred trust between police and public has never been more strained.  Between dangerous criminals, mental illness, political scrutiny, police corruption, racial profiling and riots, the police are held to a high standard they cannot sometimes keep.  Good cops carry the greatest burden due to coverups and corrupt officers.  Calls involving those with mental defects or drug addictions can turn violent and fatal fast.  Besides reducing corruption, policing needs to return to better relationships with the public and also ensure officers are trained in de-escalation and not fatal tactics with others.  Crisis Intervention Training is key for this to be successful.

In unison though, respect of police and proper reactions to officer safety is key.  Individuals need to know their rights but they must also work with the police to ensure safety and open lines of communication.  Unfortunately, sometimes profiling or bad police officers can make this difficult but it is still critical to de-escalate a bad officer in the moment and live later to find justice than be shot.

Please also review AIHCP’s Crisis Intervention Program and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified professionals seeking a four year certification

Crisis Intervention and Suicide Assessment Video

Posted on by Dominick Flarey

Counselors, certified, licensed or both, need to possess skills to access clients that are suicidal.  Social workers, pastoral counselors and even family and friends should have basic suicide assessment skills to recognize high risk versus low risk.  The video below offers some questions to ask and things to consider in determining if someone is high or low risk.

Suicide assessment is key in saving lives. Please also review AIHCP’s Crisis Intervention Counseling Program

 

Grief Counselors and Crisis Intervention Counselors may deal with these types of situations on a more regular basis and require the training needed to help others save their own life from the horrible decision of suicide. Please also review AIHCP’s Crisis Intervention Counseling Program and see if it meets your academic or professional goals.

 

Please also review the video below

Emotional Control and Communication in Conflict Resolution

Posted on by Dominick Flarey

Conflict is natural because of disagreement.  Whether the conflict is minor, verbal, or becomes violent, depends on the situation, time and place.  Individually and socially, conflict occurs everyday at different levels.  Whether at work and a disagreement occurs, or at home and an argument ensures, conflict is part of daily life.  Just because conflict and differences exist, does not mean it has to be a bad thing or dangerous thing.  While many conflicts spiral out of control into professional, personal or even social chaos, conflicts do not need to become divisive and destructive forces.  Differences can be discussed, mended and aligned to incorporate benefits for everyone.

Conflict resolution requires emotional control, communication, listening and an ability to understand wants and needs of self and other.

 

However, certain differences can only be mended so far.  Certain differences cannot always make every side happy and certain differences will leave some with some resentment.  It is how one intellectually and emotionally handles a conflict that matters sometime the most.  When wars result or family feuds ensue, then no matter the conclusion, no-one benefits.  Hence it is important to to not only employ good conflict resolution skills but also manage emotions.

Emotions

Emotions can turn an argument or conflict into an aggressive verbal and sometimes physical battle with only impasses.  In this case, when entering into any conflict resolution meeting, or entering into argument or debate, to present oneself with a calm mind.   Anger Management is key.  Focusing on dislikes of other person or group,  lingering on past insults or wrongs, allowing prejudices to warp the intellect and issuing insults can only escalate.  The key is to de-escalate when conflict emerges during discussion.  It is important to identify one’s own triggers, as well as the other individual’s triggers.   Once these are identified, it is easier to avoid and also limit. Avoid being overly defensive or quick to respond if something upsets.  There are good ways to respond to criticism and bad ways.  It is key during conflict resolution to respond well.

Conflict resolution requires emotional control and intellectual reason.

 

Furthermore, one needs to identify tone of voice, body position and movement in regards to dealing with the individual.  How one initially represents oneself can determine the outcome of a discussion.  This is true when arguing with a spouse or friend, debating with another person, crafting a business deal, negotiating a bill, or even responding to an officer at a basic traffic stop. When one insults or past biases are voiced in an aggressive manner, the other person will automatically assume a more defensive position and be far less willing to listen.  Name calling and insulting while dismissing the primary topic is a good way to end any resolution before it ever begins.  Instead be calm and collective and be positive.  Avoid negative sentences and “I” statements, but keep very close to the topic and avoid ad hominem argumentation.   Compliments and acknowledgement of other another side’s view and an appreciation of one’s concerns can open a far more healthy dialogue.

Communication

Obviously a healthy a dialogue is the purpose.  Each dialogue has an end goal.  To reach the established end goal, involves communication and listening.  When one speaks so loudly above others, one not only alienates oneself from the other side, but also is unable to hear points and counter points. When pointing out strengths and weaknesses of one’s view,  there should be a clear line of respect and time for each side to fully articulate each other’s point of view.  Proper listening and communication is hence a pre-requisite in any negotiation or mediation and is as important as emotional control.

Reactions to Conflict

When dealing with conflict there are a variety of ways to handle it.  The article, “5 Conflict Resolution Strategies: Steps, Benefits and Tips” by Jennifer Herrity points out some key ways some may deal with conflict and its resolution.  She states,

“Conflicts are struggles that can arise during an active disagreement of opinions or interests, so it’s important to understand how to navigate and resolve them. In the workplace, there are many instances in which conflict can happen between coworkers, and when it does, it is important to resolve the situation before it escalates. In this article, we discuss five conflict resolution strategies, how to use them in the workplace and the benefits of conflict resolution…Different people use different methods to resolve conflict, depending on their personalities and preferences. The five most common strategies, known as the (Kenneth) Thomas-(Ralph) Kilmann model,  used to resolve conflicts in the workplace include”

“5 Conflict Resolution Strategies: Steps, Benefits and Tips”. Herrity, J. (2023). Indeed.

To review the entire article, please click here

Individuals when dealing with conflict can avoid the argument completely.  This passive reaction to an argument can lead many unresolved issues and deeper resentment.  Many introverts and passive individuals will flee conflict however instead of arguing or feeling bullied into an issue by a more aggressive personality.  Avoidance may relieve temporary tension but it does not resolve the existing issue.

How to resolve a conflict has many options. Please also review AIHCP’s Anger Management Program

 

Other individuals will actively engage and compete against the other person. They will completely and totally reject the entirety of the other person’s argument and push only for one’s own ideal or solution.  This leads to active hostility and disagreement and also offers no other solution.  Whether in business, politics, or international war, this leads to one eventually exerting power over the other or leaving a totally dissatisfied side which will later re-emerge with similar issues.Other individuals will accommodate the other individual.  This may lead to short term peace but again only presents a lingering issue.  Sometimes accommodation is purposely utilized to resolve short term issues with true sights on longer term venues.

Compromising, like accommodation, also provides a short term solution but usually leads to longer term issues and revisiting to the lasting issue.  Those in compromise though both walk away with a distaste but also a small gain.

Finally, collaboration is the ultimate solution when possible.  In this scenario, all individuals win because they work together towards something better.  Each side realizes the value of the other and combine their forces and ideas towards a greater good.

Character Matters

Understanding the sides of both and avoiding bias is key in conflict resolution. Please also review AIHCP’s Crisis Intervention Certification

 

Individuals must also during any type of negotiation or conflict resolution possess some sort of character and ability to read it in others.  One should be able to analyze one’s own strength and weaknesses and see where one is right or wrong.  One must also understand the type of personality one is dealing with across from them.  What type of temperament, personality and demeanor consists within this individual.  Are they more of an exertive dominant Personality A, or a more passive Personality B?  One should be prepared to know maximum and minimum extremes one will waver, as well as the other, and then make a solid logical and honest agreement.  Keeping one’s word and processing a fair agreement meets with all standards of justice and integrity.  When many nations or individuals break deals, conflict is always unavoidable.  This is why the deal should always be just and not overtly benefiting oneself.  Trouble will only emerge later.  This should be seen as looking out for the future and avoiding unneeded drama in future days.

Conclusion

Personal interaction will always breed conflict because different people have different opinions.  It is important to protect one’s own interests but to also be fair and just. This is accomplished through communication, listening and understanding the person.  It involves anger management and emotional restraint in how one debates another view.  It demands logic, justice and a fair view of oneself.  When these qualities are missing, conflict resolution is moot and conflict itself will emerge.

Please also review AIHCP’s Crisis Intervention, Anger Management and Stress Management Programs.  The programs are online and independent study and open to qualified professionals seeking a four year certification.  Those seeking to help resolve issues and conflicts can easily utilize a Crisis Intervention Certification or Anger Management Certification to their resume and utilize the skills to better apply conflict resolution both personally and professionally whether at home, work, school, politics or at the international level.

Resources

“Conflict Resolution” MTCT. Mind Tools.  Access here

“How to Control Your Emotions During a Difficult Conversation”. Gallo, A. (2017). Harvard Business Review. Access here

“Conflict Resolution Skills”. (2023). HelpGuide.org.  Access here

“14 Conflict Resolution Strategies for the Workplace”. Wilson, C. (2022). Positive Psychology.  Access here

 

 

 

 

Crisis and Suicide Assessment

Posted on by Dominick Flarey

Suicide is vital in any counseling whether clinical or pastoral.  Pastoral counselors should refer patients or members of the community to a professional counselor if he or she feels the person is experiencing depression and suicidal ideation.   In most cases, suicide assessment will consider a person to be low risk or high risk.  As opposed to low risk, high risk individuals have a far worst depression and a more lethal plan.

Suicide assessment is key in assigning low or high risk individuals. Please also review AIHCP’s Crisis Intervention program

 

When anyone feels depressed, especially over time, it can become overwhelming.  This is why when helping depressed and grieving individuals to probe and ask questions about suicide.  It is critical to ask if one wishes to hurt or harm oneself when interviewing the patient.  It is important to see if those types of thoughts or ideas are entering the person’s mind.  If someone who is experiencing depression states they feel hopeless, then this is definitely a warning sign.  Not all hopeless individuals commit suicide, but anyone who has ever attempted or committed suicide definitely felt hopeless.

If the seriousness of an assessment manifests, then one needs to determine if one is low risk or high risk.  Many individuals in pain or depressed may think occasionally of killing oneself, but do not have the intention, desire or capability to do so, but as thoughts of suicidal ideation become more frequent and loud, then an assessment is definitely needed.  Hence after assessing symptoms of depression and the thought or at least implicit idea of suicide within the patient’s mind, it is important to access whether this person is low or high risk.  High risk individuals will require more intense observation and measures, while low risk will require less intense intervention.

If one makes comments about harming oneself, the next question is to determine lethality of the plan.   Is the plan doable?  Are the means, times and places for the event possible? If someone dictates one would like to shoot oneself, then access if this person has access to firearms.  A person who points out that he owns a gun that is at home and currently loaded in his closet poses a severely high risk.  Hence the more detailed the plan the higher the risk level.  If a person has access to the weapon named in the thought and a time planned, then immediate intervention is required. Police should be called or the person should be submitted to a psych ward for observation.  If the person on the other hand does not have access or ability to commit immediately, one should be immediately referenced to professional counseling for depression.

Someone who is high risk has more detailed plans, numerous thoughts, deeper depression, more drinking and drug issues, and access to carry out the plans. High risk individuals are also individuals who have survived past attempts.  So it is important to ask these questions as well, but also including family history of suicide.   Unfortunately, many individuals due to mental health stigmas, keep their sadness and depression to themselves.  No-one is aware of the high risk involved with the loved one or friend.  Many times, friends and family miss the subtle comments about life and death or the anxiety and depression someone is enduring.  Awareness, questions and listening are key in helping depressed individuals find the help they need.  Assessments can later be employed to determine the risk level.

When one is in crisis, it is important to ask questions about self harm or hurting oneself and see if anyone is frequently thinking of it or planning it

 

If anyone manifests any level of suicidal ideation, it is important to convince the person to make a no-suicide contract in which the individual promises to call someone if the person feels low, hopeless, or ideation of killing oneself manifests.   This last outlet may be the helping hand one needs not to take it to the next step. In this type of contact, the person promises to call a loved one or yourself if ideation manifests.  Sometimes this last call for help is the difference between life and death.  It is also important to discuss the frequency of alcohol and drug use during this period of time and how it can play a role in poor decisions.

Individuals kill themselves not because they want to die but because they do not feel life is worth living.  Many of them are not in the proper state of mind due to depression, trauma or extreme pain.  These individuals need counseling and help so they do not fall victim to suicide itself.  With so many stigmas surrounding suicide, it is important to remember that someone who commits it or attempts is dealing with temporary mental illness.  One should not blame but try to help.  It is not a true sin in the classical sense that once was attributed to it but a true mental state of imbalance.

Pastoral caregivers can play a key role in helping members of the congregation work through suicidal thoughts.  They can be the first line of defense for those who have noone to talk to or discuss their feelings with.  They can mentor, guide and help individuals find hope when they are depressed.  Christian Counselors, pastoral counselors and those in ministry should all have crisis intervention training and suicide prevention training.  This will enable them to better help individuals suffering from these types of thoughts.

Please also review AIHCP’s Grief Counseling, Christian Counseling and Crisis Intervention Counseling Programs.  The programs all to some extent touch on suicide.  The Grief program discussing the role of depression and loss in suicide.  The Christian Counseling Program discusses the pastoral implications from a Christian perspective and the Crisis Intervention Program discusses suicide prevention, assessment and helping individuals who are in a state of acute crisis.  All the programs are online and independent study and open to qualified professionals who work in the counseling and ministry fields.  Please review and see if the program meets your academic and professional goals.

Again, if in any type of counseling, whether professional or pastoral, be sure to have a complete understanding and working suicide assessment list.  Also, if anyone is feeling worthless or hopeless, please call the National Suicide Hotline and seek help.  Simply dial 988. Hurting oneself is never the answer.

Additional Resources

988 Suicide & Crisis Lifeline.  Access here

“Suicide Assessment”.  Access here

“How to assess and intervene with patients at risk of suicide”. Clay, R. (2022).  APA.  Access here

“Adult Outpatient Brief Suicide Safety Assessment Guide”. National Institute of Mental Health. Access here

Crisis Intervention and Policing

Posted on by Dominick Flarey

One of the hottest topics today is policing the police and training them better to respond to crisis situations and better de-escalate and utilize less lethal force.  This is a difficult situation no doubt.  Police face tough situations and last second decision making under intense stress is a norm of their day.   Police obviously deserve the utmost respect for the jobs they do in enforcement of law and protection but the fact remains their exists a strong divide among minority populations, and the overall population in general, with the men and women in blue.

De-escalation and crisis intervention skills are needed in policing. It protects the public and also the officer. Please also review AIHCP’s Crisis Intervention Certification

 

This distrust has led to numerous confrontations with police auditors who push the limits with what an officer can ask and do.  It also has led to confrontations in protests, defund the police marches, and the minority populations who sometimes are racially profiled.   The old friendly “Andy of Mayberry” days seem to be a distant memory, or even a fairy tale, where officers policed the neighborhood and were seen as good guys.  Instead, apprehension, anger and mistrust exist with every pull over or officer call.  Much of this has to do with a few bad cops, who abuse their authority.  The George Floyd case comes to mind, when officers brutally murdered a man in plain sight without any compassion or concern for the man’s breathing.

Like bad clergy or priests, bad cops are a minority, but they gain the spot light and also show a shade of blue society does not want policing them.  This has only amplified the intense scrutiny on officers in regards to attitude, procedure and response to mental illness.  Some cops although not corrupt are not fit to serve the population due to anger issues, procedural errors, or inability to respond properly during high stress.  Many officers, especially ex soldiers, act as if they are in a state of war and throw orders and demands as if in the military to the civilians.   These are not acceptable standards and are definitely issues when dealing with individuals who have mental illness.  Quick to submit, dominate, or in worst cases, shoot have become too common.

Being a police officer is not easy.  It not only demands the skills and mind to police, but it also takes a special person without authority issues, anger problems, or inability to act cool under pressure.  The standards are high and many police perform at this standard, but it takes only one time, one bad day.  This is why it is so hard for the good cops who try.  At any moment, they may find themselves in internal affairs investigation, or subject to lawsuit, or find themselves arrested for excessive force.  Hence it is equally important to the police officers, as well as the public to have better crisis response and de-escalation plans in effect.

The article, “Crisis Intervention Attempts Involving Policing In The United States” by Lisa Landram takes a closer look at how police departments are implementing better crisis training and policing procedures for their officers.  Landram states,

“But many municipalities in the U.S. are also grappling with intervention attempts involving policing. Crisis response teams vary in their approaches to addressing mental health throughout the United States. A national survey by the National Police Foundation called “How Small Law Enforcement Agencies Respond to Calls Involving Person in Crisis” found that there were different approaches that agencies take to develop a more effective response to calls involving persons in behavioral health crisis. The findings from the survey are based on responses from a random sample of 380 municipal police and sheriff offices with between 10 and 75 sworn officers between February and October 2020.”

“Crisis Intervention Attempts Involving Policing In The United States”. Landram, L. (2023). Daily News-Record

To review the entire article, please click here

Commentary

Landram illustrates various ways local departments are answering the call to better train their officers and also implement better crisis response.  Of the key elements, she notes that training involves recognition of basic mental illness is being implemented.  The training involves not only the types but what to expect if encountering someone with mental illness or under substance abuse.

An additional training also includes teaching officers the basics in crisis intervention, communication and especially de-escalation.  De-escalating at its core though means officers must become more “thick skinned” in regards to responses of individuals to orders, as well as ignoring insults or slurs.  While it is horrible officers are verbally accosted, the job demands a high standard that some cannot meet, and for those, who cannot, then policing may not be one’s career, especially considering officers carry lethal force.

Police offers can learn a variety of crisis intervention skills and departments can partner with mental health facilities to deliver safer response to mentally ill calls

 

Another key element listed was the importance of a closer correlation with mental health professionals with the department.  This partnership would involve officers having more support from mental health professionals via call, or in person on mental health calls.  This also involves 911 and dispatch officers offering better details regarding a mental health call issue and warning the officers on scene that someone is not mentally well.

Finally, the department needs better cooperation for facilities that deal with substance abuse and mental health during a potential arrest.  Jail is not the answer for these individuals and can in some cases traumatize them more.

Public Response to Officers

Most officers are good.  Not all situations involve racial profiling, harassments, or cops with attitudes.  Tickets may be annoying, but ultimately officers are performing a civic duty.  While as US citizens we have certain rights, sometimes working with an officer is the best thing.  Simple courtesy goes a long way.   While police should not seek illicit information during an investigation or pull over that is not legal, they sometimes do and knowing your rights and what needs to be handed over or not is key.  One always has the right to remain silent, but it is important to know one’s state laws requiring identification or pull over procedure.

Again, sometimes, working together and being compliant and respectful goes a long way.  Realize officers live a high stress life and as human beings can reach a point where too much attitude or abuse pushes them over the limit.  So, in essence, know your rights, but also understand the situation and what they are going through.  Mutually working together can reduce stress, tension and anxiety.

Police Stressors

As stated, police are subject to horrible things they see everyday.  They can suffer from PTSD and easily be triggered as well.  It is obviously important that the department keeps officers in good mental health.  Officers see death, abuse, shootings and live action on a consistent basis.  They are in a fight or flight mode consistently.  Traffic stops themselves may be their very last without proper care.

In addition to shootings, losing fellow officers, cops deal with a variety of other issues.  Consistent verbal abuse, negative press, pressure from municipal authorities,  and lack of staffing and funding.  In essence it is an extremely stressful job and plays one component in the overall problem of de-escalation and policing.  Hence departments must provide stress care in addition to crisis intervention training, to keep the minds and emotional stability of good cops sharp and healthy.

Conclusion

Policing is a sacred trust.  A few bad officers can ruin the entire image but other officers need to learn better de-escalation skills.  Certain qualities of officers need adjusted that are militaristic and ultra authoritarian.  It is not fair, especially when dealing with  a rude and ungrateful public, but the job demands more now than ever.  Crisis Intervention skills protects not only the public but the officer him/herself.

Good policing involves restraint, de-escalation skills, and communication. Please also review AIHCP’s Crisis Intervention Program

 

AIHCP offers a Crisis Intervention Consulting Certification for qualified professionals seeking a four year certification.  The program is online and independent study and open to qualified professionals seeking a four year certification.  Police officers are excellent candidates as well for this program.  Departments looking for certification programs for their officers can review the program and see if it matches the fit for their officers.

Additional Resources

“Police stressors and health: a state-of-the-art review”.  Violanti, J. et. etc. (2019). Policing. Author manuscript; available in PMC 2019 Mar 5.  Published in final edited form as: Policing. 2017 Nov; 40(4): 642–656.  Access here

“Occupational stress in policing: What the research says and what leaders can do about it”. Segovia, R. (2022). Police1.  Access here

“Fighting Stress in the Law Enforcement Community”. Dawson, J. (2019). National Institute of Justice Journal.  Access here

“De-Escalation: A Commonsense Approach”. Ranalli, M. (2020). Lexipol.  Access here

“If We Want to Reduce Deaths at Hands of Police, We Need to Reduce Traffic Stops”. Johnson, T &  Johnson, N. (2023). Time.  Access here

“Highly Rated and most Frequent Stressors among Police Officers: Gender Differences”. Violanti, J. et. etc. (2016). Am J Crim Justice. Author manuscript; available in PMC 2017 Dec 1) Published in final edited form as: Am J Crim Justice. 2016 Dec; 41(4): 645–662.  Access here