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15 November 2009
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Woman talking to a counsellor

Counselling

Jenny Southall

Counselling usually involves talking face-to-face with someone who can help you develop insight into your problems. A counsellor will listen carefully and engage in a conversation that can help you clarify aspects of your life that may be causing distress or confusion.


It’s often available within GP surgeries so can be a good starting point if you’re seeking rapid help for mental distress.

Counsellors are trained to help you find new ways of coping with issues, such as:

  • Seeing problems from different perspectives
  • Identifying other options available
  • Offering stress-relieving techniques

Importantly, the counsellor is there to share any upsetting thoughts you may feel.

Despite beliefs to the contrary, counselling is not about giving advice, but rather about helping a person tap into their own resources to find ways through difficulties and dilemmas. It can provide support and offers a non-judgemental, neutral space to think and explore options with some guidance from another person.

Common issues which counselling can be applied to include:

  • Anxiety
  • Depression
  • Relationship problems
  • Career development
  • Stress/anger management
  • Bereavement
  • Self development
  • Change

Although similar, there are subtle differences between counselling and psychotherapy. In the context of mental health, counselling usually refers to a relatively brief treatment that is focused upon a specific symptom or problematic situation. It is usually conducted on a weekly basis and is short-term (6-12 sessions). Counsellors have generally trained for a shorter period of time and have a less expansive skill base than a psychotherapist.

Things to consider before choosing your counsellor:

  • Gender – are you more comfortable discussing your problems with a man/woman?
  • Sexual orientation - would you be more comfortable talking to someone who understands or identifies personally with your experience?
  • Racial, ethnic or cultural background
  • Approach - do you want someone who will be directive/instructive or would you prefer someone who lets you make the decisions of how counselling should progress?

This article was first published in May 2009.


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