By Howe, Amanda; Gask, Linda; Daines, Brian
Compliment for the 1st version: Àn fascinating review of clinical and psychiatric matters that could come up for counsellors.. readable, lucid and freed from jargon' - British magazine of steering and Counselling. clinical or psychiatric matters usually come up in the course of counselling and counsellors and psychological medical experts have to equip themselves with the information and abilities to reply correctly. scientific and Psychiatric matters for Counsellors, moment variation is the appropriate consultant to this demanding region of perform. It offers a transparent creation to: the character of psychological disorder, the relationship. Read more...
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Extra info for Medical and psychiatric issues for counsellors
37 04-Daines-04 38 8/6/07 ✽ 2:32 PM Page 38 Medical and Psychiatric Issues for Counsellors Dilemmas can also arise when a client passes on certain kinds of information to the counsellor which has not been disclosed to the referring practitioner. For example, the client may reveal that she is not taking the medication that has been prescribed for her, or even that she is misleading her practitioner about this. Through such a disclosure the counsellor can be placed in an ethical dilemma where there is a conflict between the commitment to confidentiality about client material and a responsibility towards the organisation in terms of a wider duty of care to patients.
Extra effort is often needed to ensure updating on professional and clinical matters and adequate channels for consultation and advice on medical and psychiatric issues. The latter is also important for voluntary sector and community organisations providing counselling. In addition, depending on the background and knowledge base of trustees, there may not be an appreciation of the clinical skills needed to effectively manage the service and not just as part of the clinical work with clients. There may also not be an understanding of the degree of professionalism needed to manage risk and provide a secure setting for vulnerable clients.
One of these is that people come for counselling because this is what a doctor says is 03-Daines-03 8/6/07 2:31 PM Page 21 Issues at the Beginning of Counselling ✽ needed rather than because they see the relevance for their particular problems. Many patients are very deferential to doctors even when they do not agree with what is being proposed. For example, some may go to see their GP for medication for depression or anxiety, but end up being referred to the practice counsellor instead. Because this is not what they want they may then try to enlist the support of the counsellor against the GP’s assessment of what is appropriate.
Medical and psychiatric issues for counsellors by Howe, Amanda; Gask, Linda; Daines, Brian