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Question 1 material Usual pattern of counseling sessions (1)

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Usual Pattern of Counseling Sessions
In counseling there is normally a familiar pattern of sessions - Introduction,
Information Gathering, Discussion, Conclusion and Homework! What follows is the
framework for an Initial Visit, Middle Visit, and Final Visit.
Feeling anxious? Don't worry, the client is more afraid of you than you are of the
client! :) What matters most of all is the client gets to talk and talk and talk AND
be truly heard!
Initial Visit Pattern
First impressions really are lasting
impressions. It is important to be timely
and friendly.
Introduction the first 10 minutes
Greet the client warmly smile and shake hands. Escort to your office.
Offer a chair and a drink of water.
Your client will be nervous not knowing what to expect. So explain to her or him
right away what she or he may be wondering about briefly. Your credentials, the
forms that will need to be filled out, the assurance of confidentiality, the duration
of the visit, etc.
Don’t forget to assure the client that there will be time to find out what brings
her or him in here. Given the amount of paperwork that normally has to be filled
out, she or he will begin to question the value of this.
Information Gathering about 20 minutes
Ask the client, “So what brings you in here today?!” If the person doesn’t know
where to start, tell the client to “start anywhere.” Some clients give coherent
stories, others give a laundry list of concerns. But generally speaking, some themes

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should keep coming up again and again. Take discreet one or two word notes; you
will be able to review these shortly.
A successful first visit is one in which the client has done almost all of the talking
this is all about them!
Discussion / Counselor Input about 10 minutes
This is your opportunity to provide input. To tell the client what you think she/he is
saying and to develop a list of concerns. The client can then be asked if what you
are hearing is what she/he is saying. Ask the client to rate the concerns from most
problematic to least, and ask which one she/he would like to work on first. You may
not have all the resources you need at hand but you now know what you have to do
some homework on!
I am a big fan of "mapping" as the first homework assignment - filling out a week-
long time sheet where they can write down when the problem happens and what is
going on at the time.
Conclusion about 10 minutes
Assure the client that she/he can “do this.” If you honestly feel that client can't,
this is a sign you need to refer.
It is crucial that the client have a printed copy of services available to her/him
especially of warm-lines and crisis services.
Make certain the client knows that she/he can always reach you by answering
machine and by email. That you will respond briefly, and the client can discuss the
stated concern(s) at the next meeting.
End all counseling sessions on a positive note. The client should be able to list a few
things that she/he has to look forward to over the next few days.
If the client seems to have nothing to look forward to, this is a red flag for
suicide. You will need to ask her/him, “Are you thinking of suicide?” If she/he
takes a noticeable pause before answering or says “Maybe” or “Yes,” you need
to know the protocols of your organization for what to do when you suspect a
client is suicidal. Set the next appointment time and date.

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Usual Pattern of Counseling Sessions In counseling there is normally a familiar pattern of sessions - Introduction, Information Gathering, Discussion, Conclusion and Homework! What follows is the framework for an Initial Visit, Middle Visit, and Final Visit. Feeling anxious? Don't worry, the client is more afraid of you than you are of the client! :) What matters most of all is the client gets to talk and talk and talk AND be truly heard! Initial Visit Pattern First impressions really are lasting impressions. It is important to be timely and friendly. Introduction – the first 10 minutes Greet the client warmly – smile and shake hands. Escort to your office. Offer a chair and a drink of water. Your client will be nervous – not knowing what to expect. So explain to her or him right away what she or he may be wondering about – briefly. Your credentials, the forms that will need to be filled out, the assurance of confidentiality, the duration of the visit, etc. Don’t forget to assure the client that there will be time to find out what brings her or him in here. Given the amount of paperwork that normally has to be filled out, she or he will begin to question the value of this. Information Gathering – about 20 minutes Ask the client, “So what brings you in here today?!” If the person doesn’t know where to start, tell the client to “start anywhere.” Some clients give coherent stories, others give a laundry list of concerns. But generally speaking, some themes ...
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