Tools in CounselingTools in Counseling

Yasmine BuraikYasmine BuraikPsychiatric CounselorPsychiatric Counselor

Psychiatric & Community Counseling ServicesPsychiatric & Community Counseling Services

The Healing RelationshipThe Healing Relationship

Compassion is not a relationship Compassion is not a relationship between the healer and the wounded. between the healer and the wounded.

It's a relationship between equals.It's a relationship between equals. Only when we know our own darkness Only when we know our own darkness

well can we be present with the well can we be present with the darkness of others. darkness of others.

Compassion becomes real when we Compassion becomes real when we recognize our shared humanity.recognize our shared humanity.

   --Pema Chodron----Pema Chodron--

Background on ToolsBackground on Tools

Have been used many years primarily as Have been used many years primarily as screening tools.screening tools.

Used now as educational tools and Used now as educational tools and learning tools, to gain more information learning tools, to gain more information about a particular symptom or experience about a particular symptom or experience linked to psychological distress linked to psychological distress

Sometimes they are simply used as Sometimes they are simply used as entertainment. entertainment.

Great range of tools available for various Great range of tools available for various settings and conditions. settings and conditions.

Benefits of ToolsBenefits of Tools

Build RapportBuild Rapport Increase Self AwarenessIncrease Self Awareness Encourage ResponsibilityEncourage Responsibility Encourage Self CareEncourage Self Care Promote Mind Body ConnectionPromote Mind Body Connection Empower PatientEmpower Patient Continuity of TherapyContinuity of Therapy Overcome Therapeutic ImpasseOvercome Therapeutic Impasse

Therapists not TeachersTherapists not Teachers CollaborationCollaboration IndividualizedIndividualized ConfidentialityConfidentiality RespectRespect NeutralityNeutrality OptionalOptional ExplorationExploration FlexibilityFlexibility

Guidelines for Using ToolsGuidelines for Using Tools

The Therapeutic AllianceThe Therapeutic Alliance

Miller and his colleagues in Miller and his colleagues in Escape from Escape from

BabelBabel (Norton, 1997); (Norton, 1997); The Heart & Soul The Heart & Soul of Changeof Change (APA, 1999) state that (APA, 1999) state that therapeutic alliance account for the therapeutic alliance account for the largest explained variance in change. largest explained variance in change. This includes all factors including the This includes all factors including the relationship model, skills, tools, relationship model, skills, tools, placebo effects etc.placebo effects etc.       

Self AssessmentSelf Assessment

Depression InventoryDepression Inventory

Anxiety InventoryAnxiety Inventory

Mood ChartMood Chart

Skills AssessmentSkills Assessment

BAD Observation ChartBAD Observation Chart

BAD Observation Chart (2)BAD Observation Chart (2)

CBT IntroductionCBT Introduction

Mood & Activity ChartMood & Activity Chart

Mood & Activity Chart (2)Mood & Activity Chart (2)

Thought RecordThought Record

Thought Record (2)Thought Record (2)

Behavioral Experiment ChartBehavioral Experiment Chart

Behavioral Experiment Chart Behavioral Experiment Chart (2)(2)

Assertiveness LadderAssertiveness Ladder

Stress Awareness DiaryStress Awareness Diary

Ritual RecordRitual Record

Eating Disorder RecordEating Disorder Record

Daily Food DairyDaily Food Dairy

Personal Positive Eating GoalsPersonal Positive Eating Goals

Exercise DiaryExercise Diary

Responses to Reasons for not Responses to Reasons for not ExercisingExercising

Creative JournalingCreative Journaling

Male, 9, AbuseMale, 9, Abuse

I am afraid of you and I will notI am afraid of you and I will notreturn home even if the feeling return home even if the feeling

ininmy heart is good I will nevermy heart is good I will neverreturn home, If I return home myreturn home, If I return home myfeeling will be worse because feeling will be worse because

youyouhit me at home and I have neverhit me at home and I have neverforgotten that and these are notforgotten that and these are notbeautiful memories. Even if youbeautiful memories. Even if youtell me to go home with you I willtell me to go home with you I willnot. not.

Thank youThank youSaeedSaeed

Male, 54, ADHD,DepressionMale, 54, ADHD,Depression

The common The common thing between thing between my childhood my childhood and now that I and now that I am always am always jumpy and jumpy and noisynoisy

How do I feelHow do I feel

Female, 18, Borderline IQ, AbuseFemale, 18, Borderline IQ, Abuse

Male, 31, DepressionMale, 31, Depression

Male, 31, DepressionMale, 31, Depression

UnknownUnknown

To Dr. Yasmine BuraikTo Dr. Yasmine Buraik

I apologize for notI apologize for notattending our Mondayattending our Mondaymeeting, but I was in ameeting, but I was in astate of very big sleepstate of very big sleepfrom Monday until from Monday until

today.today.I do not leave my roomI do not leave my roomat all, but you are on myat all, but you are on mymind and I am very verymind and I am very verysorry.sorry.

DrawingDrawing

Me as I see myself nowMe as I see myself now Me and my biggest problemMe and my biggest problem Me as I would like to beMe as I would like to be

Female, 32 ,Female, 32 ,Marital DiscordMarital Discord

Female,31, OCDFemale,31, OCD

Female,50, Marital Discord, Female,50, Marital Discord, Divorced laterDivorced later

Female,32 , Female,32 , Grief ReactionGrief Reaction

Female,30,Female,30, Depression & Obesity Depression & Obesity

Female, 25,DepressionFemale, 25,Depression

Male, 50, DepressionMale, 50, Depression

Female, 42, AnxietyFemale, 42, Anxiety

Female, 40, Martial DiscordFemale, 40, Martial Discord

Female, 32, DepressionFemale, 32, Depression

GenogramGenogram

Emotional RelationshipsEmotional Relationships

Female, 54, Grief.Female, 54, Grief.44thth Grade Education Grade Education

Female, 42, ForgivenessFemale, 42, Forgiveness

Male, 37, Relationship ProblemsMale, 37, Relationship Problems

Male, 42, Social AnxietyMale, 42, Social Anxiety

Mind Body SkillsMind Body Skills

Comfort BagComfort Bag

Coping BoxCoping Box

Pandora’s BoxPandora’s Box

With every tool, we will With every tool, we will possibly expose to the light possibly expose to the light of day some aspect of of day some aspect of mental health or illness that mental health or illness that is: strange, weird, is: strange, weird, hypocritical, “quacky”, hypocritical, “quacky”, beyond belief and possibly beyond belief and possibly dangerous.dangerous.

Unlike the mythological box Unlike the mythological box of Pandora where you are of Pandora where you are safe as long as  the evil stuff safe as long as  the evil stuff is locked away or hidden, is locked away or hidden, therapists encourage this therapists encourage this “trade of secrets” between “trade of secrets” between them and the patient, They them and the patient, They call it the “Therapeutic call it the “Therapeutic Alliance”. Alliance”. 

The Healing Relationship-RevisitedThe Healing Relationship-Revisited

،المظلم طريقي عتمة وسط شمعة لي أضاء من أول تكوني المظلم، لم طريقي عتمة وسط شمعة لي أضاء من أول تكوني لمالتي الوحيدة التي لكنك الوحيدة أن لكنك إلى معي ظلت و مشتعلة عليها أن حافظت إلى معي ظلت و مشتعلة عليها حافظت

. - حسب – و طريقي تضيئي لم أنت الشموع بقية بصعوبة و . وجدنا - حسب – و طريقي تضيئي لم أنت الشموع بقية بصعوبة و وجدناما بأمان تركتني أنك هو و الفقد غير آخر معنى لغيابك أن علمتني ما بل بأمان تركتني أنك هو و الفقد غير آخر معنى لغيابك أن علمتني بل

أشعلها . ) أخرى شموع حولي أشعلها . )دامت أخرى شموع حولي (XX دامت األبيض المساندة فريق (من األبيض المساندة فريق من You were not the first to light a candle for me You were not the first to light a candle for me

along my dark path, but you were the only one along my dark path, but you were the only one to keep it burning and stick with me until we to keep it burning and stick with me until we found – with great difficulty- the rest of the found – with great difficulty- the rest of the candles. You did not only light my path, but candles. You did not only light my path, but you taught me that your absence meant you taught me that your absence meant something other than loss. You left me feeling something other than loss. You left me feeling safe that there are other candles around me I safe that there are other candles around me I can light. (can light. (ْْ X from The White support team)X from The White support team)

Thank YouThank You