Patience with Patients. Don Pinkston, LCSW, CADC Kim Pinkston, LCPC, CADC, BC-DMT, GL-CMA

Transcription

1 Patience with Patients Dn Pinkstn, LCSW, CADC Kim Pinkstn, LCPC, CADC, BC-DMT, GL-CMA

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3 Really? We have t have patience?? 3

4 Objectives Discuss challenges t delivering quality care External factrs Persnal challenges Fcus n key cunseling skills Build n that fundatin that we were given Refresh the cunseling spirit

5 What gets in yur way? Discussin: 3-4 Examples f barriers yu face t ding yur best wrk

6 External Cmmn Barriers Administrative cncerns: Budget, Staffing, Internal Transference and Cunter transference

7 I am nt what has happened t me. I am what I chse t becme. -Carl Jung

8 Patient Behavirs Lack f trust in general What is at stake fr the patient? Reactins t Withdrawal Persnality disrders Maladaptive relatinships Anxiety Generalized Based n lack f understanding Other Mental Health disrders

9 Key factrs in cunseling Research shws the type f therapy used is nt as imprtant as are the specific cunselr behavirs: Enthusiasm, Cnfidence, and Belief in the patient s ability t change. Clients are mre likely t achieve their gals when a gd and psitive relatinship exists between them and their therapist. The cunselr s interactins with the client are a pwerful tl in the helping relatinship. The Tp Ten Basic Cunseling Skills Kevin J. Drab, M.Ed., M.A., LPC, CAC Diplmate

10 Listening Listening is an active experience It is the ability t accurately receive and interpret messages The listener shuld be as invlved as the speaker Listening is nt same as hearing Hearing simply refers t the sunds that yu hear where listening requires fcus. Listening requires paying attentin nt nly t the stry, but hw it is tld thrugh the use f language, vice, and bdy

11 I m srry what? The human mind is ntriusly bad at remembering Research suggests that we remember nly 25%-50% f what is being said t us. Safe t say yu will nly remember abut an hur f what we talk abut here. Tuning ut

12 Why d we listen T get infrmatin T understand T learn Fr enjyment What t d? Remember key facts and ideas Listen with yur mind and bdy Active listening invlves nt nly verbal listening skills but nn-verbal listening skills

13 10 Principles f listening Stp talking-yu can t listen if yu are talking Studies have shwn that talking raises bld pressure and attentive listening can bring it dwn. Relax-prepare yurself t listen, clear yur mind f distracting thughts like what am I ging t have fr lunch r is it ging t rain tday ; fcus Ease the client-make eye cntact, nd r use ther gestures t encurage them t talk, help them t feel safe t talk

14 10 Principles, cnt. Shw empathy-wrk t understand the client; keep an pen mind t their views and pinins Have patience-dn t interrupt r try t finish their sentences; let them talk in their wn time dn t rush them; dn t start t think abut what yur reply is ging t be befre yu have heard the whle message Remve distractins-put yur wrk dwn, dn t fidget, end ne cnversatin befre yu start anther with smene else

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16 10 Principles, cnt. Avid persnal prejudice-dn t argue r criticize the client r becme irritated by hw they are speaking. Fcus n what is being said Listen t tne-a speaker will use bth tne and vlume t keep an audience attentive. This can help yu understand the emphasis f what is being said.

17 10 Principles, dne at last Listen fr ideas nt just wrds-ne f the mst difficult things t d is t piece tgether bits f infrmatin t reveal the whle idea Ask questins-when it s yur turn t speak ask questins t verify yu heard the ideas cmpletely Number 11-STOP TALKING!

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19 Like a vacatin tur guide Yu want directin if yu dn t knw WHERE t g next Yu might nt have the energy r cnfidence t lead Yu want t g where YOU want t g Yu may becme annyed Subvert the plan G in an ppsite directin Yur style and flexibility matter Ashtn M. My Way r Yurs. Drug and Alchl Findings 2006 p

20 Directive style Wrks well with nn-resistant client Reslved ambivalence Recgnize the harm in their use D nt hld reservatins fr use Often demands cnfrmity t a set wrld view AA has a directive/instructive apprach Cgnitive Behaviral als has a directive apprach Ashtn M. My Way r Yurs. Drug and Alchl Findings 2006 p

21 Nndirective style Intrduced by Carl Rgers Suits clients characterized by anger and resentment Patients are their wn best experts Patients feel valued, listened t and understd Takes time fr prcessing Ashtn M. My Way r Yurs. Drug and Alchl Findings 2006 p

22 Regardless f Style Patients ALWAYS have the pwer t decide fr themselves what they will d The patient s values will steer their decisins and curse f their recvery We nly impact a shrt perid f time in their lives directly

23 The Rle f the Cunselr Recgnizing the unique relatinship we have N Quid Pr Qu It s nt persnal The pwer f bjectivity The ability t respnd ratinally and nt reactively Principles befre persnalities

24 Empathy is a skill Empathy Defined as-understanding anther's perceptin, feelings, experience Empathy is seeing with the eyes f anther, listening with the ears f anther and feeling with the heart f anther

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26 Empathy is nt Sympathy Identifying with the client Sharing a similar experience I knw hw yu feel Painting silver linings

27 Empathy skills Verbal and nn-verbal attending Paraphrasing Reflecting Being nn-judgemental Self-awareness and vulnerability

28 Benefits f Empathy Better understand the needs f yur client Have less truble dealing with interpersnal cnflicts Will learn t better mtivate thers Will have an easier time dealing with negativity f thers if yu understand their mtivatins and fears

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30 Mindfulness 30

31 Using Mindfulness Assists in being Present with the patient Brings yur Attentin in Fcus n the sessin Aids in being nn-judgmental Prmtes Empathetic respnses Recgnizes changes in patient respnses and allws fr flexibility in apprach

32 Warmth and Genuineness Warmth Caring, respect, acceptance Cmmunicating interest and cncern while recgnizing their right t make their wn decisins Des nt mean yu agree with everything they say Uncnditinal psitive regard Genuineness Yu mean what yu say Yu are hnest True t yur wrd Be yurself.be human

33 Dignity and Respect Dignity-the quality r state f being wrthy, hnred, r esteemed; a sign r tken f respect Respect-an act f giving particular attentin; high r special regard; expressins f regard r curtesy Everyne has the right t chse their wn paths and make their wn decisins

34 Encuraging and Accepting Believe in the client Accept them fr wh they are Respnding with nnjudgmental r nncritical verbal and nnverbal reactins Encurage them t make their wn decisins Accept the decisins they make.while yu use yur skills t shw them alternatives t decisins they make yu knw are unhealthy. Hpe

35 Nn-verbal skills 2/3 f cmmunicatin is nn-verbal! Research has shwn that clients ften rank nnverbal factrs, such as nnverbal gestures and bdy language, as the mst imprtant factr in building a cunseling alliance. Much f ur nn-verbal cmmunicatin is autmatic uncnscius Learn t listen with yur eyes

36 Bdy language Pstures Gestures Facial expressins Eye cntact Direct r indirect Use f vice Rate f speech Tne/vlume Mdulatin-pauses Use f Space Open vs clsed Yur kinesphere What s invlved Appearance Dress hw yu want t be addressed

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38 In cnclusin Remember cunseling is the detail It s the little things we d that can have the biggest impact n the client-cunselr relatinship Be aware f yurself and yur client