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Home in on the common problems and anxieties your students are likely to encounter in this notoriously difficult area of counselling. Working as a counsellor carries a high likelihood of working with clients who self-harm. This resource allows your students to develop and carefully reflect upon their understanding of self-harm and the different ways in which counsellors respond to it. Providing professional support throughout, this book contextualises many of the difficult situations and anxieties your students may face when working in this area.
Facilitate differentiation among client groups with this resource which details student support services across colleges, universities and other educational settings. At the core of the book are strategies for managing the challenging situations and counsellors' personal anxieties related to counselling students over 16. To achieve this, the author explains key theoretical approaches and vocabulary and then relates them to practice whilst providing expert advice on employment issues and opportunities.
A quarter of adolescents engage in some form of self-harm and even experienced therapists can find working with these young people difficult. Based on Cognitive Behaviour Therapy (CBT), a highly effective method for working with emotional problems, Cutting Down offers a practical and accessible programme for mental health therapists from different professional backgrounds working with young people who self-harm. The programme is comprised of four parts, each covering a specific stage of therapy, and is split into 27 short modules. Although designed to be delivered over a course of 14 sessions, the programme is presented in a way that allows the therapist to decide which combination of specific modules is chosen and how long is spent on each, based on the specific clinical needs of the person they are working with. Throughout the programme, virtual patients are used to illustrate the various exercises and strategies. Part One, What’s Going On?, introduces self-harm and CBT and aims to develop insight into feelings, problems, goals and the concept of change. Part Two, Feelings, Thoughts and Behaviour, looks at working on activities, managing depression and identifying and managing negative thoughts. Part Three, Coping Strategies, introduces modules on problem solving, assertiveness, mindfulness and alternatives to self-harm. Part Four, On You Go!, finishes up the programme with a review of goals, identifying triggers and developing a ‘first aid kit’ and a ‘tool box’ of skills to reinforce the programme. Downloadable worksheets enhance the practicality of the text. Designed to support clinicians working with adolescents engaging in self-harm, this unique workbook is ideal for counsellors, counselling psychologists, clinical psychologists, CBT therapists, IAPT practitioners, CAMHS mental health workers and nurse therapists as well as students and trainees.
In this truly comprehensive guide, Dr. D'Onofrio approaches the topic of how first-responders, such as teachers, coaches, social workers, guidance counselors, and campus health counselors, can and do treat adolescent self-injury. From examinations of the core social and emotional issues related to self-injury to the integration of understanding with practice, everything needed for comprehensive care is detailed in this volume. Each part of the book focuses on a basic topic, such as what constitutes self-injury, the foundations for self-injury, and how to engage an adolescent with these issues. Each issue is presented in straightforward chapters that are immediately accessible to those who are currently struggling to address this growing trend among teens. The chapters within each part delve into how to recognize, treat, and approach this illness and incorporate first-person stories from psychologists, teachers, and adolescents themselves.
The wide-ranging contexts in which counselling and psychotherapy is now practiced means clients present with a range of risks that therapists have to respond to. Risk is an ever-present issue for counsellors and psychotherapists and, in an increasingly litigious culture, the need for trainees to develop a sound understanding of how the right tools and the right knowledge can support their practice has never been greater. In this book Andrew Reeves takes trainees, newly qualified practitioners, and more experienced practitioners step-by-step through what is meant by risk, offering practical hints and tips and links to policy and research to inform good ethical practice along the way. This book tackles: • The definition of risk and how risk is linked to social, psychological and relational factors • Working with those who are at risk of suicide, self-injury, self-harm and/or are an endangerment to others • How therapists should respond to the risk in situations involving child protection, mental health crises, and in the therapeutic process itself • The positive side of risk-taking • How counsellors and psychotherapists can work with risk proactively and positively, informed by research. Filled with case studies, ethical dilemmas, reflective questions, discussion questions and further reading, this book offers counsellors and psychotherapists guidance on how they can work with risk proactively and positively. It is an essential resource for all services, organisations and individual practitioners.
This is the first book to focus on commonly occurring client issues and explore how to work with them from a person-centred perspective. Extensive case studies translate person-centred theory into effective practice, enabling therapists to work successfully with clients presenting a variety of different problems including: - Post Traumatic Stress - Depression - Panic and Anxiety - Drug and Alcohol Issues - Eating difficulties - Self harm - Childhood Sexual Abuse Each chapter covers the origin and meaning of the difficulty, the person-centred therapeutic approach and process, and the outcomes. Drawing from a combined 50 years of experience in the field, Paul Wilkins and Janet Tolan bring together leading person-centred therapists to address how and why each problem can be eased by means of working with the person. This book should be on the desk of every counselling and psychotherapy trainee, and is recommended reading for other practitioners of health and social care working with these client groups.
The book takes a new look at self-harm, focusing particularly on the under-explored area of hidden' self-harming behaviour. These behaviours may not be immediately identifiable as self-harm by counsellors, therapists or their clients, but Turp shows how recognition and understanding of hidden self-harm can improve practice with those affected.

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