Counselling

Wellbeing Offer: Step one Counselling

Step one counselling is a wellbeing intervention using a Humanistic and Person-centred approach. This is a relational approach in which counsellors use the core conditions of empathy, congruence and unconditional positive regard to provide a safe and supportive environment for clients to explore their issues, in order that they will achieve a better ability to function individually and within society, as well as to achieve a greater degree of autonomy and resourcefulness.

Step one counselling is offered up to 6 sessions, in which the client and counsellor work together to set the agenda and pace of the counselling intervention and work towards a therapeutic aim. Counselling has an emphasis on the principles of fidelity, autonomy, beneficence, non-maleficence, justice and self-respect.

Eligibility Criteria

Counselling at step one is suitable for:

  • People with subthreshold depressive symptoms who are presenting below clinical casesness
  • People who can articulate a presenting issue

Counselling is appropriate for individuals experiencing any of the following:

  • Stress
  • Anger
  • Sleep Disorder
  • Non complicated bereavement
  • Relationship issues
  • Divorce
  • Low mood
  • Separation
  • Work problems
  • Stress
  • Self-esteem issues
  • Loss of confidence

Counselling is not appropriate for clients experiencing any of the following:

  • Diagnosed Mild to Severe Depression
  • Psychosis
  • Chronic physical health problem
  • Trauma
  • Anxiety
  • OCD
  • Panic Disorder
  • PTSD
  • Social Anxiety Disorder / Phobia
  • Body Dysmorphic Disorder
  • Complex bereavement
  • Drug and Alcohol Issues
  • Antenatal and Post Natal Mental Health

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Core IAPT Offer: Step three Counselling (CfD)

CfD is a Humanistic High Intensity Counselling intervention that integrates both Person Centred and Emotion Focussed Therapy approaches and principles. CfD has an established set of competencies which practitioners must adhere to, including General, Basic, Specific and Meta competencies.

CfD is offered up to 12 sessions, in which client and counsellor work collaboratively and at relational depth to establish and work towards a therapeutic aim. This treatment is ’emotion focussed’, supporting clients to develop emotional awareness, understand their core depression-generating emotional processes and finding alternative ways of processing these emotions.

The aim of CfD is to help clients access underlying feelings, make sense of them, and draw on the new meanings which emerge to make positive changes in their lives. Session by session feedback from client informs the focus of sessions and ensures collaborative decision making.

CfD provides a space for exploration of client specific experiences of depression, with a range of focus areas including: Internal Focus (Client self-criticism or conflict between different aspects of self); Loss Focus (Interpersonal losses, such as loss of relationships or bereavement); ‘Unfinished Business’ Focus (Experience of feeling ‘stuck’ in life and in self); Emotional Dysregulation Focus (client’s over or under regulation of their emotion); and Emotionally distressing past experiences.

Eligibility Criteria

According to Nice Guidelines, CfD is a Step three, High-Intensity Psychological intervention suitable for:

  • People with persistent subthreshold depressive symptoms who are also presenting above clinical caseness
  • People with diagnosed mild to moderate depression who have been offered and not benefitted from a low-intensity psychosocial intervention or other high-intensity interventions such as CBT or IPT

CfD is appropriate for individuals experiencing depression alongside any of the following:

  • Bereavement
  • Relationship difficulties
  • Divorce
  • Separation
  • Work problems
  • Stress
  • Anxiety
  • Self-esteem issues
  • Loss of confidence

CfD is not appropriate for clients experiencing any of the following:

  • Severe Depression
  • Psychosis
  • Chronic physical health problem
  • Trauma

CfD is not appropriate for clients who:

  • Have not first been offered another High Intensity intervention
  • Wish to focus on drug and alcohol Issues
  • Need support for a major mental health condition such as bipolar or personality disorder

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