Counseling

What are the stages of grief?

1. Denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance

Charles Van Riper quote on stuttering

It is not enough to know the kind of disorder a person has, one must know the kind of person who has the disorder

Bargaining

~Bargaining with a higher being ~Counsel there is no real bargain

Clinical process and Counseling

~Caring-- having empathy ~Self-awareness- on part of clinician ~Observation-- learn to observe objectively ~Active listening-- "hearing the message"

8 Domains of SLP service Delivery

~Collaboration ~Counseling ~Prevention & Wellness ~Screening ~Assessment ~Treatment ~Modalities, technology & instrumentation ~Population & systems

Denial

~Counterproductive to therapy ~Patience is needed ~Objective data from tests

Some negative attitudes and emotions

~Depression ~Demotivation ~Anxiety ~Avoidance or Escape Behaviors ~Displacement & Projection ~Disassociation ~Passive Aggression ~Repression ~Learned Helplessness ~Loss

Emotional Reactions

~Determine what is from incidence and what can be helped by other professionals ~Can help with communication between psychologist and patient

Anger

~Difficult to counsel ~SLP to remain calm ~Time in therapy to talk ~Focus on goals

Depression

~Feeling of hopelessness ~Feel won't get better ~SLP to help focus on gains in therapy

Acceptance

~Final stage of grief ~Most compliant and motivated with therapy ~Help set realistic goals

SLP service Delivery areas

~Fluency ~Speech Production ~Language ~Cognition ~Voice ~Feeding & swallowing ~Auditory habilitation/ rehabilitation

Counseling the caregiver

~Supporter vs. Detractor ~Motivator vs. Demotivator ~Helper vs. Enabler ~Empathizer vs. Sympathizer

What is the role of the SLP?

~We provide the pathway for communication ~Provide an environment of: ~Respect for the client ~Unconditional acceptance ~real caring for client/caregiver ~to identify with the client's feelings