“Why Is The Initial Consultation So Important ? What Factors Will An Ethical Therapist Cover At This Time ?

1982 words - 8 pages

“Why Is The Initial Consultation So Important ?
What Factors Will An Ethical Therapist Cover At This Time ?

The initial consultation is important for both the therapists and the client to establish whether there is rapport between both parties, to put the client at ease and to ensure a realistic and effective plan of action to help the client achieve their goal. This is often offered as a short appointment of maybe 30 minutes, free of charge. I think by offering this service clients would have more trust in you and think of you in a more professional manner (and not that you are just in it for the money). You do however have to be careful as to how free sessions are advertised as “there ...view middle of the document...

Strong colours may be relaxing to one person but could be very off putting for another. It is important to ensure the room is warm but not too hot and to provide a blanket for the client. This can be used to make the client feel more secure or maybe to help with modesty issues.
The initial consultation is time used to assess why the client is seeking help, whether it is their choice to seek help or whether they are just attending to appease someone else. “This question is sometimes posed as: “This is the client: who is the customer?” The customer (that is, the person requesting the change be obtained) is not necessarily the same as the client (the person in whom change is required) and it is important to identify both.” (Karle and Boys, p60 2010)
It is also important to “check that you do not know the client in any way and that you are not connected to them in any way that is inappropriate”. (Chrysalis, Mod 3, p15, 2014) In other words ensure there is no “dual relationship” (Chrysalis, Mod 3, p15,2014). You need to establish if the client has any preconceived ideas of hypnotherapy, what expectations they have of the therapy session and to discuss any fears or questions they have. I think most importantly it is the time to assess whether hypnotherapy is appropriate for them or whether they should be referred to another professional for counselling or other form of therapy. This is also a good time to refer to your supervisor if you are in doubt about anything.
It is also the time to check whether the client has any medical conditions that would be contra-indicated with hypnotherapy and whether it is necessary to seek advice/approval from their General Practitioner. It is imperative to remember that hypnotherapist work with neuroses like anxiety/panic disorders, phobia, obsessive compulsive disorder separation anxiety, post traumatic stress disorder, psychosomatic disorders and reactive depression but not with psychoses either functional or organic such as Schizophrenia, Bipolar- disorder, Endogenous depression, delusional states, toxic confusional states, Alzheimer’s disease, Parkinson’s Disease with Lewy body dementia, Kausikoff’s Syndrome, severe PMT or excessive post natal depression (Chrysalis, Module 2, p22-23, 2014).
“There are some grey areas between neuroses and psychosis and it is important to remember that neuroses can develop into a psychosis”. (Chrysalis, Module 2, p23, 2014) Eating disorders, and some of the milder personality disorders come into this category. These along with obsessive compulsive disorder (OCD) cannot be treated with hypnotherapy alone and should only be taken on by a well experienced therapist. “Hypnotherapists are not equipped or entitled to diagnose psychosis and if the client presents with any history of mental illness or psychological medication, or in any way causes concern to the therapist, a doctor’s written consent to treat must be obtained and this must state that the client is not psychotic”....

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