Clients frequently utilize the terms counselling and psychotherapy interchangeably but it might be necessary to explain a few of the differences forwards and backwards.
Counselling comes with a sympathetic ear to a person in distress. Ideally the counsellor listens with full attention without interrupting for corrections, analysis or advice. The therapeutic value of being truly heard should not be underestimated. Deep listening seldom comes about in ordinary conversation, where everyone is evaluating the validity products each other states or considering her or his next response. If you know one’s listener has no other agenda, and does not interrupt, provides speaker the liberty expressing emotions or difficult thoughts at length, often making unanticipated connections in the act. Counselling doesn’t necessarily require professional training. A reliable friend could fill the part of counsellor.
Together with listening, a counsellor offers solace. A heart-felt empathic response for example “of course” supplies the distressed person with all the type of safety and support a loving parent gives a child. A guarantee that this distressed person possesses the interior resources to cope with the situation available can help to mobilize those strengths. A counsellor may help someone in danger to realize their thinking to be distorted somehow, at odds with objective reality, perhaps exaggerating the negatives while overlooking the positives. Ideally a counsellor may lead the distressed person out of confusion by eliciting concepts for getting through a situation rather than providing answers.
Counselling can frequently bring relief for confusion, distress, non-traumatic grief, temporary loss in self-esteem, or bewilderment in the face of crisis. Counselling alone cannot heal true mental disturbances for example depression, anxiety, traumatic grief, unresolved childhood issues, or lack of self-esteem resulting from destructive core beliefs. These require psychotherapy.
Psychotherapy also involves carefully listening in order to see the presenting problem also to detect the existence of unexpressed issues. A psychotherapist invokes techniques learned during professional training to help a client effect alterations in their life. There currently exist some fifty different therapeutic techniques, with Adlerian Therapy, Animal-Assisted Therapy, and Art Therapy at one end in the alphabet and Spiritual Therapy, Systems Therapy and Traumatic Incident Reduction on the other. But all have in common the application of specifically-chosen ways to produce change. Generally speaking, psychotherapy occurs over a lengthy stretch of time and usually relates a client’s current difficulties to life-long, even multi-generational, patterns of behavior. Personality disorders such as schizophrenia, borderline personality disorder, or obsessive-compulsive personality disorder, might require medication as specified by a psychiatrist beyond the therapeutic intervention a psychologist or psychotherapist provides.
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