Targeted for BPH 5th and 6th semester/Pokhara University

1. Counselling
Presented to:
Shreejana Wagle
Assistant professor
SHAS, Pokhara University
Presented By:
Bikram Singh Dhami
BPH 6th Semester
SHAS, Pokhara University

2. 12/30/2020 Counselling_BPH-VI_Health education Communication 2
Did you Know 90% of youth have
Career related problems But very few
know What to do about it

3. Introduction
Counselling_BPH-VI_Health education Communication 312/30/2020
The Concise Oxford Dictionary (9th Edition) gives definitions of counselling,
“the process of assisting and guiding clients, especially by a
trained person on a professional basis, to resolve
personal, social, or psychological
problems and difficulties.”[3]

4. Counselling_BPH-VI_Health education Communication 412/30/2020
• Counselling is a processes of encouraging and helping an individual in
identifying his or her health problem, the causes of the problem in identifying
the ways of its solution, and also encourages taking necessary action to solve
it. [1] (Pradhan HB. 2009)
• Counselling is a talking therapy that involves a
trained therapist listening to you and
helping you find ways to deal with
emotional issues. [2]

5. 12/30/2020 Counselling_BPH-VI_Health education Communication 5
“Counseling is a learning-oriented process, carried on in a simple, one-
to-one social environment, in which a counselor, professionally
competent in relevant psychological skills and knowledge, seeks to
assist the client, by methods appropriate to the client's needs and within
the context of the total personnel program.” [4]

6. Counselling_BPH-VI_Health education Communication 612/30/2020
• Counselling is an effective and frequently
used health education approach for
individual.
• There is adequate exchange of ideas,
feelings and experiences between the
counsellor and his client.
• Counselling plays an important role in
dealing with chronic health problems
which requires long-term treatment with
necessary preventive and other control
measures. [1] (Pradhan HB. 2009)

7. 12/30/2020 Counselling_BPH-VI_Health education Communication 7
Counselling is not:
 Giving advice.
 Being judgemental.
 Attempting to sort out the problems of the client.
 Expecting or encouraging a client to behave as the counsellor would
behave if confronted with a similar problem in their own life.
 Getting emotionally involved with the client.
 Looking at a client’s problems from your own perspective, based on
your own value system. [3]

8. 12/30/2020 Counselling_BPH-VI_Health education Communication 8
Humanistic Approach
Behavioural Approach
Unified Approach
Approaches of Counselling
Psychoanalytic Approach

9. Some of major issues
Depression Anxiety Anger
management
Adductive
behaviours
Contraception
Family
planning
Career
issues
Social skill
building
12/30/2020 Counselling_BPH-VI_Health education Communication 9

10. Opportunities for counselling
(Settings)
Counselling at
Hospital
Counselling
at School
Counsellin
g at Home
12/30/2020 Counselling_BPH-VI_Health education Communication 10

11. Techniques of Counselling
12/30/2020 Counselling_BPH-VI_Health education Communication 11
Follow-up
Keeping secret
Maintaining patience
Finding ways to solve the problem
Identify client’s need or problems
Building Rapport

12. Qualities of Counsellor
A Counsellor must be friendly, sincere, cooperative and sociable
Must have the capacity of judging things closely and in details
Must be good listener
Possess the skills of communication and monitoring the progress of counselling
Must have ability to convincing his client for taking necessary actions to solve the health problem
12/30/2020 Counselling_BPH-VI_Health education Communication 12
[1] (Pradhan HB. 2009)

13. GATHER Approach for Counselling
1. G= Greet client
in friendly, helpful
and respectful
manner
2. A= Ask client
about needs,
concerns and
previous use
3. T= Tell clients
about different
options and methods
4. H= Help client to
make decision about
choice of methods s/he
prefers
5. E= Explain to
clients how to use the
methods
6. R= Return:
Schedule and carry
out return visit and
follow-up of client
12/30/2020 Counselling_BPH-VI_Health education Communication 13
[6] Mittal S. (2015)

14. Limitation of Counselling
• Dealing with stigma and discrimination
• Lack of counseling skills
• Failure to meet the demand of quality counseling services due to high burden
leading to burn out
12/30/2020 Counselling_BPH-VI_Health education Communication 14
Jabu Mthethwa Baphalali., Swaziland Red Cross Society

15. Advantages of Counselling
12/30/2020 Counselling_BPH-VI_Health education Communication 15
1. Helpful in dealing with individual client and motivate him to take necessary
actions to his health problem.
2. Maximum opportunity for feedback and two way communication
3. Enable to solve even serious and complicated problems
4. Even illiterate people can be taught by this method
5. Easy to make follow-up studies [1](Pradhan HB. 2009)

16. Disadvantages of Counselling
12/30/2020 Counselling_BPH-VI_Health education Communication 16
1. Longer period of Time
2. Difficult to cover wide range of people
3. Loss of patience might make counselling failure [1](Pradhan HB. 2009)

17. References
1. Pradhan, HB., A textbook of Health Education, Educational Publishing house, Kathmandu
Nepal, 2009, pp. 77-81.
2. Counseling, https://www.nhs.uk/conditions/counselling/ , Retrieved on 9th May, 2020
3. What is counselling, https://www.skillsyouneed.com/learn/counselling.html, Retrieved on 9th
May, 2020
4. Gustad, J. W. (1953). The definition of counseling. In R. F. Berdie (Ed.), Roles and relationships
in counseling (p. 3–19). University of Minnesota Press.
5. https://www.jerichocounselling.com/counselling-services/typical-problems/
6. Mittal S. (2015) Counselling Manual for health care provider
https://www.aiims.edu/aiims/events/Gynaewebsite/ec_site/manual/1_3_1.htm retrieved on 9th
May, 2020
12/30/2020 Counselling_BPH-VI_Health education Communication 17