Clients frequently utilize terms counselling and psychotherapy interchangeably however it may be useful to explain a few of the differences forwards and backwards.
Counselling supplies a sympathetic ear to anyone in distress. Ideally the counsellor listens with full attention without interrupting for corrections, analysis or advice. The therapeutic value of being truly listened to shouldn’t be underestimated. Deep listening seldom takes place in ordinary conversation, where each person is evaluating the validity of the items each other has said or thinking of his / her next response. Understanding that one’s listener does not have any other agenda, will not interrupt, provides the speaker the liberty expressing emotions or difficult thoughts at length, often making unanticipated connections in the process. Counselling does not necessarily require professional training. The best friend may fill the function of counsellor.
In addition to listening, a counsellor offers solace. A heart-felt empathic response such as “of course” provides the distressed person with the type of safety and support that the loving parent provides child. A warranty the distressed person possesses the interior resources to cope with the issue available might help to mobilize those strengths. A counsellor can help someone having problems to recognize their thinking as being distorted in some manner, at odds with objective reality, perhaps exaggerating the negatives while overlooking the positives. Ideally a counsellor will lead the distressed person from confusion by eliciting suggestions for dealing with a situation instead of just providing answers.
Counselling can often bring relief for confusion, distress, non-traumatic grief, temporary loss of self-esteem, or bewilderment when confronted with crisis. Counselling alone cannot heal true mental disturbances such as depression, anxiety, traumatic grief, unresolved childhood issues, or lack of self-esteem due to destructive core beliefs. These require psychotherapy.
Psychotherapy also involves carefully listening to be able to see the presenting problem and also to detect the existence of unexpressed issues. A psychotherapist invokes techniques learned during professional training to assist a customer effect adjustments to his / her life. There currently exist some fifty different therapeutic techniques, with Adlerian Therapy, Animal-Assisted Therapy, and Art Therapy at one end of the alphabet and Spiritual Therapy, Systems Therapy and Traumatic Incident Reduction at the other. But all have in accordance the application of specifically-chosen processes to result in change. Generally speaking, psychotherapy takes place over a lengthy time period and often relates a client’s current difficulties to life-long, even multi-generational, patterns of behavior. Personality disorders including schizophrenia, borderline personality disorder, or obsessive-compulsive personality disorder, may require medication as laid out in a psychiatrist besides the therapeutic intervention which a psychologist or psychotherapist provides.
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