No data available that match "Counseling"

No data available that match "Counseling"

(1/3097) Relationship between practice counselling and referral to outpatient psychiatry and clinical psychology.

BACKGROUND: Although reduction in the use of secondary care mental health services is a suggested benefit of counselling in general practice, there has been little empirical investigation of this relationship. AIM: To investigate the relationship between the provision of counselling in general practice and the use of outpatient psychiatry and clinical psychology services across a geographical area. METHOD: Information on referrals to outpatient psychiatry and clinical psychology from all general practices in the London Borough of Islington over one year (October 1993 to September 1994) was collected from the routine information systems of the main hospital departments serving this area. Referral rates per 1000 practice population were compared for practices with and without a practice-based counsellor. RESULTS: Fifteen (35%) of the 43 practices had a counsellor based in the practice. The median referral rate to clinical psychology was higher in practices with a counsellor (4.1 per 1000) than in practices without a counsellor (0.8 per 1000). There was no relationship between the provision of practice counselling and median referral rates to outpatient psychiatry (1.8 per 1000 with a counsellor, 1.7 per 1000 without a counsellor). CONCLUSION: Provision of practice counselling in the study was associated with higher referral rates to clinical psychology and no difference in referral rates to outpatient psychiatry. This is in contrast to the hypothesis that counselling reduces the use of secondary care mental health services.  (+info)

(2/3097) The self-reported well-being of employees facing organizational change: effects of an intervention.

The objective of this study was to investigate the self-reported well-being of employees facing organizational change, and the effect of an intervention. It was a controlled intervention study. Subjects were allocated to study and control groups, and brief individual counselling was offered to the subjects in the study groups. Questionnaire measures were administered before and after counselling (a 3-month interval), and non-counselled subjects also completed questionnaires at the same times. The setting was 15 estate offices in an urban local authority Housing Department. Subjects comprised the total workforce of the Housing Management division: 193 employees, male and female, aged 22-62 years, facing compulsory competitive tendering between 1994-97. Main outcome measures were baseline and comparative measures of psychological morbidity, including the General Health Questionnaire (GHQ) and the Occupational Stress Indicator (OSI). Questionnaire response rates were 72% and 47% on first and second occasions respectively. The uptake of counselling was 37%. In comparison with (1) the UK norms for the OSI and (2) the norms for a similar occupational group, this group of workers were under more work-related pressure and their self-reported health was markedly poorer. They were not however at a disadvantage in terms of coping strategies. Those accepting the offer of counselling were subject to greater levels of work stress, had poorer self-reported health and markedly lower levels of job satisfaction than those who did not. Questionnaire scores were not significantly different before and after counselling, giving no evidence of treatment effects on symptomatology. However, almost all subjects rated counselling as having been extremely helpful. This study suggests that adverse effects on staff facing organizational change may be ameliorated by improved management practice.  (+info)

(3/3097) New therapies and prevention strategies for genital herpes.

Genital herpes is among the most prevalent sexually transmitted diseases. Optimal management of genital herpes includes accurate diagnosis, antiviral therapy, and counseling of patients about complications and transmission of herpes simplex virus (HSV). Antiviral therapy offers significant palliation, and the option of episodic or suppressive treatment should be offered to all patients with genital herpes. Valacyclovir and famciclovir are two newer antiviral agents that are effective and safe for the treatment of genital herpes. Prevention strategies for sexual and perinatal transmission of HSV have not been well defined. Availability of type-specific serological tests for HSV antibodies may assist in identifying persons at risk for acquiring or transmitting HSV infection. Further research is needed to define strategies to prevent the spread of this epidemic infection.  (+info)

(4/3097) Young women taking isotretinoin still conceive. Role of physicians in preventing disaster.

QUESTION: One of my adolescent patients was prescribed isotretinoin for severe acne by a dermatologist. I was shocked to discover she does not use any means of contraception. The dermatologist insists he told her about the need for contraception. How can we do better? ANSWER: Clearly this dermatologist, like many of his colleagues, does not comply with the Pregnancy Prevention Program. Until physicians become more aware of this program, babies will continue to be born with embryopathy due to isotretinoin.  (+info)

(5/3097) Conditions required for a law on active voluntary euthanasia: a survey of nurses' opinions in the Australian Capital Territory.

OBJECTIVES: To ascertain which conditions nurses believe should be in a law allowing active voluntary euthanasia (AVE). DESIGN: Survey questionnaire posted to registered nurses (RNs). SETTING: Australian Capital Territory (ACT) at the end of 1996, when active voluntary euthanasia was legal in the Northern Territory. SURVEY SAMPLE: A random sample of 2,000 RNs, representing 54 per cent of the RN population in the ACT. MAIN MEASURES: Two methods were used to look at nurses' opinions. The first involved four vignettes which varied in terms of critical characteristics of each patient who was requesting help to die. The respondents were asked if the law should be changed to allow any of these requests. There was also a checklist of conditions, most of which have commonly been included in Australian proposed laws on AVE. The respondents chose those which they believed should apply in a law on AVE. RESULTS: The response rate was 61%. Support for a change in the law to allow AVE was 38% for a young man with AIDS, 39% for an elderly man with early stage Alzheimer's disease, 44% for a young woman who had become quadriplegic and 71% for a middle-aged woman with metastases from breast cancer. The conditions most strongly supported in any future AVE law were: "second doctor's opinion", "cooling off period", "unbearable protracted suffering", "patient fully informed about illness and treatment" and "terminally ill". There was only minority support for "not suffering from treatable depression", "administer the fatal dose themselves" and "over a certain age". CONCLUSION: Given the lack of support for some conditions included in proposed AVE laws, there needs to be further debate about the conditions required in any future AVE bills.  (+info)

(6/3097) Effectiveness of brief intervention on non-dependent alcohol drinkers (EBIAL): a Spanish multi-centre study.

OBJECTIVE: The project was designed to compare the effectiveness of brief intervention (BI) versus simple advice (SA) in the secondary prevention of hazardous alcohol consumption. METHODS: A randomized controlled trial with a 12-month follow-up was conducted. A total of 74 community-based primary care practices (328 physicians) located in 13 Spanish autonomous regions were recruited initially. Out of 546 men screened, only 229 were randomized into BI (n = 104) and SA (n = 125); 44.6% of practices finalized the study. The interventions on the BI group consisted of a 15-minute counselling visit carried out by physicians which included: (i) alcohol quantification, (ii) information on safe limits, (iii) advice, (iv) drinking limits agreement, (v) self-informative booklet with drinking diary record and (vi) unscheduled reinforcement visits. The SA group spent 5 minutes which included (i), (ii) and (iii). RESULTS: There were no significant differences between both groups at baseline on alcohol use, age, socioeconomic status and CAGE score. After the 12-month follow-up there was a significant decrease in frequency of excessive drinkers (67% of BI group reached targeted consumption, versus 44% of SA; P < 0.001) as well as weekly alcohol intake reduction (BI reached 52 versus 32% in SA; P < 0.001). A trend to improve outcome with the number of reinforcement visits was found with BI. The only predictor of success was the initial alcohol consumption level. CONCLUSIONS: Brief intervention is more effective than simple advice to reduce alcohol intake on adult men who attend primary care services in Spain.  (+info)

(7/3097) Empirical comparison of two psychological therapies. Self psychology and cognitive orientation in the treatment of anorexia and bulimia.

The authors investigated the applicability of self psychological treatment (SPT) and cognitive orientation treatment (COT) to the treatment of anorexia and bulimia. Thirty-three patients participated in this study. The bulimic patients (n = 25) were randomly assigned either to SPT, COT, or control/nutritional counseling only (C/NC). The anorexic patients (n = 8) were randomly assigned to either SPT or COT. Patients were administered a battery of outcome measures assessing eating disorders symptomatology, attitudes toward food, self structure, and general psychiatric symptoms. After SPT, significant improvement was observed. After COT, slight but nonsignificant improvement was observed. After C/NC, almost no changes could be detected.  (+info)

(8/3097) Voluntary newborn HIV-1 antibody testing: a successful model program for the identification of HIV-1-seropositive infants.

Harlem Hospital in New York City has one of the highest HIV-1 newborn seroprevalence rates in the United States. We report the results of a program introduced in 1993 and designed to identify HIV-1-seropositive (HIV+) newborns at birth. All new mothers, independent of risk, received HIV counseling that emphasized the medical imperative to know the infant's HIV status as well as their own. Consent was obtained to test the infant; discarded cord blood samples were tested by enzyme-linked immunosorbent assay (ELISA), and when positive, Western Blot confirmation. We compared the number of HIV+ infants identified through voluntary testing with the number reported by the anonymous New York State Newborn HIV Seroprevalence Study. In 1993, 97.8% (91 of 93) of the number of HIV+ infants identified by the anonymous testing were identified through voluntary maternal and newborn testing programs. Eighty-five HIV+ infants were identified before nursery discharge: 50% (42/85) through newborn testing; 14% (12/85) through prenatal testing; 13% (11/85) presented to care knowing their status; 23% (20/85) were known because of a previous HIV+ child. Six additional HIV+ children were diagnosed after hospital discharge (mean age, 5.5 months; range 1.5 through 17 months); four presented with symptomatic disease. The optimal time for identification of the HIV+ pregnant woman is before or during pregnancy, but when this does not occur, voluntary newborn testing can identify many HIV+ infants who would otherwise be discharged undiagnosed from the nursery.  (+info)

How is counseling done as part of a drug rehab program?

I am a senior student and is dreaming of becoming a counselor someday. I've heard from our teacher that counseling is an essential part of drug rehabilitation programs. I want to know more about it to become a good counselor someday. I will help the victims of illegal drugs by giving them pieces of advice.

Basically, there are two types of counseling applied to those who are undergoing drug abuse treatment. These are the individual and the group counseling. Each counseling program is unique from the other; it is pattern after the needs of the patient. The forms and approaches also vary because every patient is different from the other. Individual or one-on-one counseling is usually held between the counselor and the patient in a specially designed counseling room. The counselor serves as the mirror of the patient so that he may reflect and understand his problem. This will allow the drug patient to learn more of how he should respond to everything that's going on. Meanwhile, the group counseling involves two or more patients participating in various dynamic activities. Even their families can join the activities to allow a free and active communication and bonding to take place.

How or where can I find free counseling or low cost counseling?

I realize I have a lot of issues. I need to go to counseling but I have very little money. Most of it all goes to school and gas. Mental health or one on one relationship counseling would be great.

1.   Internet.   There are many internet sites that promote free counseling and some of the reviews I have read say that it is pretty helpful.  I am not personally recommending any of these sources, necessarily, but they might be worth a try:, – Christian based and free – for kids – website with info, some help – in Australia, but free – mentor type advice – peer advice at a type of forum – seems like free counseling by ICQ chat – help lines organized by state

2. Phone. There are many organizations that have phone numbers that you can call with many being toll free. The counseling or advice is usually free. Again, the quality cannot be guaranteed, so be careful:


1-800-SUICIDE – deals with more than just suicide

There is some controversy concerning online counseling and/or telephone counseling in that many feel that is might be unethical or even illegal. Most counselors, other than those in churches, must be licensed by their respective states. Counseling over state lines, whether by phone or internet, cannot be regulated, so that is the controversial part. As with most things, be cautious.

3. University graduate school counseling programs. Another alternative for free counseling is to go to a local university with a counseling graduate school. Look in the Yellow Pages or do a search on the internet by entering the terms “counseling department,” “university,” and your town or city name. This free counseling service will most likely be staffed by graduate students who will most likely do an excellent job. A licensed and trained supervisor will assist the students in assisting you.

4. Churches. One of the best sources of free counseling is at a local church. They often have free classes and assistance as well as free counseling. The church will need to be large and they sometimes give preferential treatment or prime access to their church members. Again, as with the local graduate school counseling programs, do an internet search and enter: church, counseling, and your town or city. Keep in mind that most churches will counsel you even if you do not share their particular religious faith. Just keep an open mind just as you would expect them to do the same.

If you are in the military, online counseling may be available:;jsessionid=KypPf8yKybcZ225zKsgNHHDyyRGXgL9H8cNrmvpYn1GT0xLkQhkJ!1908725866?puri=%2Fhome%2Foverview%2FSpecialPrograms%2FTRICAREAssistanceProgram

Is there any way to get cheap or free counseling without going through social services?

I have medical insurance, but I am looking for something cheaper. I am in grad school and can receive free counseling through school. I went in to discuss a possible appointment, but I found that I am not comfortable being so vulnerable in my school environment. Does anyone know how to get in touch with counselors-in-training who may offer cheaper services? Or any other ways to get cheap or free counseling?

You can get free, anonymous computerized counseling thru Moodgym, a project by australia nat'l university. It is kinda fun!

I find that cognitive behavioral therapy really puts a lot of emphasis on the cognitive part, and almost nothing about the behavioral part. so below are some practical tips that counselors never seem to talk about

exercise more
get enough sleep (and watch out for poor quality sleep, or a sleep disorder)
regularly socialize with friends
if you are ruminating over bad stuff, distract yourself by doing something else
don't listen to sad music no matter how nice the melody is
take mini vacations- an hour in the park, feeding ducks, fishing, whatever. give yourself permission to do that, instead of working all the time.  You gotta have balance, or you will burn out in grad school.
learn to meditate and to breathe deeply, not in your chest, but in your abdomen

if you look in the yellow pages, there will be therapists or clinics that offer sliding scale fees - the therapists that take reduced fees are usually the young ones.  Personally, I got most benefit from group therapy for sexual abuse, and for bipolar problems, the practical tips helped most.  I still ended up with a poor result, getting kicked out of grad school because I couldn't do my work, and I've been disabled from even part time work for years.  oh well. There are limits to the help that a person can get. I think antidepressants made me totally disabled by making the undiagnosed bipolar so severe, being that my brother got totally disabled at the same time when he took prozac also.  And meds never made the bipolar any better, after 15 years of trying. But the meds did make my behavior much worse. The docs just tacked on a borderline personality diagnosis, even though the problems only showed up in my late 20's.  I got off meds a year and a half ago, and after 6 months off meds, the problem behaviors (kicking holes in the walls, smashing digital camera etc) just . . . . went away.  So I have nothing good to say about meds, and really recommend that you pursue counseling and do practical interventions and avoid the meds.  The meds make your thinking less sharp also, never a good thing!  Also, I have read that in academia, there is great prejudice against those with mental disorders, worse than among poor, uneducated people. I don't know if that is true, but you should be aware of that so you can check into it.

What's the best way to express feelings without self harming or counseling?

I used to attend counseling but it didn't help. I have self harmed for a while but I wish to stop as it's starting to hurt more now than it has done before. I need something that i can do to express my anger, frustration, upset and other emotions without hurting anyone or breaking anything.

~ write it all down in a long letter to yourself.
  ~ start concentrating on physical activity. A healthy body = a healthy mind. walking is good. Stomp out your frustrations. 
  ~ consider talking  to a friend, informal counselling in the form of a having a friendly ear is as old as the hills and has been used by women for generations, with as good results if not better than formal counselling,
  ~ be easy on yourself too. give yourself a break. Take time out and have a laugh. you are not alone!

good luck !

How can you get psychiatric care or counseling without insurance?

My girlfriend suffers from Bipolar disorder, depression and anger issues.  But, she has no health insurance and can't get the psychiatric care or counseling help she desperately needs.  

Can anyone tell me of an organization or facility in the Dallas/Ft. Worth area or a national program that could help this sweet but tortured girl get help?

Yes you can get treatment without insurance. Texas and most other states have a community mental health system.

Through these clinics your girlfriend can receive services such as: doctors visits, medications, skills training, housing help, vocational help, case management, and counseling. 

In Texas these are county offices.  In Dallas County it is MetroCare Services 

In Tarrant it is MHMR of Tarrant County

If you are in a different county please contact me and I can get you the contact information for that agency.

Hope this helps. Good luck and remember you can encourage her, but she has to be the one to seek services and make a change.

How is the job market and salary range in counseling and psychotherapy?

I want to get back to college and get my master degree In counseling and psychotherapy ,does anybody know how the job market is and what is the salary range?

Employment for counselors is expected to grow much faster than the average for all occupations through 2016. However, job growth will vary by location and occupational specialty. Job prospects should be good due to growth and the need to replace people leaving the field.

Overall employment of counselors is expected to increase by 21 percent between 2006 and 2016, which is much faster than the average for all occupations. However, growth is expected to vary by specialty.

Employment of substance abuse and behavioral disorder counselors is expected to grow 34 percent, which is much faster than the average for all occupations. As society becomes more knowledgeable about addiction, it is increasingly common for people to seek treatment. Furthermore, drug offenders are increasingly being sent to treatment programs rather than jail.

Employment for educational, vocational and school counselors is expected to grow 13 percent, which is about as fast as the average for all occupations. Demand for vocational or career counselors should grow as multiple job and career changes become common and as workers become increasingly aware of counseling services. In addition, State and local governments will employ growing numbers of counselors to assist beneficiaries of welfare programs who exhaust their eligibility and must find jobs. Other opportunities for employment of counselors will arise in private job-training centers that provide training and other services to laid-off workers and others seeking to acquire new skills or careers. Demand for school counselors may increase due in large part to increases in student enrollments at postsecondary schools and colleges and as more States require elementary schools to employ counselors. Expansion of the responsibilities of school counselors should also lead to increases in their employment. For example, counselors are becoming more involved in crisis and preventive counseling, helping students deal with issues ranging from drug and alcohol abuse to death and suicide. Although schools and governments realize the value of counselors in helping their students to achieve academic success, budget constraints at every school level will dampen job growth of school counselors. Federal grants and subsidies may help to offset tight budgets and allow the reduction in student-to-counselor ratios to continue.

Employment of mental health counselors is expected to grow by 30 percent, which is much faster than the average for all occupations. Mental health counselors will be needed to staff statewide networks that are being established to improve services for children and adolescents with serious emotional disturbances and for their families. Under managed care systems, insurance companies are increasingly providing for reimbursement of counselors as a less costly alternative to psychiatrists and psychologists.

Jobs for rehabilitation counselors are expected to grow by 23 percent, which is much faster than the average for all occupations. The number of people who will need rehabilitation counseling is expected to grow as advances in medical technology allow more people to survive injury or illness and live independently again. In addition, legislation requiring equal employment rights for people with disabilities will spur demand for counselors, who not only help these people make a transition to the workforce but also help companies to comply with the law.

Marriage and family therapists will experience growth of 30 percent, which is much faster than the average for all occupations. This is due in part to an increased recognition of the field. It is more common for people to seek help for their marital and family problems than it was in the past.

Job prospects. Job prospects vary greatly based on the occupational specialty. Prospects for rehabilitation counselors are excellent because many people are leaving the field or retiring. Furthermore, opportunities are very good in substance abuse and behavioral disorder counseling because relatively low wages and long hours make recruiting new entrants difficult. For school counselors, job prospects should be good because many people are leaving the occupation to retire; however, opportunities may be more favorable in rural and urban areas, rather than the suburbs, because it is often difficult to recruit people to these areas.

Median annual earnings of wage and salary educational, vocational, and school counselors in May 2006 were $47,530. The middle 50 percent earned between $36,120 and $60,990. The lowest 10 percent earned less than $27,240, and the highest 10 percent earned more than $75,920. School counselors can earn additional income working summers in the school system or in other jobs. Median annual earnings in the industries employing the largest numbers of educational, vocational, and school counselors were as follows:
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How can I convince my wife to seek counseling She is Bi polar and has ocd It is affecting our marriage?

We have been married for six years and I treat her like a Queen but she still cannot seem to be happy she has changed her medicines she now takes prozac she also drinks alcohol and cant seem to stop with just one drink .I know she has feelings for me she has agreed to try to work it out but it seems like I am the one with all the problems. We need counseling because someone other than me needs to tell her about the effects of her drinking with her disorder. I love this woman with all my heart But I am afraid her compulsive desicions are going to mess her life up and all I can do is sit back and watch. She is a wonderful person she deserves to get better.

I imagine you have probably tried to talk with her about the issues you mention above, and it's getting you nowhere.  Do you know of somebody whom she has the utmost respect for (like maybe a member of her family or one of her closest, most-trusted friends)?  If you do know of somebody that seems to somehow always manage to get through to her, maybe it would benefit you to talk with this person and see if he or she would be willing to talk with your wife about agreeing to some counseling?  Though you may not want to involve others in your marital problems, if they love your wife as much as you do then I'm sure that they would be happy to do whatever they can to help her get better.

Now if others have already talked with your wife and nothing seems to work, then maybe you should get some help yourself.  Neglecting your feelings and sufferring in silence beside your wife cannot be good for you and so if she does not want to do anything for herself, then let her be but take care of you.

How do I tell my mom that I want counseling?

And possibly anti-depressants? My mom has them and goes to counseling like once a month. I've had these problems for a longggg time, I've just been in denial and thought I could deal with it all on my own. Well, I'm 17 and guess what, it hasn't went away yet. Even when I'm happy I don't smile. I know my life is not bad, but I don't feel that way. And I'm a bit anti-social. So how do I tell her, because I'm afraid?

Since counseling is not a new concept to your mom there is no need for you to worry about telling her. She will perfectly understand and would support you as she knows the benefit of taking counseling. 

You have to consider your mental health as a priority. When you feel that you are depressed it is very important that you seek help without delay. 

You don't need to feel that you are anti-social because anti-social people won't accept that they are anti-social in the first place! Please be strong and ask your mom to arrange an appointment with a counselor. Another possibility is taking online counseling for which you need not worry about asking your mom to arrange. You are only a few clicks away from an online therapist. All the Best!