Counselling Frequently Asked Questions (FAQs)

1. What is counselling?

Counselling is a professional service provided by trained therapists to help individuals manage and overcome personal challenges, mental health issues, and emotional difficulties. It involves talking with a counsellor in a safe, confidential environment to explore feelings, thoughts, and behaviors.

2. Who can benefit from counselling?

Anyone can benefit from counselling, including individuals, couples, families, and groups. It is helpful for those experiencing stress, anxiety, depression, relationship issues, grief, trauma, and many other emotional and psychological problems.

3. How do I know if I need counselling?

You might benefit from counselling if you are experiencing persistent feelings of sadness, anxiety, or hopelessness; struggling with relationships; finding it hard to cope with daily life; dealing with a significant life change; or if you just feel that talking to someone could help you gain clarity and support.

4. What happens during a counselling session?

During a counselling session, you will talk with your counsellor about the issues you are facing. The counsellor will listen, ask questions, and help you explore your thoughts and feelings. They may offer different perspectives and assist you to explore strategies, with the aid of techniques to help you manage your challenges and situations more effectively.

5. How long does counselling last?

The duration of counselling varies depending on the individual’s needs and the nature of their issues. This is agreed between therapist and client at the initial assessment session when objectives are set. Some people may benefit from a minimum of six sessions, while others might require counselling for three months or longer. Short term counselling is any period of up to two years usually of one session weekly. Open-ended therapy is of two-years or longer.

6. Is counselling confidential?

Yes, counselling is confidential. Counsellors are bound by ethical guidelines to protect your privacy. However, there are exceptions and limits to confidentiality, when there is a risk of harm to yourself or others, or if there is a legal requirement to disclose certain information e.g. terrorism, drug and people trafficking.

7. How do I choose the right counsellor?

Choosing your counsellor involves considering factors that include the counsellor’s qualifications, experience, and areas of expertise. It is also important to find a counsellor with whom you feel comfortable and can trust. You might start by asking others for word of mouth recommendations, researching online, or contacting professional counselling organizations for referrals e.g. https://www.bacp.co.uk/search/Therapists (BACP); https://www.psychotherapy.org.uk/about-ukcp/our-register/ (UKCP)

8. What types of counselling are available?

There are various types of counselling, including:

  • Individual Counselling: One-on-one sessions focusing on personal issues.
  • Couples Counselling: For partners dealing with relationship issues.
  • Family Counselling: Involves multiple family members to address family dynamics.
  • Group Counselling: Involves a group of people with similar issues, led by a counsellor.
  • Specialized Counselling: Focuses on specific issues that include addiction, trauma, or career guidance.

9. How much does counselling cost?

The cost of counselling varies widely depending on factors that include the counsellor’s qualifications, location, and the length and type of sessions. Some counsellors offer sliding scale fees based on income, and some services may be covered by insurance or provided for free or low cost by community organizations.

10. What if I don’t feel better or can recognise sufficient change after a few sessions?

Depending on the scope of your goals and expectations that are agreed at the initial assessment session, counselling may take some time before significant changes are noticed. If you do not feel there has been sufficient improvement after a few sessions, discuss your concerns in a review session with your counsellor. They can adjust the approach, offer different techniques, or refer you to another professional if necessary.

11. What is the difference between a counsellor, a psychotherapist, a psychologist, and a psychiatrist?

  • Counsellor: A professional who provides talking therapy for emotional and mental health issues, often with a focus on specific problems.
  • Psychotherapist: a professional therapist who engages in deeper, more intensive therapy to address complex emotional and psychological issues.
  • Psychologist: A professional with advanced training in psychology who can provide therapy and conduct psychological assessments.
  • Psychiatrist: A medical doctor who specializes in mental health, who can prescribe medication, and provide therapy.

12. Can I receive counselling online?

Yes, many counsellors offer online counselling via video calls, phone calls, or messaging. Online counselling can be a convenient option for those with busy schedules, mobility issues, or who prefer the comfort of their own home, or who live remotely and far from easy access to a face-to face therapist of their choice.

13. How do I prepare for my first counselling session?

To prepare for your first counselling session, consider what you hope to achieve and think about the issues you want to discuss. Be ready to share your history and any current challenges. It’s also helpful to write down any questions you have for your counsellor and any doubts and fears you may have regarding the counselling process.

14. What if I feel I need urgent help?

If you require urgent help and are in crisis, contact emergency services or a crisis hotline in your area. Many regions have 24/7 hotlines for immediate support.

15. Is counselling effective?

Counselling is generally effective and can lead to significant improvements in mental health and well-being. Success depends on factors that include the nature of the issue, the fit / rapport between the counsellor and client, and the client’s engagement in the process. Research demonstrates that therapy can help reduce symptoms of mental illness, improve quality of life, and enable clients’ involvement in their personal development

Conclusion

Counselling can be a valuable resource for navigating life’s challenges and improving mental health. If you are considering counselling, reach out to a professional to discuss your needs and explore your options.

Bill Commerford 2024