All About
Counseling
Anita A. Neuer, LPC--Certified
in EMDR and MBTI
When
should you seek counseling?
From childhood through late adulthood, there
are certain times when we may need help addressing
problems and issues that cause us emotional
distress or make us feel overwhelmed.
While there is a difference between sadness/confusion and
clinical depression, counseling can help in both situations, and
many others.
When you are experiencing these types of
difficulties, you may benefit from the assistance of an
experienced, trained professional. Professional counselors offer
the caring, expert assistance that we often need during these stressful
times. A counselor can help you identify your problems and
assist you in finding the best ways to cope with the situation
by changing behaviors that contribute to the problem or by
finding constructive ways to deal with a situation that is
beyond your personal control.
Professional counselors offer help in
addressing many situations that cause emotional stress,
including, but not limited to:
anxiety, depression, and other
mental/emotional problems
family and relationship issues
substance abuse and other
addictions
sexual abuse and domestic
violence
eating disorders
career change and job stress
social and emotional
difficulties related to disability and illness
adopting to life transitions
the death of a loved one
"Good indicators of when you should seek
counseling are when you’re having difficulties at work, your
ability to concentrate is diminished or when your level of pain
becomes uncomfortable," says Dr. Gail Robinson, past
president of the American Counseling Association. "However,
you don’t want to wait until the pain becomes unbearable or
you’re at the end of your rope."
"If someone is questioning if they should
go into counseling that is probably the best indicator that they
should," says Dr. William King, a mental health counselor
in private practice in Indianapolis, Indiana. "You should
trust your instincts."
Joyce Breasure, past president of the American
Counseling Association and a professional counselor who has been
in private practice for more than 20 years, recommends
counseling when you:
Spend 5 out of 7 days
feeling unhappy
Regularly cannot
sleep at night
Are caring for a
parent/child and you think about hitting that person
Place an elder in a
nursing home or in alternative care
Have lost someone
or something (such as a job)
Have a chronic or
acute medical illness
Can no longer
prioritize what is most important in your life
Feel that you can no
longer manage your stress
"If you're not playing some, working
some, and learning some, then you’re out of balance. There's a
potential for some problems," Breasure says.
Robinson points out you don’t have to be
"sick" to benefit from counseling. "Counseling is
more than a treatment of mental illness," she says.
"Some difficult issues we face in life are part of normal
development. Sometimes its helpful to see what you’re going
through is quite normal." Counseling helps when your
normal coping skills don't seem to be working.
What is professional
counseling?
Professional counselors work with individuals,
families, groups and organizations. Counseling is a
collaborative effort between the counselor and client.
Professional counselors help clients identify goals and
potential solutions to problems which cause emotional turmoil;
seek to improve communication and coping skills; strengthen
self-esteem; and promote behavior change and optimal mental
health. Through counseling you examine the behaviors, thoughts
and feelings that are causing difficulties in your life. You
learn effective ways to deal with your problems by building upon
personal strengths. A professional counselor will encourage your
personal growth and development in ways that foster your
interest and welfare. For more information on the
credentialing process for counselors, please click the link on
the left marked "LPC
Requirements"
Will my health insurance cover
counseling?
Many insurance and coverage plans cover mental
health services by a licensed professional counselor including
some Medicaid programs, CHAMPUS, Blue Cross & Blue Shield, and other government-sponsored
health coverage programs. If you do not have health insurance,
or if your coverage does not include mental health care or the
services of a professional counselor, many professional
counselors will work with clients on a sliding-fee scale or will
offer a payment plan. Talk to your counselor about your options.
How long does counseling take?
Ideally, counseling is terminated when the
problem that you pursued counseling for becomes more manageable
or is resolved. However, some insurance companies and managed
care plans may limit the number of sessions for which they pay.
You should check with your health plan to find out more about
any limitations in your coverage. During the first few
counseling sessions your counselor should also discuss the
length of treatment that may be needed to achieve your goals.
Is everything I say
confidential?
All members of the American Counseling
Association and the American Mental Health Counselors
Association subscribe to the Code of Ethics and Standards of
Practice which require counselors to protect the confidentiality
of their communications with clients. Most state licensure laws
also protect client confidentiality. As a client, you are
guaranteed the protection of confidentiality within the
boundaries of the client/counselor relationship. Any disclosure will be made with
your full written, informed consent and will be limited to a
specific period of time, usually one year, but you can request a
shorter length of time. The only limitations to confidentiality
occur when a counselor feels that there is clear and imminent
danger to you or to others (especially a child or an elderly
adult), or when legal requirements compel confidential information
to be disclosed, such as a court case.
Whenever possible, you will be informed before confidential
information is revealed.
Together, you and your counselor will set
goals, work toward achieving them, and assess how well you are
actually meeting them. Counseling can help you maximize your
potential and make positive changes in your life. Finally,
remember that counseling may be hard work at times but change
and progress do happen. A professional counselor can provide the
help and support to help you master the challenges of life.
Most of the above is taken from
the website of the American Counseling
Association. Additional information about counseling
can be found here, or through the "links"
page on this site.