{"id":75318,"date":"2024-02-24T12:00:00","date_gmt":"2024-02-24T12:00:00","guid":{"rendered":"http:\/\/counsellingtu.onpressidium.com\/?p=75318"},"modified":"2024-02-21T15:45:50","modified_gmt":"2024-02-21T15:45:50","slug":"working-with-self-harm-in-therapy","status":"publish","type":"post","link":"https:\/\/counsellingtutor.com\/working-with-self-harm-in-therapy\/","title":{"rendered":"292 \u2013 Working with Self-Harm in Therapy"},"content":{"rendered":"\n\n\t\t\t\t<a href=\"https:\/\/counsellingtutor.com\/working-with-self-harm-in-therapy\/\" target=\"_self\" itemprop=\"url\" rel=\"noopener\">\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/counsellingtutor.com\/wp-content\/uploads\/2024\/02\/CT-Podcast-Ep292.jpg\" alt=\"CT-Podcast-Ep292 featured image - Topics Discussed: Ethical Framework in Supervision - Working with Self-Harm in Therapy - Do's and Don'ts of Logging Client Hours\" itemprop=\"image\" height=\"350\" width=\"730\" title=\"CT-Podcast-Ep292\" onerror=\"this.style.display='none'\"  \/>\n\t\t\t\t<\/a>\n\t<h1>292 &#8211; Working with Self-Harm in Therapy<\/h1>\n\t<h2>Ethical Framework in Supervision &#8211; Do&#8217;s and Don&#8217;ts of Logging Client Hours<\/h2>\n\t<div class=\"smart-track-player-container stp-color-006cb5-EEEEEE spp-stp-desktop\" data-uid=\"55310acd\"><\/div><div class=\"spp-shsp-form spp-shsp-form-55310acd\"><\/div>\n\t<a href=\"https:\/\/itunes.apple.com\/gb\/podcast\/counselling-tutor\/id1080407675#\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/counsellingtutor.com\/wp-content\/uploads\/2012\/12\/subscribe_itunes-button-small.jpg\" alt=\"subscribe_itunes button small\" width=\"144\" height=\"49\" \/><\/a>\n\t<p>In Episode 292 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly are back with this week&#8217;s three topics:<\/p>\n<ul>\n<li>Firstly in &#8216;Ethical, Sustainable Practice&#8217;, we look at the ethical framework in supervision.<\/li>\n<li>Then in &#8216;Practice Matters&#8217; Rory speaks with Kate Day about working with clients who self-harm in therapy.<\/li>\n<li>And lastly in &#8216;Student Services&#8217;, we look at the dos and don&#8217;ts of logging your client hours.<\/li>\n<\/ul>\n\t<div id=\"cbox-vODZZySnaq10cn4g\"><\/div>\n\t<h2>Ethical Framework in Supervision [starts at 02:48 mins]<\/h2>\n\t\t\t<h5>This segment of the Counselling Tutor Podcast is sponsored by<\/h5><h3>WebHealer.net<\/h3>\t\t\t\n\t\t\t\t<ul>\n<li>WebHealer are the <strong>go-to provider of websites for private practitioners<\/strong> in the UK.<\/li>\n<li>Established over 20 years, WebHealer offers a <strong>non-technical and fully supported service<\/strong> to help therapists grow their private practice.<\/li>\n<li><strong><em>Just one customer from your website each year pays for their service.<\/em><\/strong><\/li>\n<\/ul>\n<p>Go to\u00a0<strong><a href=\"https:\/\/www.webhealer.net\/ct\/\" target=\"_blank\" rel=\"noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/webhealer.net\/&amp;source=gmail&amp;ust=1662253577981000&amp;usg=AOvVaw2VmbZf9eQZM37VpJUQ4xLQ\">WebHealer.net<\/a>\u00a0<\/strong>and use coupon <strong>CT100<\/strong> for \u00a3100 off their &#8220;Do it for me&#8221; service.<\/p>\n\t\t\t<a href=\"https:\/\/www.webhealer.net\/ct\/\" target=\"_blank\" rel=\"noopener\" role=\"button\" aria-label=\"Visit WebHealer.net\">\n\t\t\t\t\t\t\tVisit WebHealer.net\n\t\t<\/a>\n\t<p>When in supervision, the ethical framework is something that should come up regularly in relation to your topics of discussion. In this section, Rory and Ken highlight some of the reasons this can be so important:<\/p>\n<ul>\n<li>Revisiting your ethical framework will help make sure you understand your obligations.<\/li>\n<li>It can offer guidance in complex situations.<\/li>\n<li>It might not always be about a client, you can consult your ethical framework in relation to a professional challenge in an organisation.<\/li>\n<li>You might speak about protecting a client&#8217;s data.<\/li>\n<li>It can allow you to make defensible decisions.<\/li>\n<li>Protects your practice.<\/li>\n<li>Fosters trust in the profession through ethical and successful counselling.<\/li>\n<li>Supports client welfare.<\/li>\n<li>Might help prevent potential instances before they come because you&#8217;re aware of the ethical framework.<\/li>\n<li>Helps with your own professional development.<\/li>\n<li>If your supervisor doesn&#8217;t bring it in, you can.<\/li>\n<li>Consider how does what you&#8217;re bringing to supervision link to, or impact on, the ethical framework?<\/li>\n<\/ul>\n\t\t\t<h5>Theory to Practice is sponsored by<\/h5><h3>Counselling Skills Academy<\/h3>\t\t\t\n\t\t\t\t<p>Learn counselling techniques by seeing\u00a0<em><strong>counselling skills used in real sessions by qualified therapists<\/strong><\/em>.<br \/>Real sessions &#8211; real-life presentations &#8211; real skills.<\/p>\n\t\t\t<a href=\"https:\/\/counsellingskillsacademy.com\/\" target=\"_blank\" rel=\"noopener\" role=\"button\" aria-label=\"Click Here for More Information\">\n\t\t\t\t\t\t\tClick Here for More Information\n\t\t<\/a>\n\t<h2>Working with Self-Harm in Therapy [starts at 22:46 mins]<\/h2>\n\t<p>In this week&#8217;s &#8216;Practice Matters&#8217;, Rory speaks with Kate Day about working with clients who self-harm.<\/p>\n<p>The key points of this discussion include:<\/p>\n<ul>\n<li>There can be many reasons why people might self-harm: self-punishment in response to self-loathing or anger, to gain a sense of control or self-regulation, to express their distress, dissociate or relieve unbearable tension.<\/li>\n<li>Those who are neurodivergent are particularly vulnerable.<\/li>\n<li>The experience and meaning of self-harm can differ greatly from person to person.<\/li>\n<li>When working with self-harm in therapy, think about what is going on underneath the behaviour &#8211; what is driving the harm?<\/li>\n<li>There are many different ways to self-harm, and it&#8217;s not always physical.<\/li>\n<li>Psychological-based self-harm &#8211; repeating harmful behaviours and patterns as a form of self-sabotage.<\/li>\n<li>Allow the client space and time to openly talk about their self-harm with a skilled and empathic practitioner.<\/li>\n<li>Remain non-judgemental.<\/li>\n<li>Facilitate change by working with and supporting the client, not by trying to &#8216;fix&#8217; them.<\/li>\n<li>Practice coping strategies, see what works for them as an individual.<\/li>\n<li>When working with self-harm in therapy, find the underlying feelings.<\/li>\n<li>Listen to the client, pick up on non-verbal cues.<\/li>\n<li>Offer reassurance that their thoughts and anxieties are going to be taken seriously.<\/li>\n<li>If you feel there is a need to break confidentiality, be open and honest with the client, try to get their consent and help them to understand.<\/li>\n<li>The wound somebody may or may not have, doesn&#8217;t necessarily show the severity of how distressed a person is feeling inside.<\/li>\n<\/ul>\n\t\t\t<h2>Counselling Study Resource:<\/h2><h3>Assignment Guidance &#038; Study Support for Counselling Students<\/h3>\t\t\t\n\t\t\t\t<ul>\n<li><strong>Academic Lecture Library<\/strong> &#8211; Lectures that cover key theory, skills and professional development linked to your counselling study.<\/li>\n<li><strong>Assignment Guidance<\/strong> &#8211; Complete assignment exemplars and portfolios of work that have been passed by both tutors and awarding bodies.\u00a0<\/li>\n<li><strong>Theory Decoded, Skills Mastery and More<\/strong> &#8211; Counselling theories and skills are broken down into easy-to-understand &#8216;chunks&#8217;, with clear examples to guide you.<\/li>\n<\/ul>\n\t\t\t<a href=\"https:\/\/counsellingtutor.com\/csr\/\" target=\"_blank\" rel=\"noopener\" role=\"button\" aria-label=\"Learn More\">\n\t\t\t\t\t\t\tLearn More\n\t\t<\/a>\n\t<h2>Do&#8217;s and Don&#8217;ts of Logging Client Hours [start at 44:57 mins]<\/h2>\n\t<p>When in placement to become a qualified counsellor, don&#8217;t let logging your hours incorrectly hold you back. In this section, Rory and Ken take us through some of the dos and don&#8217;ts of logging your client hours:<\/p>\n<ul>\n<li>Make sure you are logging your hours on the correct form, in the correct format.<\/li>\n<li>Find out how many hours you need.<\/li>\n<li>Make sure you are doing full counselling hours, not 20 or 30 minute sessions.<\/li>\n<li>Every hour has to be supervised &#8211; this also needs to be logged on your form.<\/li>\n<li>Look at your ethical body and your course requirements. What exactly do they need from you?<\/li>\n<li>Make sure your log is clear.<\/li>\n<li>Check requirements regarding if you have to have the same supervisor all the way through.<\/li>\n<li>Clarify anything you are unsure of &#8211; ask questions, look at guidelines, etc.<\/li>\n<\/ul>\n\t\t\t<h5>Get on-demand Certified CPD that is implementable in your practice<\/h5><h3>Counsellor CPD Library <\/h3>\t\t\t\n\t\t\t\t<ul>\n<li><strong>Over 150 hours of on-demand CPD lectures<\/strong> to help you stay current with your CPD ethical requirements<\/li>\n<li><strong>Support, and be supported<\/strong>, by thousands of other counsellors as a member of the exclusive online community.<\/li>\n<li><strong>Access your learning anytime you want<\/strong> &#8230; anywhere you choose &#8230; using any device type &#8211; desktop or mobile.<\/li>\n<\/ul>\n\n\t\t\t<a href=\"https:\/\/counsellingtutor.com\/online-cpd-for-counsellors\/\" target=\"_blank\" rel=\"noopener\" role=\"button\" aria-label=\"Click Here for More Information\">\n\t\t\t\t\t\t\tClick Here for More Information\n\t\t<\/a>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/counsellingtutor.com\/wp-content\/uploads\/2021\/05\/Counsellor-CPD-what-is-inside.png\" alt=\"Counsellor CPD Library - computers and mobile phone showing what is inside the CPD library for counsellors\" title=\"Counsellor CPD Library - what is inside\" itemprop=\"image\"\/>\n\t\t<h3>Free Handout Download<\/h3><p>Discussing Ethical Frameworks in Clinical Supervision<\/p>\n\t\t\t<a href=\"#cb3687b646\" target=\"_self\" rel=\"noopener\">\n\t\t\t\t\t\tClick Here to Download Free Handout\n\t\t\t\t\t<\/a>\n\t<h2>Links and Resources<\/h2>\n\t<p><a href=\"https:\/\/counsellingskillsacademy.com\/\" target=\"_blank\" rel=\"noopener\">Counselling Skills Academy<\/a><\/p>\n<p><a href=\"https:\/\/counsellingtutor.com\/counselling-supervision-training-online\/\" target=\"_blank\" rel=\"noopener\">Advanced Certificate in Counselling Supervision<\/a><\/p>\n<p><a href=\"https:\/\/counsellingtutor.com\/skillsbook\/\" target=\"_blank\" rel=\"noopener\"><em>Basic Counselling Skills: A Student Guide<\/em><\/a><\/p>\n<p><a href=\"https:\/\/counsellorcpd.com\/\" target=\"_blank\" rel=\"noopener\">Counsellor CPD<\/a><\/p>\n<p><a href=\"https:\/\/counsellingtutor.com\/csr\/\" target=\"_blank\" rel=\"noopener\">Counselling Study Resource<\/a><\/p>\n<p><a href=\"https:\/\/counsellingtutor.com\/rorys-new-book\/\" target=\"_blank\" rel=\"noopener\"><em>Counselling Theory in Practice: A Student Guide<\/em><\/a><\/p>\n<p><a href=\"https:\/\/counsellingtutor.com\/shop\/\" target=\"_blank\" rel=\"noopener\">Counselling Tutor Shop<\/a><\/p>\n<p><a href=\"https:\/\/www.facebook.com\/groups\/472203952972076\/?source_id=178634356065334\" target=\"_blank\" rel=\"noopener\">Facebook group<\/a><\/p>\n<p><a href=\"https:\/\/counsellingtutor.com\/\" target=\"_blank\" rel=\"noopener\">Website<\/a><\/p>\n<p><a href=\"https:\/\/www.amazon.co.uk\/Online-Telephone-Counselling-Practitioners-Guide-ebook\/dp\/B08W21Y3Q6\/ref=sr_1_2?dchild=1&amp;keywords=rory+lees-oakes&amp;qid=1612778690&amp;sr=8-2\" target=\"_blank\" rel=\"noopener\"><em>Online and Telephone Counselling: A Practitioner&#8217;s Guide<\/em><\/a><\/p>\n<p><a href=\"https:\/\/counsellingtutor.com\/online-and-telephone-counselling-course\/\" target=\"_blank\" rel=\"noopener\">Online and Telephone Counselling Course<\/a><\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>292 &#8211; Working with Self-Harm in Therapy Ethical Framework in Supervision &#8211; Do&#8217;s and Don&#8217;ts of Logging Client Hours In Episode 292 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly are back with this week&#8217;s three topics: Firstly in &#8216;Ethical, Sustainable Practice&#8217;, we look at the ethical framework in supervision. Then [&hellip;]<\/p>\n","protected":false},"author":13127,"featured_media":75321,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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