COUNSELING LOG--OLA LAU

DATE TIME/LENGTH SKILL/APPROACH CLIENT'S DISEASE/ISSUE SELF/OBSERVER ANALYSIS

1. 10-22

6 minutes

OARS, Unpacking

Making a job change

Felt I did a good job with the skills mentioned. Very different and useful when used with friends. Noticed how often I would normally offer my opinion.

2. 10-22

7 minutes

Mirroring, unpacking

Post-surgery for stage 4 melanoma. Recovery, cancer prevention diet. Mistrust of allopathic medicine. Want help with raw food diet. Post-surgery for stage 4 melanoma. Recovery, cancer prevention diet. Mistrust of allopathic medicine. Want help with raw food diet. How to "be" while "doing" (not losing oneself)

I was a good, resistant client. Closed body language. Short, curt answers. Wanted help with eating plan with little RCDTs.

3. 10-25 4. 10-25

6 minutes 8 minutes

OARS, Unpacking, empathy OARS, Unpacking, empathy

I was a good, resistant client. Closed body language. Short, curt answers. Wanted help with eating plan with little RCDTs. This was a difficult topic. I did the best I could. I was the client in this session. The MI process was incredible to experience as both the client and with a view to assess the counselor's performance. I not only came up with my own plan, I performed the behavior the next morning, and for 5/6 following days (daily now).

5. 10-25

8 minutes

OARS, Develop discrepancy

How to incorporate exercise for physical issue

6. 10-30

60 minutes

OARS, Unpacking, empathy Develop discrepancy

Relationship ambivalence. Fear of a judgmental, critical partner. Happy with I listened well. Did a pretty good job life (8/10), wanting a relationship (9considering how long it went. She also gave 10/10), self-care/trust (10/10) me kudos. I was the client. Maureen was pretty skilled and funny. Again, I came up with own solution. Although I felt like I helped Maureen to arrive at clarity about her ambivalence, she was exhausted after our discussion I helped her arrive at conclusion she felt satisfied with. Particularly through unpacking there was clarity involving ambivalence and what was a viable future role for her.

7. 11-3

11 minutes

OARS, Develop discrepancy OARS, Unpacking, empathy Develop discrepancy OARS, Unpacking, empathy Develop discrepancy OARS, Unpacking, empathy Develop discrepancy

Improve sleep habit (no TV) Unclear, ambivalent about future role with professional association Leaving current job

8. 11-3 9.11-3

25 minutes 20 minutes

10. 11-5

10 minutes

11. 11-5

12 minutes

OARS, Unpacking

Unclear, ambivalent about future role with professional association Ambivalence, concern about adding an additional member to a duo who have I helped her arrive at a conclusion she felt worked together for awhile satisfied with. Maintaining supplement regimen as prescribed by doctor

12. 11-6

7 minutes

OARS, Develop discrepancy

I listened well and asked helpful questions.

13. 11-7

5 minutes

OARS, Unpacking

I asked good questions and refrained from Ambivalence about presidential choice advocating for my own preference.

14. 11-8

5 minutes

Open-ended questions

Ambivalence about rearranging plans

In a delicate situation with a family member I was able to not judge and alienate her

15. 11-9

17 minutes

OARS, Unpacking, empathy, empowering

Difficulty in professional situation, how I listened well, reflected back what I heard. to be heard and avoid being the Helped person to discover own self-efficacy identified patient and self-empowerment As this was our first conversation about her weight issue, I most listened. To be continued. She is recovering from chemo, seemed to just need a good ear This is a complicated problem going back to childhood issues. Felt I listened well, it was a good start. Needed to pay attention to my desire to offer advice. This is a long-time issue. It is easy for people to complain about their spouses. Helped direct the perspective towards what was in the person's control. This was really tricky. Managed to steer the person to think about his contribution to his son's behavior.

16. 11-9

12 minutesa

Unpacking, empathy

Life-long weight issue

17. 11-9

8 minutes

Unpacking, empathy

Fear of losing job

18. 11-10

5 minues

OARS, unpacking

Inability to ask for help

19. 11-10

20 minutes

OARS, Unpacking, empathy Develop discrepancy

Relationship ambivalence.

20. 11-11

15 minues

OARS, Unpacking, develop discrepancy

Bright son struggling in school

21. 11-15

20 minutes

Rapport building, empathy

Binging

As this is a colleague, I mainly listened as I know how complicated eating disorders are Person has healthy eating habits, just needed a little help/suggestions with meal/snack options that would sustain throughout the day. I did good.

22. 11-15

30 minutes

Open-ended questions, eliciting solutions from them

Meal planning

23. 11-15

5 mnutes

Open-ended questions, unpacking Conflicts with parents Open-ended questions, affirming, roll with resistance How to get more protein into diet Empathy, OARS Fear of impending job loss

I listened well. He caught me when I was really busy, could feel my mind was a little distracted Interesting session. Asked for my advice, but was not open to much. To be continued This went well, she felt like she had solutions I had to keep from laughing--it's the child in me that likes silly stuff. Actually, it was helpful for them. I listened well I did mostly OK, I did offer advice without permission. Mostly sought to empower her with her own solutions. I was the client. The other person was empathetic, encouraging, and helpful. This was a colleague at work who knows changes must be made. I did OK, to be continued. I think it's difficult when there is a huge discrepancy between knowledge and action. This was a great session. I was present, client was receptive & engaged. This will be an ongoing client (for free of course!)

24. 11-16 25. 11-16

10 minutes 30 minutes

26. 11-17 27. 11-17

15 minutes 8 minutes

Empathy, OARS, eliciting solutions Bad gas Unpacking, empathy OARS, eliciting solutions from client Empathy, self-efficacy Grief, loss of cat

28. 11-17 29. 11-19

15 minutes 10 minutes

Negotiating an employment contract Overwhelm

30. 11-19

12 minutes

Empathy, change talk

Weight loss, serious health issues

31. 11-20

22 minutes

OARS, eliciting solutions from client

Weight loss, joint pain

32. 11-20

17 minutes

OARS, empathy

Conflicts with her mother

This was my 15-yr old niece. I listened well, asked permission to give her a consideration, she was receptive. Another to be continued session. Had to refrain from alluding to victimhood. Was a good start. He just needed someone to listen to. I listened well, got her permission to volunteer to read her drafts Very busy Mom/executive. She had great ideas for more efficient shopping and meal cooking. Asked permission to offer additional suggestions.

33. 11-20 34. 11-26 35. 11-26

10 minutes 6 minutes 7 minutes

OARS, Develop discrepancy Empathy Empathy, open-ended questions

Assertiveness Step-son who won't look for work Fear about her book being published

36. 11-27

12 minutes

Open-ended questions, eliciting solutions from them

Meal planning

CLASS OBSERVATIONS
37. 11-26 5 minutes Open-ended questions, reflections, affirmation Open-ended questions, reflections, affirmation Pain, fatigue Counselor offered judgment, gave direction before asking for permssion Imposed motivation, Testing multivitamin too time intensive, offered external concern One of the best I saw. Great: Stating patient was the decisionmaker, rating, confidence scale. One issue of asking to work in food journal for her (counselor) Good intro, reflection, confidence rating, reference to next appointment

38. 11-26

5 minutes

Frequent feeling of faintness

39. 11-26

5 minutes

OARS

Ulcerative colitis

40. 11-26

5 minutes

OARS

Weight loss

41. 11-26

5 minutes

Unpacking, empathy

Hepatitis C

Could have asked first what she knew about Hep C, good body language, tone Could have asked more questions, ask first about dispensing advice, good motivation points, good presence Great: benefits, unpacking motivation. Could have expressed more empathy

42. 11-26

5 minutes

Unpacking, empathy, open ended questions Stage 1 esophageal cancer

43. 11-28

5 minutes

OARS

Cancer, graft rejection

44. 11-28

5 minutes

Open-ended questions, unpacking, reflection Weight loss for freshman in college

Good unpacking, mirroring, writing goals. Questions for motivation were leading.

45. 11-28

5 minutes

Open-ended questions

Offered too much personal judgement, too Drinking too much fruit juice, high BMI much suggesting, not enough eliciting. At this point in the class (you agreed with me), I offered the comment that there is a fine line between establishing positive, beneficial behavior and setting ourselves up as the dispenser of praise.

46. 11-28

5 minutes

Empathy, rapport

43 yr old mother of 3 with high BP and Chol.

47. 11-28

5 minutes

Unpacking, reflection

Great return back to the issue, good solution 33 yr old elf-employed band promoter, about shopping service, could have elicited tired, doesn't eat well, vegetarian ideas about solutions

48. 11-28

5 minutes

Mom concerned she is not eating Open-ended questions, unpacking enough

Good unpacking, asking about patient view on seriousness of issue. Offered too much direction.

49. 12-5

5 minutes

Rapport, roll with resistance, unpacking, mirroring, change talk, eliciting client's ideas, assessing readiness for change & confidence, asking permission, increasing self-efficacy, Constipation, not sure if there is an withholding judgement issue Rapport, roll with resistance, unpacking, mirroring, change talk, eliciting client's ideas, asking permission, withholding judgement Recovering meth addict,pre-diabetic

I think I was pretty good for 5 minutes--pace was a little fast, I spoke more, though other observers did not notice--must have been the treats. I offered evidence-based research. It was great to get to know Melissa.

50. 12-5

5 minutes

She did pretty good. I missed the point you picked up on--can't remember what that was. She is a great presenter.