1. Integrating Skills for Effective Counseling Molly Kellogg, RD, LCSW

2. THE CHANGE PROCESS Engaging Focusing Evoking Planning Molly Kellogg, RD, LCSW

3. Our Outline How to both engage AND focus Caring for ourselves to avoid burnout Molly Kellogg, RD, LCSW

4. Fundamental Counseling Skills Open questions Affirm Efforts and Strengths Reflect Summarize

5. Engagement skills Introduce yourself with eye contact Client-centered small talk Reflect Use your body language Discuss the goals and ask for input Open with open questions Roll with resistance Molly Kellogg, RD, LCSW

6. When to move on to focus and planning “You get me.” Attend to body language including eye contact Has the client shared some of what matters and/or asked questions? Molly Kellogg, RD, LCSW

7. Focusing Reflect any possible topics you hear and ask permission to discuss Looking back, what steps did it take? What might you work on in the next few weeks? If there were something you would do for your child’s health, what would it be? Molly Kellogg, RD, LCSW

8. When it too much has been evoked Affirm something Empathize and contain Offer choice Offer focused support Molly Kellogg, RD, LCSW

9. Affirming Thanks for coming in today. That’s a great suggestion. You clearly want to do as much as you can for your health. You can be very persistent when you set your mind to something. I would find that difficult to deal with too.

10. Empathize and contain you’re really upset about your daughter’s father, and it’s making it hard to focus on her nutrition. You’re worried about your home situation. What part might we be able to problem- solve about today? Molly Kellogg, RD, LCSW

11. Offer choice and support Menu of topics Suggest brief discussion Include not addressing nutrition as an option Offer support Offer referrals Molly Kellogg, RD, LCSW

12. Definition of burnout Trying to change someone else’s life and being attached to the results. Molly Kellogg, RD, LCSW

13. Making sessions easier on you Watch the “righting reflex” Rolling with Resistance Use Elicit/Provide/Elicit when giving advice Molly Kellogg, RD, LCSW

14. Roll with Resistance Express empathy Affirm something Reflect ambivalence Acknowledge resistance Support choice Molly Kellogg, RD, LCSW

15. When it’s time to provide advice Elicit What client already knows and wants to know Provide information in neutral manner Elicit client’s response to, interpretation of the information

16. Take care of yourself Remind yourself you are doing your best Find ways to vent (without disrespect) Ask for support from colleagues Take breaks, breathe Leave work at work Self-care at home Molly Kellogg, RD, LCSW