You are on page 1of 23

HIV AIDS Counseling

Counseling incorporates a process of empowerment for persons with HIV. Living with HIV does not mean living despite HIV
02/10/08 Bharti'2K 1

Importance
 Infection is life long  Diagnosis of HIV has enormous psychological pressure and anxiety that can delay constructive change or worsen illness  Behavioral change can prevent acquiring HIV or transmitting it to others
02/10/08 Bharti'2K 2

Introduction
 Counseling is an interpersonal interaction & dialogue between a client and someone who is trained and skilled in counseling.  It is a helping process where one explicitly and purposefully gives one’s time ,attention and skills to assist a client explore their situation,identify and act upon solutions within the limitations of their given environment.
02/10/08 Bharti'2K 3

OBJECTIVES
 1.Provide psychosocial support to those already affected-may be HIV+ve or AIDS,  2.Prevent HIV infection.

02/10/08

Bharti'2K

4

Counseling as a process

can

 Ensure passing on correct information  Provide support at time of crisis  Encourage change when required  Help the client identify immediate & long term needs
02/10/08 Bharti'2K 5

Counseling Can
 Propose realistic actions in different situations for different people  Assist clients to accept and act on information on health&well being,and  Help client to be well informed and appreciate technical,social,ethical and legal implications of HIV testing
02/10/08 Bharti'2K 6

WHERE?

ANYWHERE
 Ward,clinic,blood bank,school,mandir/guruduara.
02/10/08 Bharti'2K 7

 WHO?

Anyone
 You,me,doctor,nurse,psychologist,LT

,social worker,pharmacist

02/10/08

Bharti'2K

8

Who is a Good counselor?
 Own values must not influence(open,non judgmental)  Must respect culture and traditions of client(positive regard for client)  Must take into account prevailing beliefs about ailments in general and HIV in particular(knowledgeable)

02/10/08

Bharti'2K

9

GOOD COUNSELOR
 Must help clients and families to discover culturally acceptable ways of expressing emotions,anger,guilt,fear,sadness(culturally sensitive)  Patient and good listener  Able to maintain confidentiality  Objective with clarity.
02/10/08 Bharti'2K 10

Techniques of Counseling
 Active listening/attending  Reflection of feeling  Questioning-open ended,not multiple choice or Y/N type  Paraphrasing-repeat client’s statement in your own words.Essence/summary of client’s words.  Interpretations
02/10/08 Bharti'2K 11

Contents of Counseling
 Primarily to prevent reinfection  Basic information about HIV infection,opportunistic infections and means of transmission  Specific information on risk reduction by changing risk behaviors(safe sex,safe syringes and safe motherhood)
02/10/08 Bharti'2K 12

Contents of Counseling
 How to tell others that one is HIV positive  Handling hostility-fear & feeling about having HIV  Supporting the process of anticipatory grief  Planning continued involvement of client in self care
02/10/08 Bharti'2K 13

Contents of Counseling
 Establishing a supportive network to provide physical and emotional care during the course of the disease  Exploring the ways of taking care of survivors  Accepting fear of death and continue to provide emotional support

02/10/08

Bharti'2K

14

STAGES
 Forming rapport and gaining trust  Defining and understanding roles ,boundaries and needs  Process of ongoing,supportive counseling  Closure or ending counseling relationship.it can be tapered off like we taper steroids

02/10/08

Bharti'2K

15

Supportive Behavior of Counselor
     VERBAL  Encourages:”I Client’s see”,”Yeah,go on.” language  Addresses by proper Repeat client’s adjective,behanji,prah statement ji etc. Explain clearly  Gives needed information. Summarises  Uses humor. Respond to  No criticism. primary message
Bharti'2K 16

02/10/08

Supportive Behavior of Counselor Non Verbal
 Client’s tone  Look into client’s eyes  Nod occassionally
02/10/08

 Use facial expressions

 Use occasional gestures

Bharti'2K

17

Non supportive Behavior of Counselor Verbal
 Advising  Preaching  Blaming & judging  Cajoling  Interrogating  Excess reassuring  Straying on the topic  Encouraging dependence  Patronising attitude  Directing,demanding

02/10/08

Bharti'2K

18

 Looking away  Keeping a distance  Yawning  Frowning  Blank face

Non Supportive Behavior of counselor Non Verbal

 Using unpleasant tone of speech  Speaking too fast or too slow  Moving around  Fidgeting.

02/10/08

Bharti'2K

19

CONCLUSIONS
Counseling is an art and science  Requires self knowledge,discipline and restraint besides knowledge of HIV  Counselor should have a balance between warmth and acceptability on one hand and objectivity on the other.

02/10/08

Bharti'2K

20

CONCLUSIONS
 Approaches may be different but a counselor should have qualities of caring,empathy,self-awareness,cultural sensitivity and patience  Counseling techniques include active attending,reflection of feeling,questioning,interpretation,confrontation and summarizing
02/10/08 Bharti'2K 21

CONCLUSIONS
 Counseling relationship has stages of rapport forming,demystifying counseling process and beginning the process of history taking and needs definition,actual work of supporting clients decisions,feelings and help him/her change and finally ending of relationship.
02/10/08 Bharti'2K 22

thanks

02/10/08

Bharti'2K

23