+ The many uses of imageries and metaphors in problem gambling counselling Lowell Wan & Letty Tumbaga Bentleigh Bayside Community Health
+ We all have used metaphors and images in our clinical practice effective with ’clients who are not verbally or conceptually fluent, have depressive affect or are emotionally and cognitively overwhelmed‘ enhance clinician’s understanding of the client’s underlying dynamic, especially when ‘clients’ direct verbal dialogue is constricted and insight into problems and their causes is limited‘ alternative method of engaging and communicating with clients
Motivational interviewing • Gambling problem Financial/Money management • Direct consequences Exposure therapy, other cognitive-behavioural interventions on finances, self, work for urge reduction, etc. and family Therapeutic recovery, repair and skills Triggers/Precipitating Factors development • Low Self ‐ esteem Impulse control • Grief and loss Emotional monitoring • Alienation, disconnection, & expression disengagement with life Self ‐ regulation Relationship difficulties/issues • Assertiveness • Experience of abuse (sexual, physical) Conflict resolution • Trauma, PTSD Communication Comorbid issues: example ‐ Chronic • Problem solving mental health issues (depression, Integration anxiety, substance abuse, personality Meaning making disorder, psychosis) Mindfulness Relationship repair
+ Family history
+ Presentation
+ Recovery
+ Motivational interviewing (MI) help clients recognise and resolve their ambivalence and prepare them for change Carries specific concepts that make it possible for drawings/images to be Upcoming Project: incorporated in its application. Use of Motivational Interviewing and Imagery in Problem Client’s drawings illustrate, often Gambling Counselling illuminate their thoughts, feelings and experiences of problem gambling and their movements towards change
+ Discussion Thank you!
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