256 – TEAM CBT

Building Rapport in Counselling – Use of Transitional Objects in Therapy

In Episode 256 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly are back with this week’s three topics:

• Firstly in ‘Theory in Practice’, we look at building rapport.
• Then in ‘Practice Today’, Rory and Ken discuss transitional objects.
• And finally in ‘Practice Matters’, Rory speaks with Sean Connolly about TEAM CBT.

Building Rapport in Counselling [starts at 02:34 mins]

Building rapport is a vital part of the therapeutic relationship. Listen as Rory and Ken take us through some of the key aspects of rapport and rapport building:

• Rapport is about finding mutual, common ground – giving a little bit of yourself to another person and them reciprocating.
• It’s a starting point.
• Trust is built through rapport, maybe leaving a client more willing to share.
• It consists of neutral and safe dialogue that shows you’re interested in the other and listening.
• By using appropriate self-disclosure, you’re showing that you’re tuned in as a fellow human being.
• Non-verbal communication – your facial expression, leaning slightly forwards.
• Being open and honest if you feel that the rapport is not there.
• Manage the relationship – try to keep it buoyant.
• Congruence and exercising patience.
• Take it to supervision if you feel there is a problem with the rapport between you and your client – discover whether it is a reluctance/issue on your end or the client’s.
• Revisit rapport – it’s something that can differ from person to person, a skill that can constantly be developed.

Use of Transitional Objects in Therapy [starts at 23:09 mins]

I’m sure anyone listening can identify at least one object that you have, or have had, that worked as a transitional object.

The key points of this section include:

• A transitional object is an object that can help someone to self-regulate.
• Memories, places and people can be contained within, and connected to, an object.
• They can sometimes transport you back to a time and/or place.
• Sometimes even a person, such as you as the counsellor, can work as a transitional ‘object’ for someone e.g. “What would […] do?”
• You can use a transitional object to help your client if there is going to be a break from sessions – something they can look at or hold that will remind them of what’s been discussed in sessions and help them to self-regulate.
• It could work as an ending – something the client can take away as a reminder of the progress they’ve made.

TEAM CBT [starts at 37:01 mins]

In this week’s ‘Practice Matters’, Rory speaks with Sean Connolly about TEAM CBT.

The main points of this discussion include:

• TEAM:
• T – testing the client’s mood at the beginning and end of sessions, looking for any progress (or lack/backwards step in progress). This creates room for a conversation about this and things that could be done differently or what needs to be focused on.
• E – empathy. This is important for the therapeutic relationship. You need to be able to understand what has happened to the client, and empathy will help them to open up to you. Empathy is certainly vital, but is it enough on its own?
• A – assessment of resistance. Is the anxiety a client is feeling actually serving them? E.g. is their anxiety acting as motivation for them to complete assignments etc. Without this anxiety would they become too laidback? How do you negotiate with this and work instead to dial down the anxiety rather than try to take it away completely.
• M – method. If you try a method and it doesn’t work, simply try the next one. Once you find a method that works for a person, it will generally always work for them.
• Finally, this discussion on TEAM CBT reminds us not to be precious about modality, but to be flexible.

Links and Resources

Counselling Skills Academy

Advanced Certificate in Counselling Supervision

Basic Counselling Skills: A Student Guide

Counsellor CPD

Counselling Study Resource

Counselling Theory in Practice: A Student Guide

Counselling Tutor Shop

Facebook group

Website

Online and Telephone Counselling: A Practitioner’s Guide

Online and Telephone Counselling Course