370 – Grounding Techniques in Counselling Practice

Understanding ARFID – Finding Your First Supervisor

In Episode 370 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week’s three topics:

• Firstly, in ‘Ethical, Sustainable Practice’, they explore grounding techniques in counselling practice, highlighting key techniques every counsellor should know and why these skills are essential for safe, trauma-informed work.
• Then in ‘Practice Matters’, Rory speaks with Bernie Wright and Lisa Smith about ARFID (Avoidant Restrictive Food Intake Disorder) – what it is, how it presents, and why it is often misunderstood, particularly in neurodivergent individuals.
• And finally, in ‘Student Services’, Rory, Ken and Paul Cullen discuss how to find your first supervisor – what to look for, what questions to ask, and why the supervisory relationship matters so much in your development.

Grounding Techniques in Counselling Practice [starts at 03:46 mins]

In this section, Rory and Ken explore grounding techniques in counselling practice, highlighting why every counsellor should understand how to help clients return to the here and now when they become distressed or overwhelmed.

Key points discussed include:

• Grounding techniques are essential when a client becomes emotionally overwhelmed, dissociates, or is pulled into traumatic memories.
• Therapy happens in the here and now – if a client is reliving the there and then, effective therapeutic work cannot take place.
• Simple distraction and attention-shifting techniques (e.g. talking about neutral topics) can gently bring a client back into the present moment.
• Body-based grounding techniques, such as noticing physical sensations or using the 5-4-3-2-1 method, help regulate the nervous system.
• In more extreme trauma responses, reorientation techniques may be needed to remind the client where they are and that they are safe.
• Grounding is collaborative, individual, and most effective when practised regularly and introduced early.

Understanding ARFID (Avoidant Restrictive Food Intake Disorder) [starts at 37:45 mins]

In this week’s ‘Practice Matters’, Rory speaks with Bernie Wright and Lisa Smith about ARFID – a complex eating disorder that is often misunderstood as “fussy eating” but can have serious physical and emotional consequences.

Key points from this conversation include:

• ARFID is not driven by body image concerns but by fear, anxiety, sensory sensitivities, and sometimes neurodivergence.
• Recent guideline changes mean weight alone should no longer determine access to support – behavioural signs and functional impact are key.
• Neurodivergent individuals, particularly autistic people, may be more vulnerable due to sensory processing differences and rigidity around routines.
• Restricted diets can lead to nutritional deficiencies that impact brain function, creating a cycle of anxiety and further restriction.
• Interventions should be gradual and non-threatening – introducing small changes, using food chaining, and keeping “safe foods” in place.
• Battles around food can increase anxiety and shame; curiosity, patience, and flexibility are more effective approaches.

Finding Your First Supervisor [starts at 01:01:32 mins]

In this section, Rory, Ken and Paul Cullen reflect on the importance of choosing your first supervisor carefully and what to consider when beginning your clinical practice journey.

Key points include:

• Supervision is an ethical requirement and becomes central to your practice the moment you begin seeing clients.
• The supervisory relationship must feel safe enough for you to discuss mistakes, uncertainties, and the full reality of your work.
• A supervisor should understand your modality and, where relevant, have knowledge of online and telephone working.
• Good supervision is not simply a friendly chat – it should challenge you, stretch you, and support your professional growth.
• Students are entitled to ask questions about a supervisor’s experience, knowledge of legislation, and approach to supervision.
• While some placements assign supervisors, it’s important to reflect on fit, autonomy, and whether the arrangement supports your development.

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 Training and CPD

Facebook group

Website

Online and Telephone Counselling: A Practitioner’s Guide

Online and Telephone Counselling Course