MODULE TWO: COUNSELLING - FHI 360 Center for Global Health ...

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GRIEF COUNSELLING YEF HIV/AIDS Hotline counsellors can offer some basic help to callers who have lost loved ones to AIDS or who are AIDS patients themselves. They should remember that callers who are suffering from severe depression due to a death should seek professional counselling. Following are some simple suggestions for helping a caller deal with his/her grief. The steps do not necessarily have to be carried out in this order. 1. Give the caller permission to grieve. Reassure the caller that grief is a normal reaction to death. Encourage him/her to express his/her feelings and cry if s/he wants to. This especially important for men, who are often raised to appear strong and hide their emotions. 2. Assess and support the grieving process Ask the caller to tell you his/her story, and assess where s/he is at in the grieving process. Once this is determined, offer the appropriate support for that stage: Stage 1: Shock or Denial Ask the person what they fear the most about the death. Encourage them to look at photos of the deceased or visit the gravesite. Encourage them to talk with someone they can trust. Stage 2: Anger Encourage the caller to express his/her anger. This can be done through talking to others, beating a pillow with a stick, kicking the rubbish can or screaming in a private place. Stage 3: Guilt Reassure the caller that everyone makes mistakes, and nobody is perfect. Life is not all happiness, and it is normal for people to disagree and hate. Explore ways that the caller can relieve his/her guilt. Stage 4: Depression, despair and intense pain Reassure the caller that it takes time to recuperate from a death and that expressing their feelings can help. Encourage them to cry in order to express their pain. Stage 5: Re-establishment of balance Congratulate the person for reaching this stage, but be sure to acknowledge how difficult it must have been. Encourage him/her to express his/her feelings, because people in this stage not be fully healed yet. Session 9 – Pg. 5
3. Help the caller to express his/her feelings and acknowledge the client’s sense of loss Ask open-ended questions to help a caller explore and verbalise his/her feelings. (Ex: “How did you feel watching him/her die?”). Ask him/her what the hardest thing is to deal with on a daily basis. Acknowledge his/her feelings. 4. Explain what the caller can expect next For some callers, it may help to explain the stages of the grieving process, so that they know what to expect and understand that they will eventually be able to conquer their grief. For example, a counsellor might say to a client who is in denial: “I know that your wife’s death is hard to accept. Once you are able to accept that she is gone, however, then you will be able to heal yourself. While you are recovering from your loss you may experience feelings of guilt or anger, and you will feel a lot of pain. Eventually, though, you will be able to cope with your grief.” Such information may be too much for other callers to handle, especially if they want their grief to disappear overnight. The counsellor will need to make this decision on a case-by-case basis. 5. Encourage the caller to seek support and develop a plan Ask caller how s/he has dealt with loss in the past, and help him/her assess whether this strategy would be appropriate for the present situation. Encourage the caller to seek support from friends, family members or professional sources. Provide referrals if necessary. Counselling Scenarios 1. You are a 35-year old woman whose husband just died of AIDS a week ago. You have recovered from the initial shock, but are dealing with intense feelings of anger. He got infected with HIV through having sex with prostitutes behind your back. You learned a few months before his death that you are also infected with HIV, but you are not sick yet. You have two children, but luckily they are not infected. You are scared about caring for them alone and are also afraid to face the possibility of your own death. A friend told you to call the YEF HIV/AIDS Hotline to see if there were any support groups that you could join. 2 You are a 15-year old boy whose mother died of AIDS six months ago. You were very close and still miss her terribly. Your father deserted you when you were little, so your mother was the head of the household. You have been forced to drop out of school in order to earn money to support yourself and your three brothers. You feel guilty that you weren’t able to care for your mother well enough to keep her from dying. Your aunts and uncles all live back in the village, so you don’t have any adults to turn to for support. A friend suggested that you call the YEF HIV/AIDS Hotline to talk to someone about your problems and see if you could get any help with household expenses. Session 9 – Pg. 6
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MODULE TWO: COUNSELLING
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• Discussed special issues relati
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HOTLINES IN THE CONTEXT OF HIV/AIDS
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SESSION 2 Self-Awareness CONTEXT AN
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VALUES AND ATTITUDES REGARDING HIV/
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HANDOUT Self-Awareness Attitudes An
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HANDOUT Attitudes Exploration Read
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SESSION 3 Counselling Process CONTE
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with the HIV/AIDS, both in terms of
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Following is a summary of the TASO
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COUNSELING SELF-ASSESSMENT EVALUATI
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SESSION 4 Counselling Skills CONTEX
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Page 39 and 40: #1 TO TEST OR NOT TO TEST? The aim
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Page 53 and 54: they feel frustrated with the conve
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Page 81 and 82: •Talk to others Share your feelin
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Page 85 and 86: Dealing with Burnout Burnout can be
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Page 89 and 90: HANDOUT HIV/AIDS Information Post-T
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Page 93 and 94: Guidelines for Giving Feedback Part
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Page 111 and 112: P.O.BOX 742 BAYELSA STATE. 7. BENUE
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Page 117 and 118: Society for Women and AIDS in Niger
Page 119 and 120: FEDERATION OF MUSLIM WOMEN ASSOCIAT
Page 121 and 122: CHRISTIAN ASSOCIATION OF NIGERIA Ch
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