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Our Mission is
to provide our Austin Counseling clients with services that help them
to create desired and ecological changes in their lives and improve their
wholistic life functioning. Counseling techniques are valuable tools
for individuals and organizations to change their behavior. We focus on assisting
organizations and individuals in improving their abilities and outcomes. Understanding
counseling and communication skills are vital for business organizations and
If you are interested
in learning more about counseling or if you are engaged in a personal
quest of your state of being and perhaps changing some habit or improving
some skill, you may find counseling to be a worthwhile experience.
many counseling services including:
Can I Benefit
the counseling profession there is a great deal of discussion
and debate about the effectiveness of counseling and psychotherapy.
Examination and research of the literature yields a variety of approaches
and explanations as to the effectiveness of helping. Research designs and
methodologies are often criticized and their flaws pointed out and recommendations
are given for improving the designs. The one constant that appears in all
of this frenzy of research deliberation is that almost all of the literature
and research concludes that counseling and psychotherapy are effective.
The degree to which counseling has been shown to be effective
varies greatly with the methodology being utilized but overall the success
and satisfaction rates seems to consistently remain very good.
of counseling has been examined in several studies and has
been shown to be generally effective. Examining the progress and outcome of
clients undergoing therapy, it is apparent that while the majority of clients
improve, a minority remain unchanged, and still others actually deteriorate
(Lambert & Cattani-Thompson, 1996). Rowland et al (2000) have shown that
counseled patients are significantly more likely to have recovered than non-counseled
patients in analyses of data from patients who were followed up, (OR=0.54,
95% CI 0.31, 0.97) (Chi-square=1.22; DF=1). Client outcomes are most often
determined by client variables such as chronicity, severity, motivation, defenses,
acceptance of responsibility for change, and complexity of symptoms other
than by counseling or individual counselor variables (Anderson & Lambert,
1995; Safran, Segal, Vallis, Shaw, & Samstag,1993).
conducted a meta-analysis of client outcomes in the United Kingdom and out
of 26 reports, 17 included a measure of client satisfaction. Hemmings' work
demonstrated that the number of participants who rated counseling
as helpful to very helpful ranged from 88% (Clwyd,1996) and 75% (Baker et
al, 1998) down to 66% (Gordon, 1995). Hemmings examined the study of Kingston
& Richmond (1997) where over half gave counseling the maximum rating for
helpfulness and it was noted that the high ratings were not dependent on the
counselor and there were not significant differences between
practices. One study examined by Hemmings found levels of client satisfaction
reported at 93% in East Kent (Bunker & Locke, 1998). The results of this
study might be criticized for being self-reported and influenced by social
approbation but this seems to be overcome by the large number of positive
comments (Hemmings, 2000).
rates in counseling appear to consistently appear in meta-analysis
of the literature. Lipsey & Wilson (1993) document a strong tendency,
in their meta-analysis, of the positive effects of counseling above the placebo
effect threshold. Smith, Glass, & Miller (1980) conducted a meta-analysis
of 475 psychotherapy trials and reported that psychotherapy was effective;
it was estimated to have an average effect size of 0.85 for all types of therapy,
clients and outcomes. The majority of these trials occurred in education (56%)
and hospital (12%) settings instead of a general practice setting (Smith,
Glass, & Miller, 1980). These studies seem to indicate a high rate of
success for counseling overall.
specific treatment approaches and efficacy studies there seems to be some
evidence of variability in success rates. Panic disorder treatment has been
shown to be most successful when a cognitive-behavioral interventions are
used (Barlow, Craske, Cerny, & Klosko, 1989; Michelson et at., 1990).
Behavior therapies have demonstrated powerful and superior effects for specific
problems in comparative studies (Emmelkamp, 1994). Behavioral techniques utilizing
systematic exposure have been shown to be very effective and superior to other
interventions when treating phobic disorders such as agoraphobia, simple phobias,
and compulsions; however, in the case of social phobias, generalized anxiety
disorders, or some combination of these exposure treatments are still effective
but not as effective or uniquely effective (Emmelkamp, 1994). Such research
has led to empirically supported treatments which are often put into a manual
format for treatment. Manualized treatments have been developed for numerous
conditions such as phobias, anxiety, personality disorders, depression, post-traumatic
stress disorder, panic, borderline personality disorder, and substance abuse
The vast majority
of the research when examined as a whole seems to indicate very positive outcomes
for counseling. Self-reported outcomes, follow-up studies,
and efficacy studies all show a generalized trend that indicates a significant
success rate for counseling and psychotherapy. There is still
a great deal of research that needs to be conducted to determine specifics
about determination of the optimal approaches and interventions to be utilized
within the larger framework of successful counseling and
psychotherapy. Ultimately, more qualitative measures need to be developed
to compliment the over-reliance on quantitative measures that currently dominate
the literature to refine the skills and outcomes of the helping relationship.
M., & Lambert, M. J. (1995). Short-term dynamically oriented psychotherapy:
A review and recta-analysis. Clinical Psychology Review, 9, 503-514.
Baker, R., Allen,
H., Penn W., Daw, P. & Baker, E. (1998). The Dorset Primary Care Counselling
Service research evaluation.
Barlow, D. H.,
Craske, M., Cerny, J. A., & Klosko, J. (1989). Behavioral treatment of
panic disorder. Behavior Therapy, 20, 261-282.
Bunker, N. &
Locke, M. (1998). South Kent Primary Care Counselling Service 1997-98. Report
to South Kent Community NHS Trust.
Clwyd Fhsa (1996).
Counselling in primary care: report on a one-year pilot project in the Scottish
Egan, G. (2002).
The Skilled Helper: A Problem-Management and Opportunity-Development Approach
to Helping (7th edition). Pacific Grove, CA: Brooks/Cole.
M. G. (1994) Behavior therapy with adults. In S. L. Garfield & A. E. Bergin
(Eds.), Handbook of psychotherapy and behavior change (4th ed., pp. 379-427).
New York: Wiley.
(1995). Evaluation of counselling in primary care.
(2000). Counselling in primary care: a review of the practice evidence. British
Journal of Guidance & Counselling, 28(2), 234-254.
& Richmond, R.G. (1997). Counselling in Primary Care Patient Survey 1997:
Lambert, M. J.
& Cattani-Thompson, K. (1996). Current findings regarding the effectiveness
of counseling: Implications for practice. Journal of Counseling & Development,
Lipsey, M. W.
& Wilson, D. B. (1993). The efficacy of psychological, educational, and
behavioral treatment: Confirmation from meta-analysis. American Psychologist,
48, 1181- 1209.
Marchione, K., Greenwold, M., Glanz, L., Marchione, N., & Testa, S. (1990).
Cognitive-behavioral treatment of panic disorder. Behavioral Research and
Therapy, 28, 141-151.
Godfrey, C., Bower, P., Mellor-Clark, J., Heywood, P., & Hardy, R. (2000).
Counselling in primary care: A systematic review of the research evidence.
British Journal of Guidance & Counselling, 28(2), 216-233.
Safran, J. C.,
Segal, Z. V., Vallis, T. M., Shaw, B. F., & Samstag, L. W. (1993). Assessing
patient suitability for short-term cognitive therapy with an interpersonal
focus. Cognitive Therapy and Research. 17, 23-38.
Smith M., Glass,
G. & Miller, T. (1980). The Benefits of Psychotherapy. Baltimore, MD:
John Hopkins University Press.
Questions, appointments, contact us at (512) 207-0549
or email us: email@example.com
Advanced Behavioral Consultants
604 B W. 9th St.
Austin, TX 78701
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information on this site is educational in context and is not to be used to
diagnose, treat or cure any disease. Please consult your licensed health care
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