Tag Archives: training

To train or not to train, THAT is the question!

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I’ve been working therapeutically online, alongside face to face counselling, for around six years now providing therapeutic interventions via VOIP, synchronous and asynchronous text and over the phone.  I’ve worked with groups, one to one and supported an entire global online therapeutic community.  Believe me when I say the switch incurred a steep learning curve in the early days and I’m still learning now!

So, when I hear other practitioners saying that they’re qualified to work online because they’re qualified counsellors, therapists, psychologists or psychiatrists I break out in a cold sweat and develop a bit of a twitch!  Is it true that the BACP don’t tell you, you HAVE to undertake additional training to work on line?  Well…yes it is, but what they actually say is:

“Practitioners who offer online services need to ensure that they are suitably trained and qualified for their work and BACP recommends (Anthony, K. And Jamieson, A., 2005) that online work should be considered as a specialist area and practised only by those with extensive post-qualification experience of face-to face work. In addition, appropriate further training or professional development is strongly recommended before deciding whether to use the Internet for provision of therapy.” (BACP, October 2007)

And in my opinion we need to take their recommendation very seriously.

To work online, particularly with text, you need to find beauty and power in the words you use to sculpt your responses.  You need to be able to find the hidden meaning (where one exists) in a pause or typo and you need to enjoy creating vivid pictures, and indeed worlds, with your text.

Now….it will be of no real surprise to you that I love words :).   I’ll reread a well crafted phrase and the insights it allowed a client to reach with a sense of deep satisfaction and reflect on things I could have said differently to promote further development for the client.  There is a clarity provided by a complete transcript of a session that can’t be obtained through the subjective reflection on a face to face session that I relish.

To work online takes passion, and faith that this type of therapy works…it also takes preparation and training because you’ll feel things you didn’t know where possible, you’ll be frustrated at times and you’ll be surprised and even shocked if you haven’t done your research!

Imagine for a moment that you’re in your counselling room sitting opposite an acutely distressed client…they hold their head in their hands and clutch a tissue as tears stream uncontrollably down their cheeks.  Struggling to breath, and on the verge of the disclosure you’ve been working towards for several months, they promptly disappear…into thin air…..POOF!  How would you feel and what would your concerns be?  What would you have in place to make sure that client was safe?  Of course this doesn’t happen outside of the realms of sci-fi but when you’re working online a disconnection (deliberate or otherwise) will feel very much as I’ve described.

The considerations involved in working online are numerous they include the technology you would need to look into, a difference in the way we practice, the law, insurance issues and many other areas.  In all honesty it’s a minefield…but it’s worth it.

If you’d like to contact me to talk about the subject please e-mail me at jane.fahy@hushmail.com and if you’d like to learn more about some of the training that’s out there please go to http://onlinetherapyinstitute.com/ .

Thanks for reading 🙂

Jane Fahy (RMBACP)

 

Clinical Services Manager, Gambling Therapy

Tutor, Online Therapy Institute

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The Forgotten Friends and Family

Many organisations that work with problem gamblers focus mainly on the problem gambler themselves however, the effects on those around them can be devastating. Just take a look at how people are affected by the problem gambling of someone close to them for an idea of how much of an impact problem gambling can have on families:

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The partner or husband/wife of a PG

  • My PG often causes rows to give him an excuse to go out and gamble
  • My wife is too busy gambling online to attend family functions
  • My boyfriend no longer showers or takes care of himself in the way that he used to
  • My fiancé is moody all the time and I don’t know what to say for the best
  • My husband is often withdrawn and won’t talk to me about what is bothering him
  • I worry about the emotional health and security of my children

The child of a PG

  • I worry about the constant fights my parents have
  • My dad isn’t getting any younger and I am concerned about the effect this might be having on his health
  • I never seem to be able to do anything right, all I get is criticism
  • My mom is embarrassing me in front of my friends with her appearance and behaviour
  • I never expect anything for my birthday anymore but it hurts me when my dad forgets about his grandchildren
  • We don’t spend time together anymore
  • I can’t get the uniform and other things I need for school and I am being made fun of because of it

The parent of a PG

  • My son is always lying to me and manipulating me so that he can get his own way
  • My daughter regularly takes money from my purse and has now been caught shop lifting
  • My daughter frightens me sometimes because she can become violent if I don’t give in to her
  • My son can take off for days at a time and I don’t know where he is
  • My son has lost his job and now I feel that I have to help him to provide for his family
  • My daughter tells me that this addiction is all my fault

The friend of a PG

  • My friend is always asking me for money
  • My friend often lets me down when we are supposed to be going out
  • My friend asks me to lie for him when anyone asks where he is or what he is doing
  • My friend has stolen from me

Counselling, or otherwise supporting, the friends and family of problem gamblers often feels harder to me that supporting the gambler themselves. Each time I speak to someone new to the online service I work for I feel the same sense of powerlessness being transmitted through the Wi-Fi. I hear the same woeful cries of “If I could stop gambling FOR them I would” and the question that pulls at my heartstrings the most… “Is it my fault?”

As practitioners we have to fight through the feeling of powerlessness, there ARE ways in which friends and family can protect themselves and there are ways in which we can support them. Sometimes the most liberating thing we can say to a friend or family member is “It can happen to anyone, at any time, from any background so no, this isn’t your fault”.

Our role is to provide a safe outlet for the confusing emotions pouring out of our clients and give them the information they need to make sense of their situation. Of course the more practical advice around separating finances etc. is important but it’s secondary to the most valuable tool in our toolkit, acceptance. That might sound pretty common sense but given that problem gambling is still not widely understood, or in some cases even accepted as an addiction, those that love a problem gambler might have a battle on their hands when it comes to getting the support they need outside of their relationship with us.

In my remote training course, Counselling Problem Gamblers Using Blended Technologies, I talk more about the specifics around supporting the friends and family of problem gamblers online. You can find more information about this training course via the following link:

http://www.kateanthony.net/cpdspecials/

Thanks for reading 🙂

Jane Fahy (RMBACP)

Turtor, Online Therapy Institute

Clinical Services Manager, Gambling Therapy

Unleashing the Training Brain

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I was recently called upon, by Kate Anthony CEO of the Online Therapy Institute, to empty the contents of my brain, concerning working with problem gamblers, into a platform for remote training. It’s an odd sensation trying to pick over the knowledge and experiences you’ve accumulated over six years to try and determine what information might be interesting and useful and help others to support a client group you’ve developed quite a passion for. I think part of me was initially reluctant to share too much, what if everyone started supporting problem gamblers and I had no one left to work with?!? But then I thought about that, what if many more counsellors, social workers, support workers and addiction specialists started to support problem gamblers? Surely that would mean the client group I cared so deeply for, and frequently commented there wasn’t enough support globally for, DID get more support? That’s exactly what I want! 🙂

So here I am, after weeks of wondering… “Will they want to know about this” and hunting down other online resources each time asking myself…”Will they find that useful?” I’ve finally finished writing the course content! I’ve tried to cover as many of the aspects of working online, offline or both, with problem gamblers as I could fit into a ten hour course. I feel it will give anyone with an interest in working with problem gamblers by blending face to face and online support a robust grounding in the subject.

The areas covered are:

  • How do you know if someone has a gambling problem?
  • The theory of problem gambling
  • Working with problem gamblers
  • Working with friends and family
  • Online support for problem gamblers
  • Gaming and internet use for problem gamblers
  • Managing suicide and risk online
  • Using blended technology in a face to face and residential setting

If you’re interested in helping problem gamblers and you want to know more about the course please drop me a line at the following e-mail address, I’m eager to share my passion for working with this remarkable client group with others!

If you want to learn more about online therapy in general, the Online Therapy Institute have some amazing short courses that might be of interest to you 🙂

jane.fahy@hushmail.com

 

When Worlds Collide (First Published in TILT Magazine in May 2013)

Ok, so I’m not a techie, not really a techie, although I am married to a techie 🙂 but I do like online gaming and social networking and I have been known to frequent chat rooms in my distant past.  But all of that, well it’s just childishness really, just harmless escapism with no useful application; I wasn’t learning anything or developing any skills whilst engaging in these frivolous activities….or so I thought!

2014-04-08 17.53.26This is me 🙂

But I’m getting ahead of myself. I started my training as a counsellor about nine years ago, before that I worked in banking which is all very dull and irrelevant so I won’t bore you with that! At the time I had an eighteen month old daughter and I was working part time so I thought, well this is it, now or never, let’s do something that I really care about and my foray into counselling began.  I loved it every bit as much as I thought I would but with coursework and placements everything got a little bit stressful and I needed a way to unwind which is when my lovely (techie) husband said “Well why don’t you give World of War craft a go?”

So I did 🙂 by day I was a mild mannered (somewhat) trainee counsellor, mother and wife and by night I was a spell slinging uber mage with a penchant for turning monsters into sheep (Seriously you can’t make this stuff up). I loved the double life, the responsibilities I had for my personal and professional growth and development, for my clients and for my family were tucked away safely in the back of my mind while I romped through a fantasy world where I could be, or do anything.

But what did you learn, I hear you cry? Well my typing speed increased first and foremost! I learnt to work with large groups of people and communicate clearly with them via text.  I learnt that relationships forged online have value, my fellow players were not merely pixels on a screen they were mothers and soldiers and students, they laughed and cried and became frustrated (often with me, because in all honesty I wasn’t that great at the game!) and they were friends.  Eventually however I simply didn’t have the time to dedicate to the game and so with reluctance WoW and I parted ways.

Let’s move on a couple of years….

Having worked with compulsive gamblers for two years in a land based venue I was approached by an organisation that delivered support and therapy to problem gamblers online.  I’ll be honest here, I wasn’t convinced! How could I convey empathy, compassion and understanding via a computer screen?  How could I work with body language without a body to observe?  But that’s when it occurred to me, all of those times when I had understood others that I had only ever met online, I had shared things with those people whilst running away from goblins or trying to stop the zombie apocalypse.  Those connections had been real; those feelings had been real and those relationships had existed beyond and outside of cyberspace. So in that moment I understood that if I could recreate the strength of those connections with clients, albeit as part of a therapeutic alliance rather than a friendship, I could provide effective support and therapy.

I would like to say here that the epiphany didn’t mean that I was magically able to deliver effective online support just because I used to be a gamer.  Far from it! Certain ways of expressing things online are simply not appropriate when you are working therapeutically yet my fingers wanted to type the words anyway so I had to be very aware of that to start off with.  So I reached the decision to do things properly.  Proper training a high level of dedication and a wholehearted belief that I can really make a difference to others by delivering therapy online are what I need and whilst I have two out of three it is the first of these things that led me here.

I look forward to learning more and I know it won’t be easy but this is important to me so I’m prepared or work for it!

This article was first published in TILT Magazine (Therapeutic Innovations in Light of Technology) and I am pleased to say I have since qualified and continue to work therapeutically online.