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Glossary from "Counselling for Alcohol Problems" from PREMIUM Counselling Treatments, Vikram Patel.

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Action Plan

The Action Plan is the set of actions that the patient and the counsellor have agreed will be done in between one session and another. The Action Plan relates to the overall plan and to the Target Behaviour(s) discussed in the session, but it is an account of some more detailed steps that the patient will be taking in between one session and another


Using praise


By ambivalence we mean ‘having strong feelings in opposing directions’. For example, a patient with harmful drinking may realise that his drinking has started creating problems in his life and he should change; and at the same time he may also have a strong desire to continue drinking. Helping a patient to resolve such opposing feelings is a very important step in developing his ‘motivation to change’.

Ambivalent feeling about change


Acronym for Alcohol Use Disorders (AUD)



Acronym for Counselling for Alcohol Problems

Change Plan

The change plan is the overall plan outlining

  • What the changes are that the patient wants to achieve in counselling (e.g. to completely stop drinking) , outlining
  • What his main reasons are for wanting to change • What steps he wants to take to achieve this change
  • Who can help him achieve this, and how
  • How he will know if the plan is working
  • What could interfere with the plan
  • How these things could be dealt with

Change Talk

A patient’s statements which show that they are in favour of change are termed ‘change talk’. It helps patients to change their behaviour if they hear themselves stating that they want to do this. If we can encourage the patient to make ‘change statements’ or to generate ‘change talk’, it is more likely that they will go on to change.

Coping skills

Coping Skills are skills that our patients use to deal with (or cope with) challenging situations. These situations could include having an urge to drink, or feeling some negative emotion, or being pressurised to drink alcohol when it is not wanted.

PDF document Counselling Relationship_Manual (1)-7.pdf

Counselling Relationship Manual

General Counselling Skils in attached manual. 



Persistent sadness and loss of interest with reduced sleep/appetite, guilt feelings, feelings of hopelessness, etc.

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