Transcription of Deaf Health Video: What is Counseling

Below is an English translation of ASL VLog #1: What is Counseling?


ASL VLog #1: What is Counseling?

Hello from the Deaf Health Clinic!

You may have heard of counseling, or psychotherapy, which is just another fancy word that mean counseling. What is counseling? Is it just like “talking to someone?” No, it is not as simple as talking/signing to someone. Yes, we do talk/sign in counseling, but unloading all your thoughts is not always good. However, holding everything in all the time is also not always good. So we need to find some balance.  Here are some examples of some things we may discuss,

Maybe if you have been holding on to something that you need to let out, and you allow it out, now you can look at it and the hope is it may fade. Maybe you have some problems that you need some assistance with problems solving so you can make a positive change in your life. Maybe something bad happened to you when you were growing up, or you developed low self-esteem – I can help support, remind you that you are good, and you are okay. If you struggle with poor relationships, like with a spouse or partner, or with a child, you and I can practice new behavior to help your relationship be more productive. If you have a chronic health condition, or experience ongoing life stressors, we can develop some home practices to improve your overall wellbeing. And yes, sometimes just talking/signing about it does help, for example, in some cases where the situation cannot be changed, like after a death, or when you have become an “empty nester”.  This is not an exhaustive list of things we can address in therapy; we can talk about your needs.

It is often important to have clear goals in counseling. Because, the plan should not be that you come to therapy weekly for years on end. Most people are in counseling for about 6 months to a year, or maybe off and on for a few years. The goal is to help improve your condition, then you can take what you have learned and apply it independently in your daily life. But to be clear, I always leave my door open to anyone if something new happens in your life, or if you have a recurrence of symptoms. I do this myself; I have seen my own therapist intermittently throughout my life. Does this mean I go every week forever? No, just like I do not see a doctor weekly, but I go see her when there is something I need addressed. 

In subsequent vlogs I will talk about specific types of therapy. For now, let us look at a short clip of what a counseling session may look like. This mock example was filmed with my colleague, Kelley. And yes, it was filmed before I got a haircut a bit ago, so I may look a bit different. 

Leslie- Hello, that you for coming to see me. What brings you to come see me?

Kelley- I have been struggling with a lot of stress at home and at work. I am not sleeping well, and I am crying a lot. I just feel really stressed. It is hard for me to admit, something I do not tell people, but I have been feeling distraught in a lot of ways. I am not sure how to address it myself. 

L- Yes, that’s a tough problem that a lot of people experience. I am glad that you came to talk with me about it. Let’s talk more about what has been going on for you, and we might talk more about your life history to see if there is anything from your past that might help us figure a plan to help you feel better. Also, I like to come up with some goals to let me know how I can best direct our therapy together. What are some things you would like to work on?

K- I would like to feel less stress, I would like to sleep better because I tend to have racing thoughts that seem to make it hard to sleep, and I have been feeling really empty inside lately and I want to go back to enjoying time with my family. I do not feel like I enjoy time with my family right now. 

L- Good. Those are goals we can work on. We will come back to those later. Now let’s talk a little more about you, what it was like for you growing up, what your family was like, to help me get to know you a bit better. 

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L- We are coming close to the end of our time together today. Thank you for sharing so much with me. I know that can be hard. I want to give you some “homework” of some things to work on until we see each other again. I want you to keep a list of how much you sleep each night, either on paper, or find one of those sleep tracking apps to record how many hours you sleep each night. And I want you to practice calm breathing, which is counting inhale for 4 and exhale for 4- do that for 5 minutes every day. Can you try that now? Good. Just repeat that. It doesn’t matter if you have other thoughts that pop-up, or if you get distracted, just return to counting your inhale and exhale for 5 minutes. 

K- Why do I do that calm breathing? What purpose does that serve? 

L- Good question. When you start paying attention to your breathing like this, it sends a message to your body to relax, and often people feel relaxed afterward. So practice daily for 5 minutes, okay? 

K- Sure, I can try that. I hope it helps! 

L- Me too. 

K- I look forward to seeing you next time! 

L- We will check in next week, or in two weeks to see how you are doing. Sound good? 

K- Yes, thanks. 

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If you have questions or if you would like to talk more about if counseling might be a good fit for you, please call us on VP or email. Thanks and have a nice day from the Deaf Health Clinic! Bye!

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If you are interested in becoming a patient at our health center, please contact our office at 810-355-2743 (video phone) or 734-426-2796 (voice phone). For more information about our behavioral health services, visit our Deaf Mental Health page.

Learn more about our counseling services by watching these ASL VLogs from Deaf Health Clinic Licensed Medical Social Worker Leslie Pertz, LMSW, NIC. Links to English transcriptions of the ASL videos appear below each video.