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This document discusses the CEA method for using counseling skills in health education. CEA stands for Catharsis, Education, and Action. The Catharsis step involves identifying the patient's emotionally critical misperception using counseling skills to draw out their emotions. Education aims to educate the patient on what they need to know to correct their misperception. Finally, Action involves setting goals and treatment plans to motivate the patient to take steps based on the education provided. The overall approach uses counseling techniques to address a patient's psychosocial concerns alongside their physical symptoms.

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44 views

Cea2 0

This document discusses the CEA method for using counseling skills in health education. CEA stands for Catharsis, Education, and Action. The Catharsis step involves identifying the patient's emotionally critical misperception using counseling skills to draw out their emotions. Education aims to educate the patient on what they need to know to correct their misperception. Finally, Action involves setting goals and treatment plans to motivate the patient to take steps based on the education provided. The overall approach uses counseling techniques to address a patient's psychosocial concerns alongside their physical symptoms.

Uploaded by

drestelagalvez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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THE USE OF COUNSELING SKILLS

IN HEALTH EDUCATION:
THE CEA METHOD

Jenell Y. Oczon, MD, MPH, FPAFP


What makes our patient seek consultation?
ANXIETY
 Rhinorrhea
 Tearing
 Sneezing spells during the
cold weather
 Nasal stuffiness relieved in
warm areas
 Can smell and taste food
 No difficulty of breathing
 No fever
 No cough
 No sorethroat
 No body pains

SYMPTOMS
• Patients come
not just with one
problem but two:
• Physical
• Psychosocial

CATHARSIS
CATHARSIS
colds=
Perception/ COVID
misperception

Emotion-ANXIETY BEHAVIOR

TASK: TO BRING OUT THE EMOTIONALLY CRITICAL MISPERCEPTION


CATHARSIS

4 BASIC STEPS TO BRING OUT ECM:


1. What came to your mind when you started feeling your
symptoms?
2. What feelings came out when these thoughts came to
your mind?
3. What consequences of your illness make you feel this
way the most?
4. Summarize the ECM and the emotions associated with
it.
ALS IN CATHARSIS
 OPENING SKILLS
 Attending- giving full attention to the patient
 Leading- indirect –open invitation to the patient to
speak about the concern
- direct- setting the direction of the conversation
 Focusing- narrowing to the main concern
 Probing- digging deeper into the situation
 Attentive silence- allowing time to think and regain self
 Bracketing- suspending own emotions and judgement
 Reflecting – mirroring
 Content

 Feelings

 Experience
EDUCATION

Emotionally Critical Misperception (ECM)

EDUCATE

WHAT THE PATIENT NEEDS TO KNOW


EDUCATION
 ECM > Reality HIGH LEVEL of
anxiety

ALLAY THE ANXIETY


EDUCATION
if Perception is more than Reality
HIGH LEVEL OF ANXIETY

ALLAY the anxiety by educating the patient on


what the disease is not
EDUCATION

 ECM < Reality LOW LEVEL of anxiety

INCREASE THE ANXIETY


EDUCATION
if Perception is less than Reality
LOW LEVEL OF ANXIETY

INCREASE the anxiety by educating the patient about the


complications of the illness
EDUCATION

 Remember:
 Speak the language of the client

 Use analogy or metaphors

 Use anecdotes and testimonies

 TITRATE THE LEVEL OF ANXIETY TO JUST THE RIGHT AMOUNT


ALS IN EDUCATION
 CLOSING SKILLS
 Interpretation- sharing hunches

 Confrontation- bring up discrepancies or conflicts


ACTION

Patient is now motivated to take


action!
 Set Goals

 Diagnostics

 Medical treatment plan

 Surgical intervention

 Health promoting behavior

CEA
ACTION
 Address ECM regarding
treatment

CEA
CEA
ALS IN ACTION
 CLOSING SKILLS
 Goal setting- what you need to achieve

 Advising/informing- experience/evidence based

 Summarizing- tie together important details


REMEMBER SIR WILLIAM OSLER:

The good physician---

 Cures sometimes

 Palliates often

 BUT COMFORTS ALWAYS


Catharsis------
ECM

Education------
SUMMARY
needs to know

Action ------------
goals
Thank you for
your kind
attention.

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