Counselling Skills for Dietitians

Judy Gable and Tamara Herrmann

Reflective questions

The following questions are designed to help you reflect on a topic, increase your self-awareness and consolidate your knowledge. As each one requires thought, you are recommended to choose one at a time to focus on. You can read more about each topic in the relevant chapter (noted at the end of the question).

Part 1: Using a counselling approach in patient–centred practice

  • • What are the key constituents of the patient-centred approach? (Chapter 1)
  • • What are the core conditions necessary for developing a helping relationship? How would you describe each one? (Chapter 3)
  • • What are the key stages in the helping process? (Chapter 4)

Part 2: The skills

  • • How does active listening differ from passive listening? (Chapter 6)
  • • What aspects would you attend to when observing non-verbal communication? (Chapter 6)
  • • What do you consider are barriers to communication between dietitian and patient? (Chapter 7)
  • • Which categories of verbal response are you most (and least) familiar with using? (Chapter 7)
  • • What are the likely consequences of using low-, medium- and high-risk verbal responses? Give examples of each type. (Chapter 7)
  • • What are the advantages of reflective responding? (Chapter 7)
  • • Which of the helpful interventions described in Chapter 8 would you find it (i) easy and (ii) difficult to use? (Chapter 8)

Part 3: Putting skills into practice: further considerations

  • • What are some of the risks and benefits of involving someone else in an interview with a patient? (Chapter 10)
  • • In what ways can a dietitian provide support for someone who is grieving? (Chapter 11)
  • • How can you build bridges when there are cultural difficulties in communication? (Chapter 12)
  • • What might a child need that a dietitian should be aware of? (Chapter 13)
  • • How could you make it easier to communicate with someone who (i) is hard of hearing, (ii) has poor eyesight or (iii) has limited mobility? (Chapter 14)

Part 4: Areas for personal and professional development

  • • How can you build a sense of self–esteem? (Chapter 15)
  • • What are some of the signs which indicate that stress is becoming problematic? (Chapter 15)
  • • Why is self–awareness so important when using counselling skills? (Chapter 15)
  • • What steps could you take to build a bigger support network for yourself? (Chapter 16)
  • • How could you (do you) provide support for others? (Chapter 16)