ABSTRACT
This chapter illustrates how the BATHE technique is used to structure counseling sessions. A case of “self-harm” is presented. It is recommended that the session open by posing productive questions focusing the patient in the present, eliciting successes and disappointments, reviewing homework and medications. The clinician’s intentions, attentive listening, probing for feelings and genuine acceptance enhance patients’ ability to change. Focus on the patient’s strengths, encouragement of new behavior, and exploration of options potentiate change. While being supportive, practitioners set limits on detail or repetition. Connections among thoughts, feelings, and behavior are explained. Several brief cognitive interventions are described. Advice should focus on the process of dealing with problems, rather than their content. Behavioral strategies for managing children, becoming assertive, and taking care of the self are presented. Resources are suggested. At the end of the session, the practitioner extends the contact by assigning homework that the patient is expected to accomplish. During the 15-minute session the patient should speak about 12 minutes, with brief comments from the practitioner focusing on constructive elements. Time limits should be strictly adhered to. A successful counseling relationship with a teenager spanning over a year’s time is described.
