title: Practical Counseling Skills for the Pediatrician in the Indian Context.
abstract: Primary care pediatricians are often faced with children and families who need more than just a consultation. Pediatricians are also the first point of contact for many children and families in distress. Hence, the decision of whether to reassure and follow them up or refer them for an evaluation and management to a mental health professional is something all pediatricians find difficult to make. In order to serve their clients well, it is necessary that pediatricians are trained to identify and manage common child psychological/psychiatric problems. They may also be called upon to break bad news, motivate families to seek treatment and motivate children to accept offered treatment. Most training courses in Pediatrics do not offer skills training in counseling, making the transition to real life practice a difficult proposition. This paper focuses on what is counseling, what situations make it necessary for pediatricians to offer counseling, the methods that can be useful and some tips to improve communication, with an emphasis on unique issues in the Indian context. Some techniques that are simple, brief and can be used by pediatricians are discussed in this paper.
authors.affiliation: Department of Psychiatry, St. John's Medical College Hospital, Sarjapur Road, Bangalore, 560034, India. vraman12@yahoo.co.uk.
authors.forename: Vijaya
authors.initials: V
authors.lastname: Raman
mesh_terms: D002648:Child; D003376:Counseling; D006801:Humans; D000072143:Pediatricians; D011320:Primary Health Care; D012017:Referral and Consultation
keywords: Counseling skills; Indian context; Pediatricians
references.citation: Pediatrics. 2001 Jan;107(1):195-7
references.pmid: 11134461
references.citation: J Dev Behav Pediatr. 1985 Jun;6(3):157-61
references.pmid: 4008662
references.citation: Pediatrics. 2009 Apr;123(4):1248-51
references.pmid: 19336386
references.citation: Arch Pediatr Adolesc Med. 2000 Dec;154(12):1191-8
references.pmid: 11115301
references.citation: Pediatrics. 2002 May;109(5):E83-3
references.pmid: 11986489
references.citation: Fam Med. 1993 Oct;25(9):598-601
references.pmid: 8243909
references.citation: Indian Pediatr. 2008 Apr;45(4):300-4
references.pmid: 18451449
references.citation: Pediatrics. 2004 Jun;113(6 Suppl):1907-16
references.pmid: 15173461
references.citation: Health Commun. 2007;21(2):105-14
references.pmid: 17523856
references.citation: Singapore Med J. 1999 Mar;40(3):128-9
references.pmid: 10402887
references.citation: Pediatrics. 1984 Nov;74(5 Pt 2):917-9
references.pmid: 6493893
references.citation: Indian J Palliat Care. 2010 Jan;16(1):26-9
references.pmid: 20859468