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362: Working with Clients Who Have a Psychiatric Diagnosis

Counselling Tutor podcast

Release Date: 01/17/2026

371: AI in Counselling – Have Therapists Been Left Behind? show art 371: AI in Counselling – Have Therapists Been Left Behind?

Counselling Tutor podcast

In Episode 371 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly explore three key topics relevant to counsellors and counselling students. Firstly, in ‘Ethical, Sustainable Practice’, they introduce the emerging conversation around AI in counselling, exploring whether therapists are being left behind and how practitioners can engage with AI ethically. Then in ‘Practice Matters’, Rory speaks with Jessica Wing about preparing to meet your very first client, sharing insights to help students transition from classroom practice to real therapeutic work. And...

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Counselling Tutor podcast

In Episode 370 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week’s three topics: ·        Firstly, in ‘Ethical, Sustainable Practice’, they explore grounding techniques in counselling practice, highlighting key techniques every counsellor should know and why these skills are essential for safe, trauma-informed work. ·        Then in ‘Practice Matters’, Rory speaks with Bernie Wright and Lisa Smith about ARFID (Avoidant Restrictive Food Intake Disorder) – what...

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In Episode 369 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week’s three topics: Firstly, in ‘Ethical, Sustainable Practice’, they explore working with shame in the therapy room – how shame presents, how it differs from guilt, and how to work with it gently and ethically. Then in ‘Practice Matters’, Rory speaks with Nadine Pittam about limerence – a powerful and often overwhelming state of obsessive romantic attachment – and how therapists can work safely and effectively with clients experiencing it. And finally in ‘Student...

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368 - When Media Coverage Enters the Counselling Room show art 368 - When Media Coverage Enters the Counselling Room

Counselling Tutor podcast

In Episode 368 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly guide you through three key areas of counselling practice, learning, and development. In Ethical, Sustainable Practice, Rory and Ken explore when media coverage enters the counselling room, examining how major reporting on trauma and abuse can increase client contact and shape presentations. In Practice Matters, Rory is interviewed by Sarah Henry about his latest CPD lecture on attachment, exploring why attachment theory is central to therapeutic work. And in Student Services, Rory and Ken discuss the...

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Counselling Tutor podcast

In Episode 367 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly explore three timely and important topics for counsellors, psychotherapists, and students. Firstly, in Ethical, Sustainable Practice, Rory and Ken explore talking to clients about AI in therapy, discussing the growing presence of artificial intelligence (AI) in clients’ lives and why therapists need to address the risks, ethics, and boundaries of AI use within the therapeutic contract. Then, in Practice Matters, Rory is joined by Andrew Kidd for the second part of their conversation on EMDR, focusing...

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366 - New Police Guidance on Accessing Counselling Records show art 366 - New Police Guidance on Accessing Counselling Records

Counselling Tutor podcast

In Episode 366 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week’s three topics: Firstly, in ‘Ethical, Sustainable Practice’, we examine the new police guidance on accessing counselling records – essential listening if you work with trauma or abuse. Then, in ‘Practice Matters’, Rory speaks with Lisa Williams on integrating genograms and social graces to enhance self-awareness and deepen the therapeutic relationship. And finally, in ‘Student Services’, Rory and Ken explore fitness to practise - what it means, how to get signed...

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365 - When Is It the Right Time to Train as a Supervisor? show art 365 - When Is It the Right Time to Train as a Supervisor?

Counselling Tutor podcast

In Episode 365 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week’s three topics: Firstly, in ‘Ethical, Sustainable Practice’, we ask: when is it the right time to train as a supervisor? Rory and Ken, joined by Paul Cullen, explore motivations, timing, and expectations for moving into this advanced professional role. Then in ‘Practice Matters’, Rory speaks with Sally-Anne Armitage, who returns to share creative supervision techniques that can enrich both supervisory and client practice. And finally in ‘Student Services’, Rory...

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Counselling Tutor podcast

In Episode 364 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week’s three topics: Firstly, in ‘Ethical, Sustainable Practice’, we explore the question 'Will AI Replace Counsellors and Psychotherapists?', examining how AI is currently used in mental health care and what this might mean for the future of the profession. Then in ‘Practice Matters’, Rory speaks with Mahmoud Ahmed about his newly published book A New Introduction to Counselling and Psychotherapy, which calls for embedding diversity, equity, and context at the heart of...

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363: Choosing the Right Online Tech show art 363: Choosing the Right Online Tech

Counselling Tutor podcast

In Episode 363 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week’s three topics: Firstly, in ‘Ethical, Sustainable Practice’, we explore choosing the right online tech for counselling, highlighting how equipment and setup affect professionalism and therapeutic presence. Then in ‘Practice Matters’, Rory speaks with Caroline Evers-Endacott about working with alcohol, problem drinking, and recovery pathways – emphasising how therapists can work ethically and effectively with clients navigating addiction. And finally in ‘Student...

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362: Working with Clients Who Have a Psychiatric Diagnosis show art 362: Working with Clients Who Have a Psychiatric Diagnosis

Counselling Tutor podcast

In Episode 362 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week’s three topics: Firstly, in ‘Ethical, Sustainable Practice’, we explore working with clients who have a psychiatric diagnosis, considering how to approach this work ethically, including navigating risk, understanding medication, and maintaining person-centred care. Then in ‘Practice Matters’, Rory catches up with Alex Gulland, a year after she qualified, to hear what the transition from student to practitioner has really been like – from building a client base to...

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More Episodes

In Episode 362 of the Counselling Tutor Podcast, your hosts Rory Lees-Oakes and Ken Kelly take us through this week’s three topics:

  • Firstly, in ‘Ethical, Sustainable Practice’, we explore working with clients who have a psychiatric diagnosis, considering how to approach this work ethically, including navigating risk, understanding medication, and maintaining person-centred care.
  • Then in ‘Practice Matters’, Rory catches up with Alex Gulland, a year after she qualified, to hear what the transition from student to practitioner has really been like – from building a client base to discovering a passion for equine-assisted therapy.
  • And finally in ‘Student Services’, Ken and Rory explore how to protect client confidentiality when writing case studies – including anonymisation techniques and data protection guidance. Sarah Henry joins to share her frontline insights into balancing academic and ethical responsibilities.