Introduction
Formulation explains the problem.
Intervention changes the pattern.
This week focuses on translating conceptualisation into action.
The question becomes:
Given the formulation, where do we intervene first?
The Logic of Intervention
Good intervention is not random. It targets:
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The maintaining cycle
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The most modifiable factor
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The highest leverage point
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The client’s readiness
From 5P to Intervention Map
| 5P Area | Intervention Direction |
|---|---|
| Presenting | Stabilisation / emotional support |
| Predisposing | Schema / core belief work |
| Precipitating | Processing / meaning making |
| Perpetuating | Behavioural or cognitive change |
| Protective | Strength activation |
The Leverage Principle
Not all intervention points are equal.
High-impact targets often include:
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Avoidance behaviour
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Emotional regulation deficits
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Cognitive distortions
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Interpersonal patterns
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Environmental reinforcement
Small change in the right place → large system change.
Phase Based Counselling Model
Phase 1 – Stabilisation
Regulation, safety, containment, emotional grounding
Phase 2 – Pattern Change
Cognitive, behavioural, relational interventions
Phase 3 – Integration
Identity, meaning, future orientation
Matching Intervention to Client Readiness
Clients cannot engage insight work if dysregulated.
Sequence matters:
Regulate → Understand → Change → Integrate
Clinical Skill Focus This Week
You are learning to:
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Move from understanding → action
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Identify change mechanisms
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Work strategically
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Avoid technique dumping
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Apply integrative thinking
