Counselling

NDIS Capacity Building support

Talking with a trained counsellor to work through difficult feelings, life changes or challenges, and to build coping strategies.

The short answer

Counselling is talking with a trained professional about difficult feelings, life changes or challenges, and building ways to cope. It is a private, respectful space to work things through at your own pace.

About Counselling

People come to counselling for many reasons: stress, grief, relationship difficulties, adjusting to a diagnosis or a change in circumstances, or simply wanting to understand themselves better. A counsellor listens without judgement, helps you make sense of what you are experiencing and works with you on practical strategies.

Approaches differ. Some counsellors focus on talking through experiences, others teach specific skills for managing thoughts, emotions or relationships. There is no single right method, and the most important factor in many studies is whether you feel comfortable and understood by the person you are working with.

Counselling is separate from other mental health supports such as psychology or psychiatry, although the boundaries can overlap. If you are unsure which is best for you, a GP or an experienced provider can help you decide, and you can change your approach as your needs change.

Who is this service for?

People who would like to talk with a trained professional about emotional difficulties, life changes or challenges and build ways of coping.

What a typical session looks like

A counselling session is a conversation in a private, comfortable setting, in person, by phone or online. At the first meeting the counsellor usually explains how they work, what is confidential and what the limits of confidentiality are, and asks what has brought you there and what you hope will change. You are not expected to have everything worked out.

Later sessions follow the pace you set. Some focus on a specific problem such as a difficult relationship, grief or adjusting to a diagnosis, while others explore patterns in thoughts and feelings and build practical ways of coping. Many counsellors suggest small things to try between sessions and check in about how they went.

Who delivers this support

Counsellors have a range of qualifications and backgrounds, and the profession is regulated in different ways depending on the title. Psychologists are registered with AHPRA, while many counsellors belong to professional associations that set training and ethical standards. It is reasonable to ask about qualifications, experience with disability or with your particular concern, and which professional body they belong to.

How to choose a provider

Questions to ask a provider

Common mistakes to avoid

Getting started

  1. Think about what you would like to get from counselling.
  2. Contact a small number of counsellors and ask about their approach.
  3. Book a first session and see how it feels.
  4. Review after a few sessions whether it is helping and what to change.

How it fits with the rest of your plan

Counselling can sit alongside therapy, support coordination, psychosocial supports and the help of family and friends. It is one way of looking after emotional wellbeing, not a replacement for medical care, and if you are living with a mental health condition it is worth keeping your doctor informed. Some people use counselling for a defined period, others return when life becomes harder.

Eligibility

You can use NDIS funding for Counselling if it is included in your NDIS plan. The NDIS funds supports that are reasonable and necessary: they relate to your disability, help you pursue your goals and represent value for money. Not sure whether it is in your plan? Check your plan, or ask your planner, Local Area Coordinator or support coordinator. You can also arrange it privately.

Funding

Capacity Building supports help you build skills and independence. If Counselling is in your plan, it is normally paid from a Capacity Building budget. These budgets are usually set for particular types of support, so check which one your plan uses. Many NDIS supports have price limits, so ask providers for a quote and check it against the current NDIS Pricing Arrangements and Price Limits. Whether your plan is managed by the NDIA, by a plan manager or by you, ask for a written quote and a service agreement before you start. If your plan is plan-managed or self-managed you can use providers who are not registered with the NDIS. If it is NDIA-managed you generally need a registered provider.

What it costs

Supports such as Counselling that are funded by the NDIS are paid at rates that follow the NDIS Pricing Arrangements and Price Limits, which the NDIA reviews regularly. Many items have a maximum price, and some prices are higher in remote areas. Before you start, ask for a written quote that lists each support, the hours and the price, and check it against the current NDIS Pricing Arrangements and Price Limits on the NDIS website. A provider may charge less than a limit. If you pay privately, the provider sets its own fees. Plan-managed and self-managed participants can also use providers who are not registered, and those providers set their own prices.

Therapy services providers on the NDIS register

10,460 NDIS providers list therapy services supports on the NDIS Commission register of registered providers. A register listing shows what the register says, not who has capacity.

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Checking credentials

Regulation and safeguards

NDIS providers and their workers must follow the NDIS Code of Conduct, and registered providers are regulated by the NDIS Quality and Safeguards Commission.

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Frequently asked questions

What happens in a counselling session?

You talk with a trained counsellor in a private, respectful setting. They listen, help you understand what you are experiencing and work with you on strategies that suit your situation.

How do I choose a counsellor?

Look at their qualifications, their experience with the kind of concerns you have, and whether you feel comfortable with them. It is fine to meet more than one before deciding.

Is counselling confidential?

Counsellors keep what you tell them private, with limited exceptions, for example where there is a serious risk of harm. A good counsellor explains this at the start.

How long does counselling take?

It varies. Some people find a few sessions enough, while others prefer longer-term support. Your counsellor can talk with you about what to expect.

Can I bring someone with me?

Often yes, depending on the counsellor and your needs. Ask when you book.

What if I feel worse after a session?

It is normal to feel emotional after difficult conversations. If it continues or worries you, tell your counsellor or another health professional.

What is the difference between a counsellor and a psychologist?

Psychologists complete extended university training and must be registered with AHPRA, and they can assess and treat a wide range of mental health conditions. Counsellors have a range of qualifications and focus on talking therapies. Both can help, and the right one depends on what you need.

Do I have to talk about painful things in counselling?

You set the pace. A good counsellor will not push you to share more than you are ready for, and will work with you to find a way that feels safe.

Can counselling be done online or by phone?

Yes, many counsellors offer both. Some people find it easier to talk from home, and it can also help if travelling is difficult.

Can I use my NDIS plan to pay for Counselling?

If Counselling is in your NDIS plan and is reasonable and necessary for you, then yes. Check with your planner, Local Area Coordinator or support coordinator. You can also arrange it privately.

How do I find a Counselling provider near me?

Browse providers on SolDirectory, or send a free enquiry with your location and what you need and suitable providers will review it. Then ask each one about availability, a quote and a service agreement before you decide. Details come from providers and registers, so confirm them directly.

Sources and further reading

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