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Counselling is undertaken by psychological therapists to enable people to identify the source of their distress, to explore ways of coping more effectively, to implement change, and the tolerance of change, in their lives. The three types of counselling specified in the Human Fertilisation and Embryology (HFEA) code of practice are implication counselling, support counselling and therapeutic counselling. The offer of the opportunity to use a counselling service should be clearly endorsed by all clinic staff as an integral part of client care. Counselling takes place when there is a 'therapeutic alliance' between the counsellor and the client. The assisted reproductive technology (ART) unit is the last stop for many men and women in their quest for a child. Constantly dealing with heightened emotions can take its toll and working with distressed clients for whom failure may be more likely than success is bound to cause stress and anxiety.
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