Counselor Toolbox Podcast with DocSnipes

1082 - Essential Skills for Diabetes-Related Disability Adjustment Counseling

Nov 22, 2025
Explore essential skills for counseling individuals with diabetes-related disabilities. Discover the impact of diabetes on mood, complications, and general health. Learn strategies for patient empowerment and acceptance, as well as practical tips for improving self-esteem and social interactions. Gain insights on managing nutrition, exercise, and medications while addressing stigma and peer support. Dive into ways to enhance healthcare engagement and navigate treatment targets for better quality of life!
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INSIGHT

Complications Often Precede Diagnosis

  • Many people with type 2 diabetes already show complications by diagnosis because disease processes begin years earlier.
  • Dr. Donnelly Snipes urges mental health clinicians to screen and refer because they see clients more often than PCPs.
ADVICE

Screen And Refer Regularly

  • Routinely encourage clients to get a physical with a full blood panel and glucose testing every 6–12 months.
  • Use your frequent contact as a chance to screen and refer for diabetes if risk signs appear.
INSIGHT

Neurochemistry Connects Mood And Glucose

  • Diabetes links to lower dopamine and altered serotonin, which affects motivation, mood, sleep, and blood glucose regulation.
  • Treating depression and anxiety (e.g., SSRIs) can improve A1C by reducing stress and supporting neurotransmitter balance.
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