The assignment discusses the integrative approach of psychotherapy, which combines different elements and approaches to provide effective counselling. The major skills used in this approach include communication, health and social care skills, counselling, training and development skills, etc. The factors that influence the integrative approach are also discussed, including therapist-client rapport, emotional release, therapist qualities, and client needs and requirements. Additionally, various other factors such as social, psychological, and biological factors are considered by healthcare professionals when providing counseling services.