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The phrase "without counselling" is correct and usable in written English.
You can use this phrase when referring to situations which do not involve counselling or guidance. For example: "The study found that most teenagers are not able to make good decisions without counselling."
Exact(8)
Without counselling the information exacerbated poor dietary choices among the women, e.g. not eating fish at all to avoid toxins.
Here, a HCW with suspected AIDs-related opportunistic infection was tested for HIV without informed consent, and without counselling.
ACS = Acute coronary syndrome After the resident registers the admission prescription in the hospital's CPOE the pharmaceutical consultant verifies these prescriptions using community pharmacy records without counselling the patient (due to time constraints and because the resident already counsels the patient following routine care).
Testing pregnant women for HIV without their consent and without counselling to prepare them with a minimum of knowledge on how to live with either a HIV negative or a HIV positive status, can further diminish their confidence in the health providers and the health system, and can drive them away from vital maternity-related services.
A false-negative result may delay treatment whereas a false positive result may lead to additional and more expensive medical tests, and testing without counselling may result in adverse medical or psychological outcomes [ 3, 5– 8].
In the whole trial, although areas receiving home-based counselling reported higher levels of exclusive breastfeeding for the first six months (20%) compared to areas without counselling (9%; odds ratio (OR) 2·42 (95% CI 1·48 3·96)), there was no evidence of a reduction in neonatal mortality.
Similar(49)
Imagine doing that without counsel.
Without counsel, only 3 percent prevail in their asylum cases compared with 18 percent who have legal counsel.
"Prolonged detention without counsel, ethnic profiling, inhuman conditions — it should stop now".
Even now, for instance, U.S. citizens can be declared "enemy combatants" and be detained without counsel.
Many important court hearings took place without counsel being present at all.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com