Therapists can either work on, or work around, the chaos in clientâ€™s lives. Identifying clients, rather than their circumstances, as chaotic risks disempowering the client.
â€œChaoticâ€ seems to be one of the mildest â€œunofficial diagnosesâ€ a therapist can apply to a client: it seems more descriptive than derogatory. â€œChaoticâ€ is defined as being â€œin a state of complete confusion or disorderâ€. This would be an accurate description of the circumstances of a large number of mental health clients, especially those who come to the attention of psychiatric services.
The stereotypical â€œchaoticâ€ client would be someone who misses appointments, over- or under-uses prescription medication, has disrupted and disorganised home and work routines and struggles to achieve any consistency or reliability in their interactions. This state of affairs would usually have been at least part of their reason for seeking therapy.