Clientsâ€™ perceptions of rapport may be enhanced by silences. Therapists who are uncomfortable with silence should remind themselves that their clientâ€™s interpretation of the silence may be much more positive.
Some terms used by therapists to describe clients have meanings which wonâ€™t be found in textbooks. Use of these terms is rarely of benefit to the client, although the term may say as much about the therapist as the client.
If you donâ€™t know your clientâ€™s strengths, how can you capitalise upon them? Client factors account for 40% of the variance in outcomes and a wise therapist will play to their clientâ€™s strengths.
Some rules of thumb are derived from experience, accurate or otherwise, (eg: the praecox effect) and some from hard research (eg: people with memory problems donâ€™t admit to them), but all have a common flaw: even if true, they are both generalisations across a population and specific to the circumstances of their origin.
A guide to psychotropic medication for therapists and their clients. This book lays out the pros & cons of mind-altering prescription drugs from a critical but balanced perspective.
Trainees (and clients) need to know that crying is common in therapy. Experienced therapists need to remember that crying may be common in therapy, but that crying in front of a stranger is probably a rare experience for any given client: you may now be relaxed about the situation, but they arenâ€™t!
Judicious use of open & closed questions can empower clients. Restricting the range of responses when some are inappropriate or unavailable demands more of the therapist, but can be more supportive for the client.
Use of a clientâ€™s name to foster engagement may mask flagging concentration and inattention. Using a clientâ€™s name sparingly permits more accurate judgement of attention to the conversation or task.
Using supervision to plan ahead for common and uncommon events has advantages for therapist and client. Both gain when the therapist has considered their range of responses ahead of time.
Clients are likely to have questions about our services. Some may be asked, others may remain unspoken unless raised by the therapist.