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My client is dead

Sooner or later, one of your clients will die. Waiting until it occurs to consider how this might affect you would be unwise. Death of clients might be inevitable (f you work in palliative care), an acknowledged risk (if you work in psychiatric settings) or very rare....

My client won’t do as I say

One of the major challenges to the therapeutic alliance arises when the client fails to follow the therapist’s advice. Therapists can often be heard to complain that clients reject their instructions (sorry, “advice”) out of hand: Don’t they want to get better? Why...

I have to breach confidentiality – part 2

Disclosures requiring that confidentiality be breached are rare. A little preparation should permit you to focus upon supporting your client through the process, preserving your therapeutic rapport. In part one, we considered how to react when a breach of...

I have to breach confidentiality – part 1

Disclosures requiring that confidentiality be breached are rare. A little preparation should permit you to focus upon supporting your client through the process, preserving your therapeutic rapport. For UK therapists there are three occasions on which it is mandatory...

My client is crying

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...

Hypotheticals encourage proactive supervision

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. Ideally, clinical supervision is proactive. You discuss the progress of your...