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Most clients have abnormal daily routines

We base our assumptions about normality on our own experience and risk mistaking the norms of our immediate social circle (or movies and TV) for demographic reality. I was asked to help stroke ward staff manage a patient who took his bed very early in the evening and...

Always ask when you don’t understand

Asking when you don’t understand benefits you and your clients. Pretending to understand can discourage disclosure and support poor decision making. When I began working with people with learning disabilities, I was told “don’t pretend that...

Check your client can read and write

Checking that your client can read & write assists both you and them. Attempting to use questionnaires, journals or bibliotherapy with someone hiding their illiteracy could end your intervention before it has begun. Literacy isn’t essential in therapy:...

Demon Haunted World

An accessible argument in favour of the scientific method. The book provides tools for discriminating science from pseudoscience and knowledge from speculation. The late Carl Sagan was a strong proponent of science and the scientific method. The Demon Haunted World...

Closed questions can be supportive for clients

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. One benefit of speaking slowly is that you get to...