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NP0033: Tough Customers: Treating Clients with Challenging Issues

Learn how to sidestep common clinical mistakes that promote resistance, and ways to overcome resistance if it does occur. Professor and author of Effective Techniques for Dealing with Highly Resistant Clients, Clifton Mitchell describes the best approaches to circumvent resistance, from clarifying goals, slowing down the pace, and helping clients find emotionally compelling reasons to change.

Explore a treatment plan for clients with narcissistic personality disorder that helps you maintain compassion while achieving leverage. Wendy Behary, author of Disarming the Narcissist: Surviving and Thriving with the Self-Absorbed, teaches how to use tactical confrontation, cognitive restructuring, behavioral therapy and skills training, experiential psychotherapy, and more.

How do you work with borderline personality disorder clients without lapsing into feelings of defensiveness? Richard Schwartz, originator of the Internal Family Systems model, describes working with borderline personality disorder clients who are preoccupied with protecting their vulnerable inner “parts” and can respond to mental health treatment with anger, impulsiveness, and aggressiveness.

Discover how to join with self-loathing clients who are so filled with feelings of shame and worthlessness that they find little benefit from the therapeutic relationship. Janina Fisher, who lectures and writes about integrating neuroscience research and body-centered approaches into psychotherapy, guides the viewer on how to help clients heal their attachment issues and gain self-compassion and acceptance.

In this session, marriage and family therapist William Doherty highlights some techniques to follow when a client isn’t following the treatment plan, continues to follow a self-destructive path, or simply isn’t making progress. Learn how to avoid sounding like a disappointed parent or threatening to abandon the client when therapy stalls.

Discover an assessment protocol to identify six personal characteristics that’ll allow you to customize treatment to match clients’ needs. Distinguished professor of psychology and clinical psychologist John Norcross explores how to identify these personal characteristics to achieve more effective treatment.

After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

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8 Responses to NP0033: Tough Customers: Treating Clients with Challenging Issues

  1. Sedna says:

    Wendy Behary gave a wonderful presentation. I particularly liked how she talked to clients, her own words to the client when he devalued her or expressed rage. Her understanding of and empathy for what the clients are feeling is remarkable and models empathy in action.
    Thank you

  2. Ellencsi says:

    Great discussion with Wendy Behary. Wondering about exactly what the flashcard is. Is it a specific technological tool, or something used on a smart phone?

    • ljp says:

      The audio flashcard idea Wendy Behary presented seemed to be a statement reinforcing therapeutic ideas and statements from the session, recorded on a digital voice recorder or the voice recording feature of a smart phone. Instead of the client’s walking out the door and immediately forgetting what happened in the session, the audio flashcard is available to serve as a reminder and refresher for them.

      This was a great!!!! presentation. Very useful and applicable information.

  3. RAH says:

    I appreciated the note that narcissism is a spectrum. Is it possible to find a narcissist on the spectrum who essentially fits all of Wendy’s descriptions except the one about childhood being perfect? I am thinking of someone who has outsize and irrational blame for both of the parents, yet fits the narcissistic profile in many other ways. Clinging to anger at the parents seems to justify the tantrum-like behavior, a need for re-parenting, as Wendy says.

  4. ljp says:

    I found John Norcross’ presentation very affirming in many ways. My suspicion (and experience) has been that what works in therapy for one person is not going to be effective with another, given individual differences and experiences–perhaps even according to type preferences. Notwithstanding the frustratingly ubiquitous promotion of CBT in behavioral health practices. As a former rehabilitation counseling instructor and now a current mental health counseling trainee in a behavioral health setting, I was greatly amused by Dr. Norcross’ characterization of the trainee wanting to know exactly what treatment approach matches up with which problem set. Been on both sides of that. Suffice it to say I ordered the book. I want to learn more. Thank you for a great presentation!

  5. ajashworth says:

    John Norcross’ presentation was awesome! As a newer practitioner in the last 5-6 years, it was great to hear the context of the “pre consumer-driven era” of therapy and those assumptions, as I often hear these myths that we are supposed to be “all things to all people” as therapists. Also, I feel inspired to hear how this work is trying to redefine “evidence based practice”. I work in the medical model context, so often this term is equated with the method. Thank you for enlightening me about this area of client preferences that are evidenced-based. I know this will help me become a more flexible practitioner and I hope to share this with other therapists out there in my community.

  6. amarknicholls says:

    In the sixth presentation Rich says: “We’ll also have John’s paper that he co-wrote with Bruce Wampold, in which he summarizes this. That will be available to you and you’ll be able to print out that paper. There will be a link for you right below the screen here if you want to consult that.” I haven’t been able to find any such link, but would like to read this paper – could you proved access to it please?

  7. amarknicholls says:

    In the sixth presentation, Rich says: We’ll also have John’s paper that he co-wrote with Bruce Wampold, in which he summarizes this. That will be available to you and you’ll be able to print out that paper. There will be a link for you right below the screen here if you want to consult that.” I haven’t been able to find such a link and would like to read the paper – could you supply a copy please?

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